Tibial torus fracture
3 year old boy with ground level fall onto knee from walker 5 hours prior to presentation with refusal to bear weight following injury.
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Buckling of the anterior tibial cortex, best seen on the lateral projection
Torus or " buckle" fractures commonly occur following trauma in the distal long bones of children at the point of least resistance between the diaphysis and metaphysis of the developing bone as it buckles under the force of an increased axial load. Most frequently this occurs in the distal radius following a fall onto an outstretched arm, but can also commonly be seen in the tibia following traumatic injury, as with the case above.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center