Torus fracture

Case contributed by Amanda Er

Presentation

Patient presented with pain along forearm after falling on an outstretched hand.

Patient Data

Age: 11 years
Gender: Female
X-ray

There is mild buckling and angulation of the posterior cortex of the distal radial metaphysis, best seen in the lateral projection, indicating a torus fracture.

Case Discussion

The distal end of the radius is the most common site for a 'torus' or 'buckle' fracture, with mild angulation being the only diagnostic clue in some cases. As the deformity or buckling of the context may be subtle with no distinct fractures lines, care should be taken to assess for any mild angulation.

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