A torus is the convex portion of the upper part of the base of a Greek column and resembles the appearance of the cortical buckling seen in the "column" of bone which has been fractured in the pattern discussed in this article. The term torus is the Latin word meaning protuberance. Sometimes a cast may be applied, but often a splint is all that is required with a period of rest and immobilization. They are self-limiting and typically do not require operative intervention, although a manipulation may be required if the angulation is severe. In some cases, angulation is the only diagnostic clue Subtle deformity or buckle of the cortex may be evident This most commonly occurs at the distal radius or tibia following a fall on an outstretched arm the force is transmitted from carpus to the distal radius and the point of least resistance fractures, usually the dorsal cortex of the distal radius. ![]() PathologyĬortical buckle fractures occur when there is axial loading of a long bone. There has been a single case report of a torus fracture of the distal radius in an adult 9. 4th or 5th metacarpal fracture: Ulnar gutter: 1st phalanx fracture: Thumb spica: 2nd or 3rd proximal or middle phalanx fracture: Radial gutter or. In adults, the commonest form of torus fracture by far is a buckle fracture of the ribs. Long arm posterior, or double sugar tong (if fracture is unstable or complex) Radius distal, isolated: Thumb spica or volar: Radius or ulna distal, complex: Single or double sugar tong. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. However, the terms are often used interchangeably. Accessed May 22, 2017.Strictly speaking, a torus fracture refers to a circumferential buckle fracture 7. Do nonsteroidal anti-inflammatory drugs affect bone healing? A critical analysis. National Institute for Arthritis and Musculoskeletal and Skin Diseases. Current Reviews in Musculoskeletal Medicine. American Academy of Orthopaedic Surgeons. Overview of finger, hand, and wrist fractures. American Society for Surgery of the Hand. Wear wrist guards for high-risk activities, such as: Use protective gear for athletic activities Avoid slippery surfaces, if possible, such as snow- or ice-covered walkways.Have your vision checked and, if needed, corrected.Remove things you can trip over in your home, such as throw rugs.Most broken wrists occur when people fall forward onto an outstretched hand. Both greenstick and torus injuries are buckle fractures - most commonly. Get plenty of weight-bearing exercise, such as brisk walking Greenstick and Torus fractures of the forearm have a similar appearance on X-ray.Eat a nutritious diet with adequate calcium and vitamin D.But these tips might offer some protection. It's impossible to prevent the unforeseen events that often cause a broken wrist. ![]() Seek immediate attention if you have numbness or circulation problems. Trauma to the wrist can injure adjacent nerves and blood vessels. If your wrist starts to hurt or swell long after a break, see your doctor for an evaluation. Fractures that extend into a joint can cause arthritis years later. Be patient with your recovery, and talk to your doctor about exercises that might help or for a referral to physical or occupational therapy. However, some people have permanent stiffness or pain. Stiffness, pain or aching in the affected area generally goes away eventually after your cast is removed or after surgery.
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