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Torus fractures - diagnosis and management
Abdullah Tahir1, Omar Naji2, Haseeb Khawar3
1Department of Trauma & Orthopaedics, John Radcliffe Hospital, Oxford, UK.
Insights
Torus fractures, a common wrist injury in children, are best managed with a soft bandage and prompt discharge, avoiding the need for specialist follow-up. This approach ensures consistent care for this frequent paediatric fracture.
Area of Science:
- Orthopaedic Surgery
- Paediatric Medicine
- Radiology
Background:
- Torus fractures are frequent injuries in the paediatric distal radius, often resulting from falls.
- Wrist pain is the primary symptom prompting medical evaluation.
Purpose of the Study:
- To provide a comprehensive overview of torus fracture epidemiology, anatomy, diagnosis, and management.
- To promote uniform understanding and application of current best practices among clinicians.
Main Methods:
- Review of existing literature on torus fractures.
- Analysis of diagnostic imaging, specifically plain radiographs.
- Evaluation of current management strategies and outcomes.
Main Results:
- Plain radiography is the primary diagnostic tool.
- Optimal management involves soft-bandaging and immediate discharge without specialist follow-up.
Conclusions:
- Standardized management of torus fractures is crucial for consistent patient outcomes.
- Educating hospital clinicians on up-to-date protocols is essential.
Abstract:
Torus fractures are a common paediatric injury involving the distal radius. Patients typically present following a fall onto the outstretched hand, with wrist pain as their primary complaint. The principal investigation of choice is a plain radiograph of the wrist joint. These fractures should be managed with a soft-bandage and immediate discharge approach and do not require specialist follow-up. Clinicians have historically had differing views regarding optimal management of torus fractures. It is therefore important for hospital clinicians to uniformly understand the most up-to-date management of this condition. This review provides an overview of the epidemiology, anatomy, diagnosis and management, with an aim to improve outcomes.
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Assessment:
1. Clinical Evaluation:
History: