Torus fractures - diagnosis and management

Br J Hosp Med (Lond). 2024 May 30;85(5):1-8. doi: 10.12968/hmed.2023.0336. Epub 2024 May 24.

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.

Keywords: Buckle fracture; Distal radius; Paediatric fracture; Torus fracture; Wrist fracture.

Publication types

  • Review

MeSH terms

  • Accidental Falls
  • Child
  • Humans
  • Radiography / methods
  • Radius Fractures* / diagnosis
  • Radius Fractures* / diagnostic imaging
  • Radius Fractures* / therapy
  • Wrist Injuries / diagnosis
  • Wrist Injuries / diagnostic imaging
  • Wrist Injuries / therapy