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. The bowing fracture is most common in the forearm, but they can also occur in the fibula. Bowing fracture - bent bone with no distinct cortex disruption. Torus/buckling fracture - cortex is buckled and overlapped, caused by impaction. In some cases, angulation is the only diagnostic clue There are three kinds of greenstick fractures: Transverse fracture - fracture halfway across the bone. 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. Surgery is never required for this type of fracture and they typically heal quickly within four-five weeks. Treatment may be nonoperative or operative depending on. ![]() ![]() Green stick fractures can be differentiated because they present a break in. A CT scan may be required to further characterize the fracture pattern and for surgical planning. It is most common in the fibula at either of its ends, its lower especially. Diagnosis is made with plain radiographs of the ankle. They are different terms that tell your healthcare provider specific details about how your child’s bones are broken, where they broke and what they look like inside their. Ankle Fractures are very common fractures in the pediatric population that are usually caused by direct trauma or a twisting injury. Cortical buckle fractures occur when there is axial loading of a long bone. However, greenstick fractures are easily diagnosed with simple x-rays and treated with removable splints instead of plaster casting nowadays, so we sometimes see older adolescents and teenagers. Buckle fractures (also known as impacted fractures) and greenstick fractures are different types of incomplete bone fractures.
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