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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. In adults, the commonest form of torus fracture by far is a buckle fracture of the ribs. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. place the opposite leg behind the injured limb to avoid over-rotation. the lateral aspect of the knee and ankle joint should be in contact with the table resulting in the tibia lying parallel to the table. 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. patient is in a lateral recumbent position on the table. During the first few weeks after the onset of symptoms, x-rays of the affected area may look. fractures, as positive findings may take months to appear. calcaneus, posterior medial tibial shaft, fibula, lateral malleolus, 2 nd to 4 th metatarsal shafts. However, the terms are often used interchangeably. Some authors use the term stress fracture synonymously with fatigue fracture, and. The left X-ray is of the medial malleolus fracture. Strictly speaking, a torus fracture refers to a circumferential buckle fracture 7. Surgery may be recommended if the ankle is out of place/unstable.