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Torus Fracture

Torus Fracture. Impaction injury of childhood. Primarily affects developing metaphyseal bone. Compression fracture due to porous nature of the bone. Distal Radius Fracture. Obtain true AP and Lateral X-rays. Frequent F/U. Not true Buckle fracture therefore can displace.

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Torus Fracture

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  1. Torus Fracture • Impaction injury of childhood. • Primarily affects developing metaphyseal bone. • Compression fracture due to porous nature of the bone.

  2. Distal Radius Fracture • Obtain true AP and Lateral X-rays. • Frequent F/U. • Not true Buckle fracture therefore can displace.

  3. Flexor Profundus Avulsion • Usually pure avulsion from distal phalanx. • High index of suspicion, frequently missed. • Ring finger most common.

  4. Finger Injuries Profundus avulsion Salter II fracture Subungual hematoma (mallet fx)

  5. Seen in athletics. Football player reaching and grabbing a jersey to make the tackle. Early repair required to achieve a good result. Inability to flex the DIP joint. Tenderness at PIP joint. Tendon can retract into the palm. Need good quality lateral & oblique X-ray. Flexor Profundus Avulsion

  6. Salter II Fracture Proximal Phalanx • Most common physeal fx. • Small finger most common. • Reduce if needed and splinted 3-4 weeks ulnar gutter. AVN SalterII

  7. Subungual Hematoma Think fracture and nail bed laceration

  8. Mallet Finger Injury

  9. Prevention One person at a time

  10. Prevention Proper fitting safety equipment for the specific sport.

  11. The End

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