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23u-M/2.1   Metaphyseal, torus/buckle fractures, ulna

 
 
 
 
 

Nonoperative management is the most frequent and the most successful treatment option for torus fractures. Treatment of this fracture is mainly to manage the pain during the first days after injury.

The greenstick variant, which tends to displace, requires careful three-point molding of a cast to maintain alignment.

Nonoperative management is the most frequent and the most successful treatment option for torus fractures. Treatment of this fracture is mainly to manage the pain during the first days after injury.

The greenstick variant, which tends to displace, requires careful three-point molding of a cast to maintain alignment.

Splint

Main indications

 
 
Compliant children

Supporting indications

  • Torus fracture

Contraindications

  • Greenstick variant
  • High level of pain
  • Very young child

Advantages

  • Readily available
  • Relatively inexpensive
Compliant children

Supporting indications

  • Torus fracture

Contraindications

  • Greenstick variant
  • High level of pain
  • Very young child

Advantages

  • Readily available
  • Relatively inexpensive

Short or long arm cast

Main indications

 
 
Greenstick variant and/or high level of pain

Supporting indications

  • Torus fracture
  • Malalignment of fracture (requires molded cast)

Advantages

  • Allows definitive management of fracture
  • Controls pain

Disadvantages

  • Requires skilled practitioner
  • Risk of soft tissue compression if cast is not split
  • Need for more frequent monitoring
Greenstick variant and/or high level of pain

Supporting indications

  • Torus fracture
  • Malalignment of fracture (requires molded cast)

Advantages

  • Allows definitive management of fracture
  • Controls pain

Disadvantages

  • Requires skilled practitioner
  • Risk of soft tissue compression if cast is not split
  • Need for more frequent monitoring