Daniel Green, Philip Henman, Mamoun Kremli
A torus/buckle injury of the distal tibial metaphysis is due to cortical failure in compression and is, therefore, minimally displaced and stable.
These fractures are classified as 43t-M/2.1.
An associated fracture of the fibula is usually a torus/buckle injury and is classified separately.
A buckle/torus fracture of the distal tibial metaphysis typically occurs in young children and heals rapidly.
This fracture is usually caused by low-energy trauma, eg, a simple fall.
Patients may still be able to walk, albeit with a limp.
Always consider nonaccidental injury in nonwalking children with a tibial fracture.
X-rays showing a buckle fracture of the tibia and fibula in an 18-month-old patient