Authors of section

Authors

Philip Henman, Mamoun Kremli, Dorien Schneidmüller

General Editor

Fergal Monsell

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Torus/buckle fracture

Definition

A torus/buckle fracture of the proximal tibial metaphysis is a cortical failure in compression and is, therefore, minimally displaced, and stable.

These fractures are classified as 41t-M/2.1.

An associated fracture of the fibula is usually a torus/buckle injury and is classified separately.

Torus/buckle fracture proximal tibial metaphysis: 41t-M/2.1, stable; fibular fracture separate.

Further characteristics

A buckle/torus fracture of the proximal tibial metaphysis typically occurs in young children and heals rapidly.

This fracture is usually caused by low-energy trauma, eg, a simple fall while playing.

Patients may still be able to walk, albeit with a limp.

Always consider nonaccidental/unexplained injury in nonambulant children with a tibial fracture.

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