Pediatric Distal Radial Fractures

Pediatric Distal Radial Pediatric Distal Radial FracturesFractures

Andrew Grabowski1/21/00GCOH

TorusTorus

Bulges secondary to a longitudinally compressive force

Only involves one cortex

TorusTorus

May present with only minimal swelling or hematoma

Treatment consists of a cast or splint from 2-4 weeks

Mostly for protection and comfort

TorusTorus

GreenstickGreenstick

Volar apex majority of the time

Two types of greenstick fractures

Compression versus tension

Tension involves more force

GreenstickGreenstick

More noticeable deformity/swelling as compared to torus

Typically immobilized in pronation for an apex volar fracture

Questions of angulation, completion

BayonetBayonet

Complete loss of end-to-end appositionBoth the dorsal and volar cortexes failed,

resulting in a disruption of both corticesMost bayonet fractures are dorsal

BayonetBayonet

Obvious deformity fracture compared to torus and greenstick

Classic “silver-fork” deformity

Questions of acceptable angulation

BayonetBayonet