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Pediatric Distal Radial Fractures

Pediatric Distal Radial Fractures. Andrew Grabowski 1/21/00 GCOH. Torus. Bulges secondary to a longitudinally compressive force Only involves one cortex . Torus. May present with only minimal swelling or hematoma Treatment consists of a cast or splint from 2-4 weeks

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Pediatric Distal Radial Fractures

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  1. Pediatric Distal Radial Fractures Andrew Grabowski 1/21/00 GCOH

  2. Torus • Bulges secondary to a longitudinally compressive force • Only involves one cortex

  3. Torus • May present with only minimal swelling or hematoma • Treatment consists of a cast or splint from 2-4 weeks • Mostly for protection and comfort

  4. Torus

  5. Greenstick • Volar apex majority of the time • Two types of greenstick fractures • Compression versus tension • Tension involves more force

  6. Greenstick • More noticeable deformity/swelling as compared to torus • Typically immobilized in pronation for an apex volar fracture • Questions of angulation, completion

  7. Bayonet • Complete loss of end-to-end apposition • Both the dorsal and volar cortexes failed, resulting in a disruption of both cortices • Most bayonet fractures are dorsal

  8. Bayonet • Obvious deformity fracture compared to torus and greenstick • Classic “silver-fork” deformity • Questions of acceptable angulation

  9. Bayonet

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