1 Introduction topenlarge
It is important to ascertain that these are incomplete fractures. A torus fracture is by definition, a failure of a single cortex in compression, and is therefore minimally displaced and stable.
It is essential to make sure that there is no breach of the opposite tension cortex (greenstick fracture), as this requires a different management program.
2 Splint application topenlarge
Torus injuries with an intact opposite cortex can be managed with a removable splint, which is retained until symptoms resolve (usually 2-3 weeks, depending on age).
Such injuries are often seen in younger children and age/size appropriate splints are available.
Alternatively, a simple plaster of Paris slab can be bandaged on, over appropriate padding. This can be removed by the parents/carer after a similar interval.
3 Follow-up top
The splint is removed once the child is pain-free and the fracture no longer tender. Further follow-up is not usually required but parents/carers are advised to return if symptoms deteriorate or fail to improve over a period of 1-2 weeks.
Rapid return to normal function should be expected.