Torus Fracture

Impaction injury of
childhood.
 Primarily affects
developing
metaphyseal bone.
 Compression
fracture due to
porous nature of the
bone.
Distal Radius Fracture

Obtain true AP and
Lateral X-rays.
 Frequent F/U.
 Not true Buckle
fracture therefore can
displace.
Flexor Profundus Avulsion

Usually pure avulsion
from distal phalanx.
 High index of
suspicion, frequently
missed.
 Ring finger most
common.
Finger Injuries

Profundus avulsion
 Salter II fracture
 Subungual hematoma (mallet fx)
Flexor Profundus Avulsion

Seen in athletics.
 Football player
reaching and
grabbing a jersey to
make the tackle.
 Early repair required
to achieve a good
result.

Inability to flex the DIP
joint.
 Tenderness at PIP joint.
 Tendon can retract into
the palm.
 Need good quality
lateral & oblique X-ray.
Salter II Fracture Proximal
Phalanx

Most common
physeal fx.
 Small finger most
common.
 Reduce if needed
and splinted 3-4
weeks ulnar gutter.
AVN
Salter II
Subungual Hematoma
Think fracture and nail bed laceration
Mallet Finger Injury
Prevention
One person at a time
Prevention
Proper fitting
safety equipment
for the specific
sport.
The End