Musculoskeletal case studies for medical students

View Table: Case Selection  

Back to List 

History A 14 yr old boy fell out of a tree. He complained of a painful right knee.
Initial X ray
Description AP X ray
X ray
Description Lateral X ray
Problem The 14 year old boy who fell out of a tree.
X ray after treatment
Description Initial traction in a Thomas splint
Post management further view
Description Lateral X ray in plaster cast

There is a transverse "fracture" in at the metaphyseal - diaphyseal junction of the right femur. This is a Torus fracture.

Discussion of management

Torus Fracture

These are the opposite of a fracture, in that they deveolp due to compression forces rather than tension. They are a buckle or fold, seen in children, usually at the junction of the rigid diaphysis and the more elastic metaphysis. They are basically quite stable, as they cannot progress to the other side of the bone.

Treatment was by a Thomas splint for 10 days (to allow the swelling to subside). After this the limb was placed in a well fitting above knee cast.


 Copyright 2011, University of Stellenbosch