García-Mata S, Hidalgo-Ovejero A
Servicio de Traumatología. Hospital Virgen del Camino..
An Sist Sanit Navar. 2019 Apr 25;42(1):69-73. doi: 10.23938/ASSN.0386.
Torus or buckle fractures typically affect children who have suffered indirect minor wrist injuries. They are axial compression-type metaphyseal fractures of cortical and cancellous bone, which are stable and their treatment therefore consists in immobilisation of the joint for three to four weeks. We present an atypical case of distal radius torus fracture in a 19-year-old adult male, which has not been previously reported in adults and can be considered a new type of occult fracture. Knowledge of this possibility is mandatory to be able to make a differential diagnosis of wrist sprain in adults, and avoid performing superfluous complementary tests due to the persistence of pain and functional incapacity.
骨皮质增厚或扣状骨折通常影响遭受间接轻微腕部损伤的儿童。它们是皮质骨和松质骨的轴向压缩型干骺端骨折，骨折稳定，因此治疗方法是将关节固定三到四周。我们报告一例19岁成年男性桡骨远端骨皮质增厚骨折的非典型病例，此前未见成人病例报道，可视为一种新型隐匿性骨折。了解这种可能性对于鉴别成人腕部扭伤至关重要，可避免因疼痛持续和功能丧失而进行不必要的辅助检查。
