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Children’s bones are less brittle and more liable to plastic deformation – hence torus and greenstick fractures only occur in children.
Cellular activity is also increased in the children – hence children’s fractures heal much more rapidly than those of adults. Angled buckle fractures are easily missed: special attention has to be paid to the contour of the bone particularly at the metaphysis ( Fig.
The presence of an elevated anterior fat pad may be the only indication of a fracture about the elbow.

2 clicks for more privacy: On the first click the button will be activated and you can then share the poster with a second click. 1: The so-called greenstick fracture derives its name from the semblance this fracture in children has to the break that occurs in a green stick with one side bending and the outer convexity breaking (a). 2: Greenstick fracture of the fibula in an 11 year old boy who fell whilst playing football (frontal - a, lateral - b). 4: A classic buckle (torus) fracture is the cortical bulging that occurs secondary to axial loading on the bone (a).

3: Greenstick fracture of the distal radius in a 6 year old boy after a fall on the outstretched hand. 7: Angled buckle fractures of the proximal 3rd, 4th and 5th metacarpals in a child with tenderness post trauma at this site.

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