Torus FractureImpaction 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 InjuriesProfundus avulsionSalter II fractureSubungual hematoma (mallet fx)

Flexor Profundus AvulsionSeen 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