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The Pediatric Forum
July 2000

No Radiograph in the Management of Pediatric Torus Fractures

Arch Pediatr Adolesc Med. 2000;154(7):750. doi:10.1001/archpedi.154.7.750

The report by Farbman et al1 shows that serial radiographs in the management of pediatric torus fractures are unnecessary. The authors further remind us that the torus fracture "is caused by the compression of one cortex; the opposite cortex is intact. . . . By definition, these fractures are nondisplaced."1(p923) They also emphasize the role of clinical examination in the management of these fractures. It is then both surprising and disappointing that, despite their own logic and without any evidence, they conclude by throwing in "a single (radiological) study conducted at least 4 weeks after an injury . . . is a more appropriate regimen for the management of pediatric torus fractures."1(p925) A "single study" may be more appropriate than multiple studies. However, all the logic and evidence presented by the authors leads one to conclude that not a single study is needed in the follow-up of pediatric torus fractures.