Differential Diagnosis for Torus Fracture of the Right Distal Radius Shaft with Suspected Torus Fracture of the Distal Ulna Shaft
- Single most likely diagnosis:
- Torus fracture of the distal radius and ulna: This is the most likely diagnosis given the presentation, as torus fractures are common in children and often occur in the distal forearm.
- Other Likely diagnoses:
- Greenstick fracture of the distal radius and ulna: Greenstick fractures are also common in children and can present similarly to torus fractures.
- Buckle fracture of the distal radius and ulna: Buckle fractures are another type of fracture that can occur in the distal forearm, particularly in children.
- Distal forearm fracture with radial and ulnar involvement: This diagnosis considers the possibility of a more complex fracture pattern involving both the radius and ulna.
- Do Not Miss diagnoses:
- Monteggia fracture: Although less likely, a Monteggia fracture (a fracture of the ulna with dislocation of the proximal radius) is a critical diagnosis to consider, as it requires prompt treatment to avoid long-term complications.
- Forearm fracture with vascular or nerve compromise: Any fracture in the forearm can potentially compromise vascular or nerve function, making this a critical diagnosis to rule out.
- Rare diagnoses:
- Pathologic fracture due to underlying bone disease (e.g., osteogenesis imperfecta): Although rare, it's essential to consider the possibility of an underlying bone disease that could have contributed to the fracture.
- Non-accidental trauma: In some cases, fractures in children can be the result of non-accidental trauma, making this a rare but important diagnosis to consider.