S82.311 Torus fracture of lower end of right tibia

Name of the Condition

• Torus fracture of lower end of right tibia

Summary

This condition involves a torus (buckle) fracture at the lower end of the right tibia, a common type of incomplete fracture in children where the bone buckles but does not fully break. The lower end of the tibia is part of the ankle joint, and this injury may affect stability and mobility, though it is typically less severe than complete fractures.

Causes

Torus fractures of the lower tibia often result from low-impact trauma, such as falls onto an outstretched hand or twisting injuries. The bone’s flexibility in children allows it to buckle rather than snap, making this type of fracture common in pediatric populations.

Risk Factors

• Participation in activities with a risk of falls (e.g., sports, playground use)
• Age (most common in children due to developing bone structure)
• Previous lower leg injuries or bone conditions affecting strength

Symptoms

• Pain and tenderness localized to the lower right leg or ankle
• Swelling and bruising around the affected area
• Difficulty bearing weight or walking on the right leg
• Possible mild deformity or instability

Diagnosis

Diagnosis involves a physical examination to assess pain, swelling, and range of motion. Imaging studies, such as X-rays, are used to confirm the torus fracture and evaluate its severity. The buckle pattern is typically visible on radiographs.

Treatment Options

Treatment often includes immobilization with a cast or splint to allow healing. Pain management and activity modification may be recommended. Severe cases or those with significant displacement may require closer monitoring or intervention.

Prognosis and Follow-Up

Prognosis is generally favorable, as torus fractures heal well with proper immobilization. Follow-up appointments monitor healing and may involve repeat imaging to ensure proper bone alignment. Most children return to normal activities within weeks to months.

Complications

Complications are rare but may include delayed healing, malalignment, or persistent pain. Incomplete healing or recurrent injury could affect long-term function, though this is uncommon with appropriate care.

Lifestyle & Prevention

• Use protective gear during high-risk activities (e.g., sports, play)
• Ensure adequate calcium and vitamin D intake for bone health
• Supervise children during activities with fall risks
• Maintain strength and balance to reduce injury likelihood

When to Seek Professional Help

Seek care if pain worsens, swelling increases, or weight-bearing becomes impossible. Visible deformity, numbness, or circulation changes also warrant immediate evaluation.

Tips for Medical Coders

Document the specific location (lower end of right tibia) and fracture type (torus) to support accurate coding. Include details on injury mechanism, imaging findings, and treatment to clarify the clinical scenario. Ensure laterality (right) is clearly documented.