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FIGURE 111.3 Anteroposterior (A ) and lateral (B ) radiographs of a distal radius torus fracture (Reprinted with permission from Waters PM, Skaggs DL, Flynn JM Rockwood and Wilkins’ Fractures in Children 9th ed Philadelphia, PA: Wolters Kluwer; 2020.) FIGURE 111.4 Greenstick fracture of the ulna (large arrow ) and a bowing fracture (small arrows ) of the radius The extent of bowing can often be fully appreciated only with comparison views of the opposite extremity Bowing Fractures Bowing fractures occur uniquely in children Evidence suggests that the mechanism is a longitudinal force causing “plastic” deformation (bowing), but stops short of creating a fracture ( Fig 111.4 ) Little remodeling can be expected from the injury, and both cosmetic and functional deficits are common Anatomic reduction produces the most satisfactory result All bowing deformities should be referred to an orthopedic surgeon