![]() Fractures with angulation in the same direction as joint motion (bending and straightening) also have greater potential to remodel. Younger children have greater potential for remodeling with growth. Certain breaks may not have to be re-aligned perfectly because of this ability to remodel with growth. In children with a growth plate fracture, immediate diagnosis is important so that if the bone is displaced and needs to be realigned, it can be reset while the fracture is still pliable before it starts to heal.Ĭhildren are able to “remodel” (the specific process of bone resorption and formation) a broken bone after it heals and as the child grows. Many fractures in children heal in as little as one month. In more severe fractures, surgery may be needed to reset the fracture and a metal plate, screws, pins, or rods placed in order to keep the bone in proper position while it is healing (see Figure 2b).Ĭhildren heal quickly. If the broken bone is not lined up, the bone may need to be “set” or “reduced” with a manual manipulation by a physician. Although injury to the growth plate could affect that bone’s growth, many of these fractures in the hand and wrist heal well without later deformity.īroken fingers, wrists, and hands are mostly commonly treated in children with casting or splinting. Since the bone is softer in the area of the growth plate, it is common to see fractures in this zone. Since the cartilage does not have calcium, it appears as a clear band on an X-ray (see Figure 1b). Fractures may occur in the shaft of the bone, or near the end, or in the joint.Ĭhildren’s bones also have growth plates, which are bands of softer cartilage near the end of the bone that allow the bone to elongate as it grows. Other fractures may be displaced, which means that it is a complete fracture that has broken into two or more pieces with some shift in position so that the ends of the broken bone are not in alignment (see Figure 1a). ![]() If pain, swelling, or loss of movement persists, an evaluation by a physician is needed.įractures in children may be non-displaced, which means that it is a “hairline” fracture, or a fracture that has not broken into two separate pieces. If there is a significant nail-bed injury, an x-ray may be needed as the bone may be broken too. If there is significant bruising or swelling, an x-ray is the only way to know for sure if a bone is broken. Not all fractures in children will look crooked or have major loss of mobility. ![]() ![]() If the finger or wrist or forearm is in normal alignment and the child can move it, ice can be applied and the child can be looked at again later. If the finger, wrist, or forearm is not in normal alignment, or if there is a skin wound leading to the fracture, the child should be brought immediately to an emergency room. (2019). Sacral stress fractures: A rare but curable cause of back pain in athletes.Any time an injury is sustained in a child, an adult should provide attention to the injured child. Sacral fractures: Issues, challenges, solutions. Sacral fractures and associated injuries. Osteoporotic sacral insufficiency fracture: An easily neglected disease in elderly patients. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.
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