Metaphysis fracture: Fractures in the metaphysis are very common in children. Close evaluation of the growth plate is needed to rule out bone growth disturbances. Most pediatric S-H distal radius fractures are type 2, and these usually heal very well. Salter-Harris fractures are classified with numbers 1 through 5 depending on the location and severity of the fracture. Salter-Harris fracture: These fractures injure the growth plate. Most kids are treated with a cast for a few weeks and the long-term outcome is excellent. These fractures result when the bone is compressed and causes a “buckle” or bump on one side of the bone without breaking the other side of the bone. There are several types of distal radius fracture:īuckle fracture: Buckle fractures are very common in children less than 10 years of age. If the child is older and in adolescence, there is less potential for the bone to straighten out with time.Ī broken wrist often involves the end of the radius bone, called the distal radius. Young children have more potential to remodel the bone after a fracture. The amount of remodeling or reshaping of the bone is related to the child’s age and development. This can cause wrist pain and limited range of motion later in life. In the wrist, for example, if the distal radius physis is badly damaged and the radius bone stops growing, the ulna bone can keep growing and become much longer than the radius. A growth plate injury can result in stunted growth and an imbalance in bone length. On the other hand, problems can arise in kids which take special care and treatment. In most cases, children heal their bones quickly, they have less problems with swelling and stiffness, and they return to school and sports much sooner than most people expect. I tell parents that kids bounce back much faster than their parents. This fact creates unique fractures patterns only seen in kids. This means that a child is much more likely to break a bone than tear a ligament. Ligaments are strong: In most cases, the ligaments in children are stronger than the bones. This is important, because a delay in treatment can result in a quickly healed bone in a poor position. Kids heal faster: For most children, the healing process is much quicker than in adults. Because of this, the bones can bend or bow instead of breaking. Adults do not have this ability.īones are more flexible: Kids’ bones are more flexible and less brittle than adults. If you have seen a crooked tree grow straight over time after being braced by a gardener, you might understand this concept. In many cases, if a child has a crooked bone, it can be reshaped or remodeled straighter as the child develops. Remodeling: Children have the ability to reshape their bones as they grow. In adults, the physis has closed, as the bones are no longer growing. Growth Plates: Children have growth plates near the end of the bones which allow the bones to lengthen and grow as the child ages. Kids have bones which are different than adults in many ways: Salter Harris 2 Fracture treated with Closed Reduction Injuries to the bones and joints of pediatric patients take special orthopedic treatment to avoid problems with healing and growth. Kids have developing bodies which respond much differently to injuries than adults.
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