12/5/2023 0 Comments Buckle fracture thumb![]() This is because they occur through the part of the bone that is made up of cartilage, which is not as dense as bone.Īlso, because children’s bones have a different structure and break in different patterns than adult bones, some minor changes on X-rays indicating a growth plate fracture can easily be missed. The clinical exam is key for diagnosing growth plate fractures because some non-displaced growth plate fractures cannot be seen on X-rays. These tests include magnetic resonance imaging (MRI) scans and computed tomography (CT) scans.Īfter discussing your child's symptoms and medical history, your child's doctor will perform a careful physical examination of the injured area. If greater detail is needed, the doctor may order other tests that can better show the soft tissues, or a cross-sectional view of the injured area. X-rays provide clear images of dense structures, such as bone. Your child's doctor will likely order an X-ray to help determine whether a growth plate fracture has occurred. It is important that the bone receives the proper treatment before it begins to heal. They are rare fractures.īecause a child's bones heal quickly, a potential growth plate injury should be examined by a doctor as quickly as possible. These fractures occur due to a crushing injury to the growth plate from a compression force. These fractures break through the bone shaft, the growth plate, and the end of the bone. This type of fracture is more common in older children. These fractures cross through a portion of the growth plate and break off a piece of the bone end. This is the most common type of growth plate fracture. These fractures break through part of the bone at the growth plate and crack through the bone shaft, as well. These fractures break through the bone at the growth plate, separating the bone end from the bone shaft and completely disrupting the growth plate. ![]() Perhaps the most widely used by doctors is the Salter-Harris system, described below. Several classification systems have been developed that categorize the different types of growth plate fractures. Other growth plate fractures, such as those around the knee, are associated with a higher rate of problems and therefore require very careful observation and follow-up. In some areas of the body, such as fingers in younger children, early diagnosis and treatment before healing has set in can sometimes prevent the need for more invasive treatments. How much the bone is out of alignment (displaced).Factors that affect the risk of problems over time include: Growth plate fractures vary greatly in terms of th risk for growth problems. ![]() They are also common in the outer bone of the forearm (radius) and lower bones of the leg (tibia and fibula). Most growth plate fractures occur in the long bones of the fingers.
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