Key points about growth plate fractures
- Growth plate fractures occur in the soft developing tissue at the ends of children’s bones
- They are more common in active children (usually involved in sports) and teens during growth spurts
- Early treatment is important to avoid long-term problems with bone growth
- Most cases heal well with proper care and follow-up
Growth plate fracture causes
- Sudden impact or trauma, like falls or collisions during sports
- Overuse or repetitive stress, especially in young athletes
- Twisting injuries or bending the limb incorrectly
Growth plate fracture risk factors
- Participation in contact or high-impact sports like football or gymnastics
- Rapid periods of bone growth during puberty
- Male gender (boys are more affected than girls)
- Previous growth plate injuries
Growth plate fracture symptoms
- Pain near the end of a long bone or around a joint
- Swelling and tenderness at the injury site
- Bruising or discoloration
- Difficulty moving or bearing weight on the limb
- Visible deformity or misalignment, in severe cases
Growth plate fracture diagnosis
- Physical exam to check for swelling, tenderness, or misalignment
- X-rays to confirm the fracture and compare with the opposite limb
- MRI or CT scan if more detailed imaging is needed
- Medical history to understand how the injury occurred
Growth plate fracture treatment
- Immobilization with a cast or splint to support healing
- Manual realignment (reduction) for displaced fractures
- Surgery with pins or screws in severe or unstable cases
- Regular follow-up to monitor bone growth and alignment
- Physical therapy may be recommended after healing to restore function
When to seek care
- If your child has pain, swelling or cannot move a limb after an injury
- If you notice any deformity or unusual appearance in an arm or leg
- If your child is limping or refusing to use an arm or leg after a fall or impact
- For follow-up after a diagnosed growth plate injury to ensure normal healing