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

 

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