![]() ![]() Most physeal injuries heal quickly, within 3 weeks, because it is the site of bone growth in infants and children. These are fractures that affect the physis/ growth plate of the bone. Depending on the severity, there is a number of different treatments. The bone is bent and a visible fracture line is seen on the tensile/ convex side of the bone however, it does not propagate to the concave side of the bone. These fractures are usually stable, meaning that there is not a lot of displacement and a soft splint can often be used instead of a cast. This fracture is the result of an impact force, such as falling on an outstretched arm. This fracture is only seen in children, and almost always seen in the ulna, sometimes in the fibula. ![]() No visible fracture line can be seen on an x-ray, however a microscopic failure on one side of the bone causes it to slightly bend. Incomplete Pediatric Fracture Plastic Deformation or Bow Fracture Complete fracture classification get further broken down into spiral, oblique, and transverse fractures, depending on the nature of the break. The fracture propagates through the entire bone. ![]() Here is an overview of the different types of pediatric fractures. An immature bone is soft and flexible, and a mature bone is hard and becomes more brittle with age (Calmer & Vinci, 2002). Periosteum: thick, nutrient layer around the bone plays an important part in healing the outer bone.Ī pediatric fracture is unique from adult fractures because the properties and characteristics of the bone are different. Metaphysis: just below the physis and above the diaphysis / shaft Located between the epiphysis and metaphysis. Physis: also know as the ‘growth plate’, contains cartilage cells that help the bone grow. The long bone has three main parts:Įpiphysis: the end of the long bone, each end contains cartilage to ensure smooth movement in the joint and offers protection. Most greenstick fractures occur in the long bones of the child or infant. 2.2.1 Plastic Deformation or Bow Fracture.When a fresh tree branch is broken, it typically only breaks on one side, the outside of the bend, while the inner side of the bend remains intact. The term “greenstick fractures” derives from the analogy of fresh wood being green and breaking in a similar fashion. Minor greenstick fractures are often misdiagnosed as sprains because they have similar symptoms (Randsborn & Sivertsen, 2009). A greenstick fracture may be difficult to diagnose because children may still have their full range of motion and may not feel much pain or swelling. With age the bones become more brittle and inflexible, which makes complete bone fractures more common among adults. Due to the fact that children’s bones are softer and more flexible than adults, a child’s bone is able to bend without completely breaking because their bones are still growing and has yet to be fully calcified (Calmer & Vinci, 2002). Accessed March 21, 2016.A greenstick fracture is an incomplete pediatric fracture that is a common injury in the long bones of children and infants. Philadelphia, Pa.: Saunders Elsevier 2014. Closed reduction and casting of distal forearm fractures in children. Distal forearm fractures in children: Initial management. General principles of fracture management: Fracture patterns and description in children. Philadelphia, Pa.: Saunders Elsevier 2015. Fractures and dislocations of the forearm, wrist and hand. Distal forearm fractures in children: Diagnosis and assessment. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. General principles of orthopedic injuries. ![]()
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