Treatment FAQ

what is the treatment for a fractured growth plate in a wrist

by Prof. Dion Krajcik II Published 2 years ago Updated 2 years ago
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  • Rest and ice
  • Immobilization with the use of cast followed by a removable brace
  • Surgery to correct more severe injuries to a growth plate in the hand or wrist

What Are Growth Plate Fractures Treated? Often, a growth plate fracture may be mild and need only rest and a cast or splint. But if bones are out of place (or displaced), they have to be put back into the right position with a procedure called a reduction. A reduction is also called "setting the bone."

Full Answer

What are the treatment options for growth plate fractures?

A growth plate fracture is a crack or break in the growth plate in the bone of a child or adolescent. Symptoms include pain, a leg or arm that looks different, and limited movement. Treatments include casts or surgery. Appointments & Access. Contact Us.

Can a growth plate injury in the wrist or hand heal itself?

Treating a Fractured Growth Plate in the Wrist or Hand . Depending on the severity of the injury, a Pediatric Orthopedic Specialist may be consulted. Your child’s physician may recommend a …

How are the pieces of a broken wrist fixed together?

Jul 15, 2019 · No, surgery is not always necessary to treat growth plate injuries. Minor injuries to the wrist are particularly fast healing and often do so with rest and ice. However, more serious …

How is a distal radius fracture of the wrist treated?

If surgery is done, the doctor cuts into the skin, puts the bones back in line, and puts in screws, wires, rods, pins, or metal plates to hold the pieces together. Your child will have to wear a ...

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How long does it take a wrist growth plate fracture to heal?

Typically, it takes several weeks for a growth plate to fully heal. Your orthopedic physician or physical therapist will likely recommend special physical therapy exercises and stretches to promote further healing.Feb 24, 2020

Do you need surgery for a fractured growth plate?

Some growth plate fractures require surgery to ensure the growth plate is optimally aligned for normal growth of that bone. The surgery is called open reduction and internal fixation. It consists of exposing the bone to put it in place with screws and plates.

What happens if you break your growth plate in your wrist?

Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications.Feb 25, 2021

What happens if you break a growth plate?

A growth plate fracture, if not treated promptly, can result in a leg or arm that's crooked or shorter than another. Bearing weight on uneven legs causes hip and knee problems. With rapid and competent treatment, most growth plate fractures heal without complications.

What is a growth plate in wrist?

In this Article

Growth plates are areas of soft tissue at the ends of your child's long bones. They are found in many places, including the thigh, forearm, and hand. As the name suggests, growth plates help your child's bones grow. Adults don't have them -- only young kids or teens do.
Jan 18, 2022

Do growth plate fractures show up on xray?

Because growth plates haven't hardened into solid bone, they are difficult to interpret on X-rays. Doctors may ask for X-rays of both the injured limb and the opposite limb so that they can be compared. Sometimes a growth plate fracture cannot be seen on X-ray.Feb 25, 2021

How is a growth plate fracture diagnosed?

The clinical exam is key for diagnosing growth plate fractures because some non-displaced growth plate fractures cannot be seen on X-rays. This is because they occur through the part of the bone that is made up of cartilage, which is not as dense as bone.

How do you heal a growth plate injury?

What Are Growth Plate Fractures Treated? Often, a growth plate fracture may be mild and need only rest and a cast or splint. But if bones are out of place (or displaced), they have to be put back into the right position with a procedure called a reduction. A reduction is also called "setting the bone."

What are the five types of growth plate fractures?

The Salter-Harris system classifies growth plate fractures into five groups: type I, fracture through the growth plate; type II, fracture through the growth plate and metaphysis; type III, fracture through the growth plate and epiphysis; type IV, fracture through the growth plate, epiphysis and metaphysis, and type V, ...

What type of fracture is a growth plate?

Treatment varies depending on how badly the growth plate and attached bone are fractured. This is how the various types of growth plate fractures are treated: Type I fracture: The doctor will usually recommend a cast for the patient to help protect the growth plate while it is healing.

What are the different types of growth plate fractures?

Growth plate fractures are usually categorized according to the Salter-Harris classification: 1 Type I fracture: The bottom portion of the growth plate separates completely from the end of the bone. The bone remains in position. 2 Type II fracture: This is a break that affects the growth plate and also part of the bone. It is the type most often seen in children. 3 Type III fracture: This fracture is rare, and usually happens in older children. It occurs when the fracture goes through the growth plate and breaks off an end piece of the bone. This type of fracture often occurs in the lower leg. 4 Type IV fracture: This affects the growth plate, the end of the bone, and a portion of the bone shaft. These fractures are most common in the upper arm bone near the elbow. 5 Type V fracture: This fracture occurs when the growth plate is squeezed together and the end of the bone is crushed. This type of fracture is rare, and most often affects the bones of the ankle or knee.

What causes a growth plate to fracture?

The main causes of growth plate fractures are falls, accidents, or other types of trauma to the body. Repetitive or constant use of a joint—for instance, when a child is overworking the limb or joint when practicing sports such as pitching or gymnastics—can also cause growth plate fractures. Other issues may cause a fracture ...

What is the difference between a type 1 and type 2 fracture?

Type I fracture: The bottom portion of the growth plate separates completely from the end of the bone. The bone remains in position. Type II fracture: This is a break that affects the growth plate and also part of the bone. It is the type most often seen in children.

What type of fracture is most common in the upper arm bone near the elbow?

Type IV fracture: This affects the growth plate, the end of the bone, and a portion of the bone shaft. These fractures are most common in the upper arm bone near the elbow. Type V fracture: This fracture occurs when the growth plate is squeezed together and the end of the bone is crushed. This type of fracture is rare, ...

What type of fracture occurs when the growth plate is squeezed together and the end of the bone is crushed?

Type V fracture: This fracture occurs when the growth plate is squeezed together and the end of the bone is crushed. This type of fracture is rare, and most often affects the bones of the ankle or knee.

What type of fracture is a serious injury and will affect the child’s growth?

Metal screws, pins, or plates may also be recommended to make sure all the fractured pieces are aligned for healing. Type V fracture: This fracture is a serious injury and will affect the child’s growth, and requires surgery.

Why do growth plate fractures need immediate treatment?

Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications.

What is a growth plate fracture?

A growth plate fracture affects the layer of growing tissue near the ends of a child's bones. Growth plates are the softest and weakest sections of the skeleton — sometimes even weaker than surrounding ligaments and tendons. An injury that might cause a joint sprain for an adult can cause a growth plate fracture in a child.

Where are growth plates located?

Growth plates are located near the ends of your child's bones. If a fracture goes through a growth plate, it can result in a shorter or crooked limb. A growth plate fracture affects the layer of growing tissue near the ends of a child's bones. Growth plates are the softest and weakest sections of the skeleton — sometimes even weaker ...

Can a growth plate fracture be crooked?

An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications.

What is the pain of a growth plate?

Pain and tenderness, particularly in response to pressure on the growth plate. Inability to move the affected area or to put weight or pressure on the limb. Warmth and swelling at the end of a bone, near a joint.

What to do if your child has a fracture?

If you suspect a fracture, take your child to be examined by a doctor. Also have your child evaluated if you notice a visible deformity in your child's arms or legs, or if your child is having trouble playing sports because of persistent pain.

What happens if a growth plate is shifted?

If the growth plate has been shifted, shattered or crushed, the risk of limb deformity is greater. Age of the child. Younger children have more years of growth ahead of them, so if the growth plate is permanently damaged, there is more chance of deformity developing.

Does a growth plate in the wrist heal?

While an injury to the growth plate in the wrist or hand usually heals without complication, it is important to seek treatment in a timely manner to help prevent potential long-term growth and healing problems.

Why are growth plates in the hand and wrist at risk of injury?

The growth plates in the hand and wrist are at risk of injury and fracture because the cartilage located in these areas is weaker than surrounding ligaments.

What to do if your child has a growth plate in his hand?

Your child’s physician may recommend a number of treatment options. These may include: Rest and ice. Immobilization with the use of cast followed by a removable brace. Surgery to correct more severe injuries to a growth plate in the hand or wrist.

What causes growth plate injury in the hand?

Injuries to the growth plate of the distal radius (lower end of the bone near the thumb) are often a result of a fall on the outstretched hand.

What type of injury is the growth plate?

Type III – The growth plate suffers from fractures and a piece of the bone end breaks off. Most of the time, this injury is seen in older children. Type IV – This type of injury involves breaking of the bone end, the bone shaft, and the growth plate. Type V – This injury stems from compression force and results in crushing-related damage.

What causes growth plate injuries?

This can include: Falling from a height. Falling and landing on a hand/wrist. Heavy object impacting the hand/wrist.

How do you know if you have a growth plate injury?

Some of the most common symptoms of growth plate injuries include the following: Severe pain . Stiffness.

What is growth plate?

Growth plates are the end areas of bones within children’s bodies. They are marked by cartilage and have not ossified yet. This makes them particularly susceptible to damage, especially when combined children’s high rate of activity and propensity for injury. Within this post, we will explore key areas related to growth plate injuries, including:

Where are growth plates found?

They are found throughout the body, as well, including the thigh bone, the lower leg, the forearm, and the bones in the hands, wrists, feet, and ankles. The growth plates in the hands and wrist are particularly susceptible to injury through falling on hands and wrists. Growth plates are weaker than the surrounding bone simply because they are not ...

Why are growth plates weaker than surrounding bone?

Growth plates are weaker than the surrounding bone simply because they are not yet fully ossified.

Can growth plate injuries be caused by overuse?

Growth plate injuries are usually fractures that affect the area in question. However, growth plates can also be injured through overuse and repetitive motion, similar to such injuries in adults. Most overuse and repetitive motion-related growth plate injuries are related to playing sports. You may hear terms such as:

Can a growth plate fracture cause bone to curve?

A less common problem is when a ridge develops along the fracture line. This can also interfere with the bone's growth or cause it to curve.

What to do if your child has a fractured bone?

If the fracture isn't severe and the broken parts of the bone still line up right, your child's doctor might just put on a cast, splint, or brace. Your child won't be able to move their limb that way, which gives the growth plate time and space to heal. Immobilizing the fracture will also help control pain.

Why does my bone curve?

This can also interfere with the bone's growth or cause it to curve. If the bone is sticking out of the skin , there's also a chance of infection, which can damage the growth plate even more.

Can you reduce bone density without surgery?

This is called a "reduction" and can be done either with or without surgery. If it's done without surgery, the doctor usually just moves the bones back in line with their hands without cutting into the skin. This is called "manipulation" and can be done in the emergency room or an operating room.

Where are growth plates found?

Growth plates are areas of soft tissue at the ends of your child's long bones. They are found in many places, including the thigh, forearm, and hand. As the name suggests, growth plates help your child's bones grow. Adults don't have them -- only young kids or teens do.

Do younger bones heal better?

But one benefit is that younger bones tend to heal better. Treatment. To come up with a treatment plan, the doctor will take into account your child's age, general health, and if there are any related injuries.

What to do after a child's injury?

After the injury has healed, your child's doctor may suggest exercises to strengthen the injured area and make sure their limb moves like it's supposed to. Some children need another operation, such as reconstructive surgery, if the injury is serious enough.

What is immediate fracture treatment?

Your occupation and activity level. In any case, the immediate fracture treatment is the application of a splint for comfort and pain control. If the fracture is displaced, it is reduced (put back into the correct position) before it is placed in a splint.

What is the term for a wrist joint that breaks?

The part of the radius connected to the wrist joint is called the distal radius. When the radius breaks near the wrist, it is called a distal radius fracture. The break usually happens due to falling on an outstretched or flexed hand. It can also happen in a car accident, a bike accident, a skiing accident or another sports activity.

What are the two types of distal radius fractures?

Depending on the angle of the break, distal radius fractures can be classified into two types: Colles or Smith. Falls are the main cause of distal radius fractures. They may also occur during trauma from a vehicle accident or sports injury.

What is the radius of the wrist?

The part of the radius connected to the wrist joint is called the distal radius. When the radius breaks near the wrist, it is called a distal radius fracture . The break usually happens due to falling on an outstretched or flexed hand. It can also happen in a car accident, ...

What is it called when your wrist breaks?

When the radius breaks near the wrist, it is called a distal radius fracture. The break usually happens due to falling on an outstretched or flexed hand. It can also happen in a car accident, a bike accident, a skiing accident or another sports activity. A distal radius fracture can be isolated, which means no other fractures are involved.

Can a distal radius fracture be isolated?

A distal radius fracture can be isolated, which means no other fractures are involved. It can also occur along with a fracture of the distal ulna (the forearm bone on the small finger side).

What is the name of the fracture of the forearm bone?

It can also occur along with a fracture of the distal ulna (the forearm bone on the small finger side). In these cases, the injury is called a distal radius and ulna fracture. Depending on the angle of the distal radius as it breaks, the fracture is called a Colles or Smith fracture.

What are the treatment options for growth plate fractures?

The method of treatment will depend on the type of fracture and the acuteness of the injury. Most of the time only splinting or casting is necessary, followed by resting the extremity. If the bones are out of place, they must be put back together in correct alignment by a reduction procedure. There are two types of reductions

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