Most growth plate fractures heal with no complications. But the following factors can increase the risk of crooked or stunted bone growth.
June 29, 2013
- Severity of the injury. 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. If a child is almost done growing, permanent damage to the growth plate may cause only minimal deformity.
- Location of the injury. The growth plates around the knee are more sensitive to injury. A growth plate fracture at the knee can cause the leg to be short or crooked if the growth plate has permanent damage. Growth plate injuries around the wrist and shoulder usually heal without problems.
- Growth plate injuries. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Growth_Plate_Injuries. Accessed April 22, 2013.
- Growth plate fractures. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00040. Accessed April 22, 2013.
- Fractures. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/injuries_poisoning/fractures_dislocations_and_sprains/fractures.html?qt=fractures&alt=sh. Accessed April 22, 2013.
- Marx JA, et al. Rosen's Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa.: Mosby Elsevier; 2010. http://www.mdconsult.com/books/about.do?about=true&eid=4-u1.0-B978-0-323-05472-0..X0001-1--TOP&isbn=978-0-323-05472-0&uniqId=230100505-57. Accessed April 22, 2013.
- Hay WW, et al. Current Diagnosis & Treatment: Pediatrics. 21st ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=14. Accessed April 22, 2013.
- Mathison DJ, et al. General principles of fracture management: Fracture patterns and description in children. http://www.uptodate.com/home. Accessed April 22, 2013.
- Larson NA (expert opinion). Mayo Clinic, Rochester, Minn. May 1, 2013.
- Green NE, et al. Skeletal trauma in children. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-4900-5..10006-8--s0160&isbn=978-1-4160-4900-5&sid=1432152217&uniqId=409092740-3#4-u1.0-B978-1-4160-4900-5..10006-8--s0170. Accessed April 22, 2013.