Treatment for growth plate fractures depends on the severity of the fracture. The least serious fractures usually require only a cast or a splint. If the fracture crosses the growth plate or goes into the joint and is not well aligned, surgery may be necessary. Growth plates that are surgically realigned may have a better chance of recovering and growing again compared with growth plates that are left in a poor position.
At the time of injury, it is difficult to tell if a growth plate has permanent damage. Your doctor may recommend checking X-rays for several years after the fracture to make sure the growth plate is growing appropriately. Depending on the location and severity of the fracture, your child may need follow-up visits until his or her bones have finished growing.
June 29, 2013
- 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.
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- Mathison DJ, et al. General principles of fracture management: Fracture patterns and description in children. http://www.uptodate.com/home. Accessed April 22, 2013.
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- 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.