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Fractures/Broken bones in children are very common and Dr Slattery has extensive experience treating these and the problems that they can present. As children are still growing and have different anatomy, they are not ‘mini adults’ and they need special consideration and treatment.
Types of Fractures
Buckle Fractures (A)
- These are incomplete fractures due to compression forces
Plastic Bending/Bowing (B)
- Children’s bones can be bent to 45 degrees before the cortex is disrupted and a greenstick or a complete fracture occurs. However if the bending force is released the bone may only partially return to its pre-bent position, resulting in plastic bowing.
Greenstick/Incomplete Fractures (C)
- A greenstick fracture occurs when there is sufficient energy to start a fracture but insufficient energy to complete it.
Spiral Fractures (D)
- These result from twisting injuries
Transverse Fractures (E)
- These result from angulation of the bone
Butterfly Fractures (F)
- These are more complex injuries and normally result from higher energy
- Childrens ligaments are stronger than the bone, and in many cases the ligaments may pull off (“avulse”) a portion of the bone where they insert
Growth Plate Injuries (Physeal Injuries)
Children have areas of the bones which are responsible for their growth, called growth ‘plates’. These are located near joints, and are most active in younger children and less so as children reach maturity. Growth plate injuries can result in loss of growth, deformity, joint instability and pain. They require special attention and long term followup.