2/20/2024 0 Comments Buckle fracture wrist growth plateSome of these terms are Greenstick, Torus or Buckle, and Growth Plate fracture.Ī Greenstick fracture takes its name from the image of a broken wet or “green” twig that does not “snap’ like a dried twig does. Hand surgeons use descriptive words such as displacement, angulation or rotation to describe a bone injury. Fractures are discussed based upon where the fracture takes place either in the shaft or the end of the bone. There are more several terms used to describe children’s fractures. Hand surgeons can obtain other types of studies such as ultrasound or MRI to investigate children’s bones when an x-ray picture does not show proper detail. As the child ages, the bones add calcium to the outer cartilage layers and not only get larger but also appear to change in shape on x-ray and looking an x-ray picture more like an adults do. In small children often the wrist bones are not even seen on an x-ray. The bones may seem not connected or uniform in young children. In an x-ray, a child’s bone may look different depending upon their age. While children’s bones are similar in overall design and shape to adults, they have many layers of cartilage surrounding the hard calcified center only the calcium containing part of a bone can be seen on a standard x-ray. The carpal bones do not have growth plates. The rounder carpal bones of the wrist grow in size as well but have the same shape throughout life. For several years more the long bones still add mass and get thicker and stronger until young adulthood. As this happens the older child’s bones start to take on more and more adult features. ![]() While the older child still has growth plates, eventually they fuse and stop adding any length to the bone. When the child enters teenage years, the bones thicken and get heavier and stronger relative to their length.Įventually the growth plates start to disappear and long bone growth slows. Growth plates are the parts of bone responsible for linear growth. Growth plates at either one or both ends of the long bone help to make the bone grow with the child. Younger children’s long bones are more rubbery, have a better blood supply, have a thicker special layer of tissue surrounding the bone called the periosteum and most importantly have special areas called growth plates. A long bone’s shape and proportion shifts with age and growth. This happens by adding length and width and mass to each bone. There are two types of bones to consider in the hand, wrist and upper limb. There are the long bones of the fingers, forearm and arm, and there are smaller rounder bones of the wrist (called the carpal bones).Īs a child grows the long bones add length but also add width and mass. When a child fractures a bone, the degree of injury, the location, the type of bone injured as well as the age of the child plays a significant role in how a hand surgeon determines what is proper for fracture treatment.Ī healthy child’s bone is always growing. These differences influence the treatment and care of a fracture in a child’s upper extremity. There are special patterns of injury and fracture for children of different age as well. ![]() There are different types of fractures in children than adults. A child’s bone is different than a fully-grown adult’s.
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