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Know and Understand Bone Fractures in Children

The public is currently very interested in staying healthy, so children are also interested in sporting activities. It is a pity, however, that the great interest is not matched by enough knowledge about the correct exercise, so that injuries often occur, including broken bones. Fractures can affect any age, including children. Fractures in children differ from those in adults. This is very important to know as the success of diagnosing and treating orthopedic conditions varies in this age group. The unique fracture pattern in children is the result of anatomical, biomechanical, and physiological differences between children and adults.


One of the differences between child and adult bone is the presence of growth plates (epiphyseal plates) in children’s bones. The growth plates are made of cartilage and are firmly attached to the metaphysis (the newly formed part of the bone) by the epiphyseal plates. Both are covered by a sheath (periosteum) which is very thick and strong and used during the healing process of broken bones new can produce bone. Bone plates make bones larger and longer with an increase in bone density. The anatomical structure of the bones in children has great flexibility, so they have the ability to “biological plasticity”. It keeps children’s bones folded without cracking or fracturing, so single square fractures not found in adults can occur in children. In children, growth is the basis for remodeling (return to normal anatomical shape) that leads to long bones. In particular, the presence of growth plates, a thick periosteum, and the resilient nature of pediatric bones and their ability to remodel are the basis for the characteristic features of fractures in children.

Broken (broken broken)

In children, multiple fractures are common, including hairline fractures, Breaks in green branches (e.g.branch fractures), in which the bone appears to bend without a fracture line, and loop orThe talus fracture (compression fractures). These fractures are non-severe and stable, and will heal in 2 to 3 weeksQuiet. Meanwhile, intra-articular fractures (inside the joint) or fractures affecting the epiphysis (physis, epiphysis, metaphysis) are potentially more dangerous and can have dire consequences in the future.

Fracture healing in children begins very quickly at birth and gradually slows as the child grows. For example, a broken femur will heal in three weeks for a newborn, 8 weeks for an 8-year-old, 12 weeks for a 12-year-old, etc.


When a child has an injury, parents can suspect a fracture if they have symptoms such as:

  1. There is a history of injury/trauma.
  2. There is discomfort/pain and swelling, a red/blue sensation and a warm feeling in the injured area.
  3. The occurrence of a change in shape / deformation.
  4. Decreased function so that the affected limb cannot move.
  5. Limited range of motion of the joints.


The basic principle of treating fractures in children is conservative (without surgery), using either closed manipulation or continuous traction. Most fractures in children and adolescents are treated with closed reduction and traction patches or bandages. The only way to resist reduction is by wearing a cast. The main function of the cast is to prevent the fractured or fractured bones from shifting, maintain the position of the fractured bones so that angulation (shape change) does not occur, and relieve pain by reducing the position movement is inhibited. Fracture. The average plaster cast is in place for 2 to 8 weeks depending on the type of fracture and the occurrence of new Bones called cayo (bone glue). This callus begins to appear in children within 10 days to 2 weeks, the presence of a callus is a sign that healing has begun. To be sure, you need to take an X-ray beforehand. Fractures can heal completely within 5 to 6 weeks.
In order to avoid complications from fractures at an early stage, regular and competent clinical observation by a doctor is necessary, since the child is not yet able to describe pain, sensory and circulatory disorders or other signs. complications

Read too: Tips for Fractures to Heal Quickly

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