Złamania płytek wzrostowych
Objawy

Złamania płytek wzrostowych stanowią 15-30% wszystkich złamań u dzieci, występując częściej u chłopców ze względu na wolniejsze kostnienie płytek wzrostowych. Charakterystyczne objawy to utrzymujący się ból, tkliwość w jednym punkcie, obrzęk, opuchlizna, a w niektórych przypadkach widoczna deformacja kończyny. Dzieci mogą mieć trudności z poruszaniem i obciążaniem kończyny, a także zmieniony chód. Leczenie polega na unieruchomieniu kończyny w gipsie przez 4-6 tygodni, z regularnym monitorowaniem przez co najmniej rok, szczególnie w złamaniach typu III-V wg klasyfikacji Saltera-Harrisa oraz w złamaniach kości udowej i piszczelowej. Wczesna diagnoza i odpowiednia terapia są kluczowe, aby zapobiec powikłaniom takim jak zatrzymanie wzrostu, przyspieszony wzrost, zaburzenia kątowe, tworzenie kostnych mostów czy niekongruencja stawów.

  1. Złamania płytek wzrostowych – objawy
    1. Ból i tkliwość
    2. Obrzęk i deformacja
    3. Ograniczenie funkcji
    4. Inne objawy
  2. Progresja i powikłania złamań płytek wzrostowych
    1. Proces gojenia
    2. Potencjalne powikłania
    3. Czynniki wpływające na rokowanie
    4. Ważność wczesnej diagnozy i leczenia
  3. Szczególne aspekty kliniczne złamań płytek wzrostowych
    1. Najczęstsze lokalizacje złamań
    2. Różnice w objawach zależnie od lokalizacji
    3. Złożony obraz kliniczny i trudności diagnostyczne
    4. Progresja symptomów w czasie
    5. Kolejne rozdziały

Złamania płytek wzrostowych – objawy

Złamania płytek wzrostowych to urazy, które występują w specjalnej tkance chrzęstnej znajdującej się na końcach kości długich u dzieci i młodzieży. Płytki wzrostowe są najsłabszymi i najbardziej miękkimi częściami szkieletu, czasem nawet słabszymi niż otaczające je więzadła i ścięgna. Uraz, który u osoby dorosłej mógłby spowodować skręcenie stawu, u dziecka może wywołać złamanie płytki wzrostowej1. Złamania te stanowią około 15-30% wszystkich złamań u dzieci i występują częściej u chłopców niż u dziewcząt, ponieważ u dziewcząt płytki wzrostowe szybciej przekształcają się w dojrzałą kość12.

Ból i tkliwość

Najbardziej charakterystycznym objawem złamania płytki wzrostowej jest utrzymujący się ból. Dzieci odczuwają szczególną bolesność i tkliwość, zwłaszcza gdy naciska się na obszar złamania12. Ból ten może nasilać się podczas aktywności fizycznej lub w nocy1. Często występuje także tkliwość przy dotyku w okolicy końca kości, w pobliżu stawu1. Dr Ballock wskazuje, że najbardziej wiarygodnym objawem urazu płytki wzrostowej jest właśnie tkliwość w jednym konkretnym punkcie1.

Obrzęk i deformacja

Złamaniu płytki wzrostowej często towarzyszy obrzęk i opuchlizna w miejscu urazu, szczególnie widoczne na końcu kości, w pobliżu stawu12. Obszar ten może być również cieplejszy w dotyku1. W niektórych przypadkach może dojść do widocznej deformacji kończyny – może ona wyglądać na krzywą, wygiętą lub zniekształconą w porównaniu z drugą kończyną12. Wyraźna deformacja jest jednym z najbardziej oczywistych symptomów złamania płytki wzrostowej i wymaga natychmiastowej oceny lekarskiej1.

Ograniczenie funkcji

Dzieci ze złamaniem płytki wzrostowej często doświadczają trudności w poruszaniu uszkodzoną kończyną lub nie są w stanie wykonywać normalnych ruchów1. Mogą również mieć problem z obciążaniem kończyny i wywieraniem na nią nacisku12. Zauważalny może być utrzymujący się kulawy chód lub zmieniony sposób poruszania się, jeśli złamanie dotyczy kończyny dolnej1. Często dziecko samoistnie ogranicza czas spędzany na zabawie po wcześniejszym urazie1 lub nie jest w stanie kontynuować zajęć sportowych z powodu bólu1.

Inne objawy

Do dodatkowych objawów złamania płytki wzrostowej można zaliczyć zasinienie i przebarwienie skóry w okolicy urazu12, a także drętwienie i mrowienie1. W niektórych przypadkach złamanie może powodować uczucie ciepła w uszkodzonym obszarze1. U młodszych dzieci objawy mogą być subtelne i trudniejsze do rozpoznania, ale utrzymujący się dyskomfort powinien być sygnałem do konsultacji z lekarzem1.

Progresja i powikłania złamań płytek wzrostowych

Złamania płytek wzrostowych wymagają natychmiastowego leczenia, ponieważ mogą wpływać na sposób wzrostu kości. Nieprawidłowo leczone złamanie może prowadzić do tego, że kość będzie bardziej krzywa lub krótsza niż przeciwległa kończyna12. Przy odpowiednim leczeniu większość złamań płytek wzrostowych goi się bez powikłań, jednak istnieją czynniki, które mogą zwiększać ryzyko nieprawidłowego wzrostu kości1.

Proces gojenia

Proces gojenia złamania płytki wzrostowej zazwyczaj trwa od 4 do 6 tygodni, w czasie których kończyna jest unieruchomiona w gipsie12. U dzieci złamania goją się szybciej niż u dorosłych, jednak złamania płytek wzrostowych mogą wymagać dłuższego czasu na pełne wygojenie, zależnie od stopnia ciężkości urazu1. W przypadku złamań bardziej złożonych lub wymagających operacji okres gojenia może być wydłużony1.

Ważne jest regularne monitorowanie procesu gojenia – zaleca się wizyty kontrolne przez co najmniej rok po złamaniu, aby upewnić się, że płytka wzrostowa funkcjonuje prawidłowo1. W przypadku skomplikowanych złamań (typy III, IV i V wg klasyfikacji Saltera-Harrisa) oraz złamań kości udowej i piszczelowej kontrole mogą być konieczne aż do osiągnięcia przez dziecko dojrzałości szkieletowej12.

Potencjalne powikłania

Choć większość złamań płytek wzrostowych goi się prawidłowo, w niektórych przypadkach mogą wystąpić powikłania wpływające na dalszy wzrost kości12. Do najczęstszych powikłań należą:

  • Zatrzymanie wzrostu (ang. growth arrest) – sytuacja, w której płytka wzrostowa przestaje funkcjonować, co prowadzi do zatrzymania wzrostu kości. W rezultacie jedna kończyna może być krótsza od drugiej12.
  • Przyspieszony wzrost – w niektórych przypadkach złamanie może spowodować przyspieszenie wzrostu kości, co również prowadzi do nierówności długości kończyn12.
  • Zaburzenia kątowe – gdy płytka wzrostowa rośnie nierównomiernie, może dojść do zniekształcenia kątowego kości, powodując jej krzywy wzrost1.
  • Tworzenie się kostnego mostu – w niektórych przypadkach wzdłuż linii złamania może utworzyć się kostna przegroda, która uniemożliwia dalszy wzrost kości na długość lub powoduje jej zakrzywienie12.
  • Zaburzenia w stawach – złamania płytek wzrostowych mogą prowadzić do niekongruencji stawów (gdy dwie kości tworzące staw nie są odpowiednio dopasowane), co zwiększa ryzyko rozwoju zapalenia stawów w przyszłości12.

Czynniki wpływające na rokowanie

Kilka czynników ma wpływ na ryzyko wystąpienia powikłań po złamaniu płytki wzrostowej12:

  • Wiek dziecka – młodsze dzieci mają przed sobą więcej lat wzrostu, więc jeśli płytka wzrostowa zostanie trwale uszkodzona, istnieje większe ryzyko rozwoju zniekształceń. Jeśli dziecko jest bliskie zakończenia wzrostu, trwałe uszkodzenie płytki wzrostowej może spowodować jedynie minimalne zniekształcenie12.
  • Ciężkość urazu – jeśli płytka wzrostowa została przemieszczona, roztrzaskana lub zmiażdżona, ryzyko deformacji kończyny jest większe1. Złamania typu zmiażdżeniowego niemal zawsze prowadzą do nieprawidłowego wzrostu kości1.
  • Lokalizacja urazu – płytki wzrostowe wokół kolana są bardziej wrażliwe na urazy. Złamanie płytki wzrostowej w okolicy kolana może spowodować, że noga będzie krótsza, dłuższa lub krzywa, jeśli płytka wzrostowa uległa trwałemu uszkodzeniu. Z kolei urazy płytek wzrostowych wokół nadgarstka i barku zazwyczaj goją się bez problemów1.
  • Wzór złamania – różne typy złamań płytek wzrostowych wiążą się z różnym ryzykiem powikłań. Złamania typu I i II wg klasyfikacji Saltera-Harrisa mają lepsze rokowanie niż złamania typu III, IV i V1.
  • Stopień przemieszczenia – im większe przemieszczenie fragmentów kostnych, tym większe ryzyko zaburzeń wzrostu1.

Ważność wczesnej diagnozy i leczenia

Wczesna diagnoza i odpowiednie leczenie złamań płytek wzrostowych są kluczowe dla zapobiegania długoterminowym powikłaniom12. Zaleca się, aby potencjalny uraz płytki wzrostowej został zbadany przez lekarza w ciągu 5-7 dni, ponieważ kości dzieci goją się szybko i ważne jest, aby kość otrzymała odpowiednie leczenie, zanim zacznie się goić1.

Każde dziecko, które doznaje urazu powodującego widoczną deformację, utrzymujący się lub silny ból, lub niemożność poruszania czy obciążania kończyny, powinno zostać natychmiast zbadane przez lekarza12. Jeśli można zobaczyć kość wystającą przez skórę, nie należy ruszać dziecka i należy natychmiast wezwać pogotowie1.

Nawet po prawidłowym leczeniu, ważne jest uczestniczenie we wszystkich wizytach kontrolnych, aby upewnić się, że kości goją się dobrze i nadal rosną prawidłowo12. Wczesne wykrycie ewentualnych problemów wzrostu znacznie ułatwia ich leczenie1.

Szczególne aspekty kliniczne złamań płytek wzrostowych

Złamania płytek wzrostowych mają pewne unikalne aspekty kliniczne, które odróżniają je od innych typów złamań u dzieci i wymagają specjalistycznego podejścia diagnostycznego i terapeutycznego1.

Najczęstsze lokalizacje złamań

Złamania płytek wzrostowych najczęściej występują w określonych lokalizacjach anatomicznych12:

  • Kości palców – jedna z najczęstszych lokalizacji złamań płytek wzrostowych1.
  • Kości przedramienia – szczególnie kość promieniowa (radius)1.
  • Kości podudzia – piszczel (tibia) i strzałka (fibula)1.
  • Nadgarstek i łokieć – to najczęstsze lokalizacje złamań płytek wzrostowych, następnie kostka, kolano i biodro1.

Różnice w objawach zależnie od lokalizacji

Objawy złamania płytki wzrostowej mogą się różnić w zależności od lokalizacji urazu1. W przypadku złamań w okolicy nadgarstka i przedramienia, dzieci mogą doświadczać trudności w chwytaniu przedmiotów i poruszaniu dłonią1. Złamania płytek wzrostowych w obrębie kończyn dolnych mogą powodować kulawy chód i trudności w utrzymaniu równowagi1.

W przypadku złamań płytek wzrostowych w okolicy kolana istnieje wyższe ryzyko zatrzymania wzrostu lub wykrzywienia nóg ze względu na dodatkowe uszkodzenie nerwów i naczyń krwionośnych w tym obszarze1. Z kolei złamania w okolicy nadgarstka i barku zazwyczaj goją się bez problemów1.

Złożony obraz kliniczny i trudności diagnostyczne

Złamania płytek wzrostowych mogą przedstawiać złożony obraz kliniczny, który czasem jest trudny do zdiagnozowania1. Nie wszystkie złamania płytek wzrostowych są natychmiast widoczne – niektóre mogą być subtelne lub występować wraz z innymi urazami, co sprawia, że są trudniejsze do wykrycia1.

Czasami złamanie płytki wzrostowej może nie być widoczne na zdjęciu rentgenowskim. Jeśli dziecko odczuwa bolesność w okolicy płytki wzrostowej, lekarz może zalecić założenie gipsu lub ortezy w celu ochrony kończyny1. W niektórych przypadkach, zwłaszcza dotyczących palców u młodszych dzieci, wczesna diagnoza i leczenie przed rozpoczęciem gojenia może czasami zapobiec potrzebie bardziej inwazyjnych metod leczenia1.

Należy zauważyć, że objawy złamania płytki wzrostowej mogą przypominać objawy skręcenia1. U dzieci, jeśli występuje bolesność, obrzęk lub zasinienie oraz historia urazu tej części ciała, najprawdopodobniej zostanie założony gips lub orteza na około cztery tygodnie. Lepiej jest założyć dziecku gips/ortezę dla ochrony, niż zakładać, że to „tylko skręcenie”1.

Cechy kliniczne Złamania typu I i II Złamania typu III i IV Złamania typu V
Stopień nasilenia bólu Umiarkowany do silnego Silny Bardzo silny
Deformacja widoczna Minimalna lub brak Często widoczna Znaczna
Ograniczenie funkcji Częściowe Znaczne Całkowite
Ryzyko powikłań Niskie (1-2%) Umiarkowane (10-15%) Wysokie (>25%)
Czas gojenia 3-4 tygodnie 4-6 tygodni 6-8 tygodni lub dłużej
Potrzeba interwencji chirurgicznej Rzadko Często Prawie zawsze

Progresja symptomów w czasie

Symptomy złamania płytki wzrostowej mogą ewoluować w czasie. Początkowo dziecko może odczuwać łagodny ból, a w innych przypadkach uraz może być bardziej widoczny i pilny1. Ból może początkowo pojawiać się po aktywności sportowej, ale może postępować do bólu podczas codziennych czynności1.

Jeśli złamanie płytki wzrostowej nie jest odpowiednio leczone, objawy mogą się nasilać, a funkcja kończyny może się pogarszać1. Dziecko może samoistnie ograniczać czas spędzany na aktywności fizycznej po wcześniejszym urazie1.

W przypadku zatrzymania wzrostu lub nierównomiernego wzrostu, objawy mogą nie być natychmiast widoczne, ale mogą ujawnić się z czasem, gdy kończyna staje się krótsza lub bardziej krzywa w porównaniu z przeciwległą kończyną1.

Ponieważ oznaki urazu płytki wzrostowej mogą być subtelne i trudne do zauważenia na początku, ale ze względu na to, że kości dziecka stale rosną, niezauważenie urazu i niewłaściwe leczenie może prowadzić do długoterminowych konsekwencji, takich jak nierówne kończyny1.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 12.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Growth plate fractures – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/growth-plate-fractures/symptoms-causes/syc-20351979
    Growth plates are located near the ends of your child’s bones. If a fracture goes through a growth plate, it can result in a shorter or crooked limb. […] A growth plate fracture affects the layer of growing tissue near the ends of a child’s bones. Growth plates are the softest and weakest sections of the skeleton sometimes even weaker than surrounding ligaments and tendons. An injury that might cause a joint sprain for an adult can cause a growth plate fracture in a child. […] Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications. […] Signs and symptoms of a growth plate fracture may include: Pain and tenderness, particularly in response to pressure on the growth plate; Inability to move the affected area or to put weight or pressure on the limb; Warmth and swelling at the end of a bone, near a joint.
  • #1 Growth Plate Injuries in Children – Washington Orthopaedics & Sports Medicine
    https://www.wosm.com/blog/growth-plate-injuries-in-children/
    Growth plate fractures are very common in children. Approximately 1530% of all childhood fractures occur through the growth plate. They are twice as likely to occur in boys as in girls. […] The most common locations for growth plate fractures are the wrist and elbow, followed by the ankle, knee, and hip. Growth plate fractures often need immediate treatment because they can affect how the bone will grow. Improper treatment can lead to crooked or shortened limbs. […] Children who have persistent pain, or pain that affects their athletic performance or ability to move and puts pressure on a limb, may get a possible fracture or overuse injury. […] Overall, you should avoid trying to ignore persistent pain for more than a couple of days, as it may be indicative of a more severe injury rather than a simple sprain. Most growth plate injuries need 1014 days to start uniting, making the reduction and fixation more difficult the longer treatment is delayed. Be sure to get help early.
  • #1 Growth Plate Injuries | Pediatric Care | CHRISTUS Health
    https://www.christushealth.org/get-care/services-specialties/pediatric-care/orthopedics/growth-plate-injuries
    Growth Plate Injuries occur when the growth plates become damaged. The damage happens to cartilage plates at either end of the bones found in growing childrens bodies. […] The signs and symptoms of growth plate injuries in children vary depending on the type of injury. They can include: Localized pain that may worsen during activity or at night, Swelling over the affected area, Decreased range of motion near the site of injury, Visible deformity around the joint, Reduced power in the injured area, Limping or favoring one side when walking, Difficulty weight-bearing on the affected limb.
  • #1 Growth Plate Fractures – Injuries and Poisoning – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/injuries-and-poisoning/fractures/growth-plate-fractures
    Growth plate fractures occur in areas at the ends of bones. These areas (called growth plates) are what enable children to grow. Growth plate fractures occur only in children and adolescents. […] If a growth plate is fractured, the area over it is painful and swollen, and children have trouble moving the affected limb. […] The area over the growth plate is painful, particularly when it is touched. This area is also swollen and may feel warm. Children have trouble moving the affected limb or putting weight or pressure on it. […] When a growth plate is fractured, the bone may stop growing or grow crookedly. If a joint is involved, it may be permanently damaged, resulting in arthritis.
  • #1 What You Should Know About Growth Plate Injuries
    https://health.clevelandclinic.org/what-you-should-know-about-growth-plate-injuries
    When those growth plates become damaged through a sports-related injury or accident, they not only can be painful but also can affect how well and how long your childs arms, legs, hands and feet grow. […] The most reliable sign of a growth plate injury is tenderness at a single point, Dr. Ballock says. […] Other indicators include: Inability to continue activity due to pain. Change in performance. A deformed limb. […] Sometimes injuries can heal on their own, Dr. Ballock says. But without treatment, kids will have more pain and a higher risk of more severe, possibly growth-stunting damage.
  • #1 Pediatric Growth Plates Fracture New York, NY | Bone Fracture Treatment New York, NY
    https://www.jodylitrentamd.com/growth-plate-fracture-pediatric-orthopedic-surgeon-new-york.html
    Growth plate fracture may show symptoms such as: […] Difficulty in moving your limb in the affected area […] Pain and tenderness of the affected bone […] Difficulty in carrying heavy weight or putting pressure on the affected limb […] Swelling and warmth near the joint.
  • #1 Growth Plate Fractures (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/growth-plate-injuries.html
    A child with a growth plate fracture can have pain, swelling, and trouble moving and using the injured body part. Sometimes there is a deformity this means that the body part looks crooked or different than it did before the injury. […] Most growth plate fractures heal and do not affect future bone growth. However, sometimes changes in the growth plate from the fracture can cause problems later. For example, the bone could end up a little crooked or slightly longer or shorter than expected. If the bone does not grow normally, surgery or other treatments may be needed. […] Most kids recover from growth plate fractures without any long-term problems. Help your child follow the health care provider’s directions. Go to all follow-up visits to check that the bones are healing well. In the rare case that a growth problem happens, catching it early makes treating it much easier.
  • #1 Growth Plate Fractures – Shoreline Ortho
    https://shorelineortho.com/specialty/growth-plate-fractures-2/
    Any child who experiences an injury that results in visible deformity, persistent or severe pain, or an inability to move or put pressure on a limb should be examined by a physician immediately. The area around the end of the broken bone (near the joint) will be swollen, warm, very tender, and may appear crooked when compared to the uninjured side. […] Growth plate fractures must be watched carefully to ensure the most successful long-term results. In some patients, a bony bridge will form across the fracture line, preventing the bone from growing longer or causing the bone to curve. Orthopaedic surgeons have developed techniques to remove this bony bar and insert fat, cartilage, or other materials to prevent it from reforming. […] Depending on the fracture, it is important to have regular follow-up visits with your physician for one year. Complicated fractures (types III, IV and V) as well as fractures to the thighbone (femur) and shinbone (tibia) may require follow-up until the child reaches skeletal maturity.
  • #1 Growth Plate Fractures | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/growth-plate-fractures
    A growth plate injury may affect the angle of bone growth and overall height of a child. When a body part with two parallel bones, like the wrist, experiences growth arrest, each bone needs to be examined separately. If one bone stops growing, there is risk that the parallel bone might continue to grow and surpass it, making the wrist grow at an angle. […] The symptoms of a growth plate fracture vary depending on the degree of seriousness. Sometimes, a child may feel mild pain, and other times the injury may be more visible and urgent. […] Symptoms of a growth plate fracture may include: Pain or swelling in the injured limb, Obvious deformity in the injured area, Difficulty using or moving the injured area in a normal manner, Warmth, bruising, or redness in the injured area. […] Seek medical care right away if your child displays any of symptoms of a fracture. If you can see the bone poking out through the skin, do not move your child and call 911 immediately.
  • #1 4 Stages of Recovery from Finger Growth Plate Injuries — Physiotherapy, IMS & RMT on Main Street, Vancouver
    https://www.elioshealth.com/blog/growth-plate
    Growth plate fractures usually occur from an acute incident such as a fall, but they can also occur gradually because of repetitive stress on the bone, which may occur when a child overtrains in a sports activity. […] The most common symptom associated with a growth plate fracture is persistent pain. Other common symptoms include: […] Visible bone deformity […] Inability to move or put pressure on the limb […] A limp or altered gait pattern if the fracture occurs in a lower limb […] Swelling, warmth, and tenderness around the end of the bone near the joint.
  • #1 Growth Plate Injuries in the Foot, Hip & More | NIAMS
    https://www.niams.nih.gov/health-topics/growth-plate-injuries
    Symptoms of a growth plate injury include: […] Persistent pain and tenderness after a sudden or overuse injury. […] Deformity, warmth, or swelling at the end of a bone. […] Changes in how your child bends their limb. […] Inability to move, put pressure on, or bear weight on a limb because of pain. […] You may notice that your child self-limits the amount of time playing after a prior injury.
  • #1 Growth plate fractures | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/growth-plate-fractures
    Most growth plate fractures occur in bones of the fingers, forearm and lower leg. Signs and symptoms of a growth plate fracture may include: […] Pain and tenderness, particularly in response to pressure on the growth plate […] Inability to move the affected area or to put weight or pressure on the limb […] Warmth and swelling at the end of a bone, near a joint.
  • #1 Fractures and Growth Plate Injuries – Seattle Children’s Hospital
    https://www.seattlechildrens.org/conditions/fractures/
    When your child or teen breaks a bone, they will have pain at the site of the break. It will be hard for them to move the body part that is broken. This pain and loss of movement are your cues to take them to the doctor, an urgent care clinic or the Emergency Department. […] Some signs of broken bones are clear for example, when the bone breaks through the skin in an open fracture. Other signs that a bone may be broken and a growth plate may be injured include: Severe pain, Swelling, bruising or bleeding, Limb or joint looks out of place or the wrong shape, Numbness and tingling, Unable to move the affected part of the body. […] If a fracture or other injury damages the growth plate, the bone may stop growing. This serious problem is called growth arrest. Growth arrest can permanently stop a bones development and change how it functions. If only part of the growth plate is damaged and stops working, the bone may grow in an uneven way.
  • #1 Growth Plate Injuries Treatment at Cure 4 The Kids Foundation
    https://cure4thekids.org/growth-plate-injuries/
    Depending on the area of the growth plate fracture, your childs symptoms may range from mild to severe. […] Because nondisplaced growth plate injuries are often stable and without deformity, it is not uncommon for parents of children with these injuries to be unaware that a fracture is present until they are diagnosed by a pediatric orthopedic surgeon.
  • #1 Growth Plate Fractures: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17969-growth-plate-fractures
    Most growth plate fractures dont lead to complications, especially if a healthcare provider diagnoses and treats them within a week of the original injury. […] Most kids need to wear a cast for around a month after a growth plate fracture (usually four to six weeks). It might take longer if they had a more severe type of fracture, or if they needed surgery. […] Most growth plate fractures heal without complications or long-term effects on a childs health and development. The best way to reduce the odds of complications is to get a growth plate fracture diagnosed as soon as possible (within a week).
  • #1 How Long Does It Take to Recover From a Fractured Growth Plate?
    https://www.medicinenet.com/how_long_takes_recover_from_fractured_growth_plate/article.htm
    Growth plates are the areas of new bone growth in children and teens. Bone fractures in children heal quickly as compared to adults, but fractures of the growth plate may require several weeks to heal. […] Bone fractures in children heal quickly as compared to adults, but fractures of the growth plate may require several weeks to heal. The length of immobilization time (rest) varies depending on the severity of the fracture. In a worst-case scenario, if a child’s growth plate is disrupted, the bone can undergo what is called growth arrest, which means the bone stops growing. This is rare and usually only happens if the fracture is not diagnosed and treated properly. The other bones will continue to grow, and this affects the joint near the injury. An injured growth plate can cause the bone to be short compared to the normal bone, resulting in disfigurement or disability.
  • #1 Growth Plate Fractures: Treatment, Surgery, Complications, and More
    https://www.webmd.com/children/growth-plate-fracture
    When you’re in the ER with your child because they broke a bone, you may hear the doctor say they need to check if it’s a „growth plate” fracture. […] Because the growth plates are soft, they’re easily injured. When that happens it’s called a „growth plate fracture.” […] One problem is something your child’s doctor may call „growth arrest.” This is when the injury causes their bone to stop growing. They could end up with one leg or arm shorter than the other. […] Sometimes, a growth plate fracture can also cause the bone to grow more, but this has the same result: One limb ends up longer than the other. […] A less common problem is when a ridge develops along the fracture line. This can also interfere with the bone’s growth or cause it to curve. […] If the bone is sticking out of the skin, there’s also a chance of infection, which can damage the growth plate even more.
  • #1 Growth Plate Injuries Treatment at Cure 4 The Kids Foundation
    https://cure4thekids.org/growth-plate-injuries/
    Growth plate injuries can be especially problematic if the growth plate does not recover and resume normal growth. […] When the growth plate grows unevenly, this is called a growth disturbance and can lead to an angular deformity. […] When the growth plate stops growing altogether, this is called a growth arrest and can lead to a limb length discrepancy (especially in the lower extremity) or disrupt relationships between adjacent bones (especially at the wrist and ankle). […] The incidence of growth disturbance after growth plate fractures is influenced by the location, pattern, and severity of the fracture. […] What are the symptoms of a growth plate injury? […] If your child is active in sports, its more likely that theyll suffer a growth plate injury. […] Various symptoms may accompany growth plate fractures, including: Pain, Swelling (may be mild), Tenderness over the growth plate, Trouble using the affected part of the limb, Limp or refusal to bear weight.
  • #1 Growth Plate Fractures in Children and Teenagers | HSS
    https://www.hss.edu/condition-list_growth-plate-fracture.asp
    Fractures often occur through the growth plate. […] Growth plate fractures occur when a bone breaks. The growth plate is where new bone develops, so injury to this area can cause the plate to close prematurely and stop bone growth. […] Growth plate fractures may have no long-term consequences, but they can sometimes cause limb length discrepancies, angular deformities, and/or joint incongruities (in which the two bones that form a joint do not line up properly).
  • #1 Growth Plate Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/growth-plate-fractures/
    Growth plate fractures usually cause persistent pain. Other common symptoms include: […] Visible deformity, such as a crooked appearance of the limb […] An inability to move or put pressure on the limb […] A persistent limp […] Swelling, warmth, and tenderness in the area around the end of the bone, near the joint. […] Growth plate fractures vary greatly in terms of the risk for growth problems. Factors that affect the risk of problems over time include: […] The patient’s age […] The bone involved […] Specific fracture pattern […] How much the bone is out of alignment (displaced). […] In some areas of the body, such as fingers in younger children, early diagnosis and treatment before healing has set in can sometimes prevent the need for more invasive treatments. Other growth plate fractures, such as those around the knee, are associated with a higher rate of problems and therefore require very careful observation and follow-up.
  • #1 Growth plate fractures | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/growth-plate-fractures?content_id=CON-20164401
    Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications. […] Signs and symptoms of a growth plate fracture may include: Pain and tenderness, particularly in response to pressure on the growth plate; Inability to move the affected area or to put weight or pressure on the limb; Warmth and swelling at the end of a bone, near a joint. […] Most growth plate fractures heal with no complications. But the following factors can increase the risk of crooked, accelerated or stunted bone growth: 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 shorter, longer or crooked if the growth plate has permanent damage. Growth plate injuries around the wrist and shoulder usually heal without problems.
  • #1 Growth Plate Fractures: Treatment, Surgery, Complications, and More
    https://www.webmd.com/children/growth-plate-fracture
    Younger children are more likely to get complications because their bones still have a lot of growing to do. But one benefit is that younger bones tend to heal faster. […] Most of the time, kids get back to normal after a growth plate fracture without any lasting effects. One exception is if the growth plate is crushed. When that happens, the bone will almost always grow differently.
  • #1 Growth Plate Fractures: Understanding Risks and Treatment in Children
    https://www.cast21.com/blog/growth-plate-fractures
    The symptoms and signs of growth plate fractures can vary depending on the type. Common indicators include pain, swelling, tenderness, and difficulty using the affected limb. However, specific symptoms associated with each type of growth plate fracture may include the following: […] It is essential to promptly diagnose and treat growth plate fractures based on their type to prevent potential complications and ensure appropriate management for optimal healing and future bone development. […] Early diagnosis of growth plate fractures is crucial to ensure timely and appropriate treatment. Detecting and addressing these injuries promptly can help prevent potential complications, such as limb deformities or growth disturbances. Early intervention also allows healthcare professionals to provide appropriate guidance to promote optimal healing and minimize long-term effects.
  • #1 Growth Plate Fractures | Specialist Orthopaedic Centre
    https://specialistortho.com.sg/educational-resources/all-you-need-to-know-about-growth-plate-fractures/
    Growth plate fractures are a common fracture among children, accounting for about 15 to 30 per cent of all childhood fractures. […] Common symptoms of a growth plate fracture typically include: Persistent or severe pain, Swelling, warmth, and tenderness in the area surrounding the end of the bone, near the joint, Visible deformity, such as the limb appearing crooked, Inability to move or apply pressure on the limb, Open wounds that cause the bone to be visible (in more severe cases). […] It is crucial to get a potential growth plate injury examined by a doctor as soon as possible. An ideal time frame is within 5 to 7 days. This is because a child’s bones heal quickly, and it is important that the bone receives proper treatment before it starts to heal. […] Although children’s bones heal fast, it can still take several weeks for a growth plate fracture to heal. If cast immobilisation is used, how long the cast needs to be worn will depend on the severity of the fracture. […] In order to ensure successful long-term results, growth plate fractures need to be watched carefully. For at least a year, regular follow-up visits to the doctor should continue. This is to make sure that the growth plate grows appropriately.
  • #1 Growth Plate Fractures (for Parents) – Norton Children’s
    https://kidshealth.org/NortonChildrens/en/parents/growth-plate-injuries.html
    A child with a growth plate fracture can have pain, swelling, and trouble moving and using the injured body part. Sometimes there is a deformity this means that the body part looks crooked or different than it did before the injury. […] Most growth plate fractures heal and do not affect future bone growth. […] However, sometimes changes in the growth plate from the fracture can cause problems later. For example, the bone could end up a little crooked or slightly longer or shorter than expected. If the bone does not grow normally, surgery or other treatments may be needed. […] Most kids recover from growth plate fractures without any long-term problems. Help your child follow the health care provider’s directions. Go to all follow-up visits to check that the bones are healing well. In the rare case that a growth problem happens, catching it early makes treating it much easier.
  • #1 Growth plate fractures | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20164401/
    Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. […] Most growth plate fractures occur in bones of the fingers, forearm and lower leg. Signs and symptoms of a growth plate fracture may include: Pain and tenderness, particularly in response to pressure on the growth plate; Inability to move the affected area or to put weight or pressure on the limb; Warmth and swelling at the end of a bone, near a joint. […] If a fracture goes through a growth plate, it can result in a shorter or crooked limb.
  • #1 Growth Plate Fractures: When a Broken Bone is Not Just a Break – GriffithLaw Injury Lawyersnifty-logo
    https://www.griffithinjurylaw.com/blog/growth-plate-fractures.cfm
    The signs and symptoms of a growth plate fracture are the same signs and symptoms of any other arm fracture. There will be pain, likely swelling, and possible deformity. Your doctor will be able to determine if the fracture involves a fracture into the growth plate. A simple x-ray […] […] Most of the time the bones heal without any issues, even if they occur in the growth plate. However, sometimes the break results in a crooked bone, or crooked healing, thereby causing future problems and unexpected long term damage. One issue you need to be aware of is a condition known as “Growth Arrest.” This is when the bone simply stops growing. This may result in one leg or arm being shorter than the other. One leg that is shorter than the other can then have residual problems, such as hip pain, lower back injury, and possible chronic resultant pain for life. If your child has a growth plate fracture at his knee, he is likely to get growth arrest or even crooked legs due to the additional damage to nerves and blood vessels in that area. […]
  • #1 Growth Plate Fractures: A Guide for Parents – Advanced Orthopaedics Associates, P.A.
    https://www.aoaortho.com/growth-plate-fractures-a-guide-for-parents/
    Growth plate fractures, also known as physeal fractures, are injuries that occur in the growing bones of children and adolescents. […] Identifying the signs and symptoms of growth plate fractures is crucial for prompt diagnosis and treatment. Common indicators include pain, swelling, and tenderness around the affected area. The injured limb may also appear deformed or have limited range of motion. In some cases, these fractures can cause an immediate loss of function or the inability to bear weight on the injured limb. […] It is important to note that not all growth plate fractures are immediately apparent. Some fractures may be subtle or occur alongside other injuries, making them more challenging to detect. If a child complains of persistent pain or experiences difficulty using a limb after an injury, it is essential to seek medical attention for a thorough evaluation.
  • #1 Growth plate fractures – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/growth-plate-fractures/diagnosis-treatment/drc-20351984
    Sometimes a growth plate fracture cannot be seen on X-ray. If the child is tender over the area of the growth plate, your doctor may recommend a cast or a splint to protect the limb. […] At the time of injury, it’s 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.
  • #1 Growth Plate Fracture | Middle Georgia Orthopaedics
    https://www.mgo.md/patient-resources/education/growth-plate-fracture
    A growth plate fracture is a partial or complete break in an area of young bone known as the physis, found on the ends of long bones in children and adolescents. […] The symptoms of growth plate fractures may resemble those associated with a sprain. They include pain, swelling and, in some cases, deformity. See your doctor right away to prevent permanent damage to the plate. […] Recovery depends on the age of the child, the type, location and severity of the break and how well the rehabilitation program is followed.
  • #1 Fractures in Children | Symptoms, Diagnosis & Treatment
    https://www.cincinnatichildrens.org/health/f/fractures
    A fracture in a child can be very different from a fracture in the same location in an adult. If the fracture involves the ends of the bone, the growth plate may be involved. […] The good news is that although fractures often involve the growth plate, rarely is it a problem. The doctor will tell you if the fracture involves the growth plate and if there is a potential growth plate problem, which depends on the type and site of the injury. […] If your child is tender, has swelling or bruising and a history of an injury to this part of the body, he or she most likely will be placed in a cast or splint for about four weeks. […] Your child may or may not need X-rays once the cast is removed. At this time, signs of healing may be evident, confirming the suspicion of a fracture. It is much better to place your child in a cast / splint for protection than to assume it is „just a sprain.”
  • #1 Essential Tips for Preventing Growth Plate Injuries in Young AthletesAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://pediatricorthopedics.com/essential-tips-for-preventing-growth-plate-injuries-in-young-athletes/
    Symptoms of a growth plate injury include pain or tenderness around the growth plate, which may initially appear after sports activities but can progress to pain during everyday activities. […] Prompt medical evaluation is crucial if a child exhibits symptoms of a growth plate injury. Immediate treatment by a pediatric orthopedist is necessary to prevent complications such as improper bone growth or deformity. Early intervention ensures that growth plate injuries are managed effectively, minimizing the risk of long-term issues.
  • #1 How Long Does It Take to Recover From a Fractured Growth Plate?
    https://www.medicinenet.com/how_long_takes_recover_from_fractured_growth_plate/article.htm
    Signs and symptoms of a growth plate injury are the same as those for a broken bone and include The inability to put weight or pressure on the limb, Pain or discomfort, The inability to move the limb. […] With accurate diagnosis and treatment, most growth plate injuries heal without complications. If left untreated, permanent damage can impact the proper growth of the involved limb.
  • #1 Growth Plate Injury | Children’s Hospital Colorado
    https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/growth-plate-injury/
    The signs of a growth plate injury can be subtle and hard to spot at first but because kids’ bones are continually growing, failing to catch one and treat appropriately can lead to long-term consequences, such as uneven limbs. Since growth plate injuries aren’t always evident at the time of the fracture, a pediatric specialist may want to monitor the area of the fracture for even several years after the injury, to make sure the bone is healing appropriately.
  • #2 Growth plate fractures | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/growth-plate-fractures
    Most growth plate fractures occur in bones of the fingers, forearm and lower leg. Signs and symptoms of a growth plate fracture may include: […] Pain and tenderness, particularly in response to pressure on the growth plate […] Inability to move the affected area or to put weight or pressure on the limb […] Warmth and swelling at the end of a bone, near a joint.
  • #2 Growth Plate Fractures: Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/17969-growth-plate-fractures
    Growth plate fractures are cracks in a childs growth plate the special section of cartilage at the ends of their long bones. […] Providers treat most growth plate fractures with casts. They usually heal in around a month. […] Visit a healthcare provider if your child has bone pain, swelling or one of their body parts looks noticeably different or out of place. Most growth plate fractures take several weeks to heal, and its important to get them diagnosed and treated right away. […] The most common growth plate fracture symptoms include: Pain (especially on or around a bone). Your childs body part looking noticeably different (bent, crooked or out of place). Your child might not be able to bend or put pressure on the area around their injury (inability to move or use a body part). Swelling. Discoloration or bruising. Tenderness.
  • #2 Growth Plate Fractures | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/growth-plate-fractures
    A growth plate injury may affect the angle of bone growth and overall height of a child. When a body part with two parallel bones, like the wrist, experiences growth arrest, each bone needs to be examined separately. If one bone stops growing, there is risk that the parallel bone might continue to grow and surpass it, making the wrist grow at an angle. […] The symptoms of a growth plate fracture vary depending on the degree of seriousness. Sometimes, a child may feel mild pain, and other times the injury may be more visible and urgent. […] Symptoms of a growth plate fracture may include: Pain or swelling in the injured limb, Obvious deformity in the injured area, Difficulty using or moving the injured area in a normal manner, Warmth, bruising, or redness in the injured area. […] Seek medical care right away if your child displays any of symptoms of a fracture. If you can see the bone poking out through the skin, do not move your child and call 911 immediately.
  • #2 Growth Plate Fractures – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/growth-plate-fractures/
    Growth plate fractures usually cause persistent pain. Other common symptoms include: […] Visible deformity, such as a crooked appearance of the limb […] An inability to move or put pressure on the limb […] A persistent limp […] Swelling, warmth, and tenderness in the area around the end of the bone, near the joint. […] Growth plate fractures vary greatly in terms of the risk for growth problems. Factors that affect the risk of problems over time include: […] The patient’s age […] The bone involved […] Specific fracture pattern […] How much the bone is out of alignment (displaced). […] In some areas of the body, such as fingers in younger children, early diagnosis and treatment before healing has set in can sometimes prevent the need for more invasive treatments. Other growth plate fractures, such as those around the knee, are associated with a higher rate of problems and therefore require very careful observation and follow-up.
  • #2 Pediatric Growth Plates Fracture New York, NY | Bone Fracture Treatment New York, NY
    https://www.jodylitrentamd.com/growth-plate-fracture-pediatric-orthopedic-surgeon-new-york.html
    Growth plate fracture may show symptoms such as: […] Difficulty in moving your limb in the affected area […] Pain and tenderness of the affected bone […] Difficulty in carrying heavy weight or putting pressure on the affected limb […] Swelling and warmth near the joint.
  • #2 Expert Care for Growth Plate Fractures | Coastline Orthopaedic
    https://coastlineortho.com/growth-plate-fracture/
    Common signs and symptoms of growth plate fractures include: […] Pain, tenderness, and swelling near the fracture site. […] Reluctance to use the affected limb or joint. […] Limited range of motion. […] Deformity or misalignment of the bone. […] Bruising or discoloration.
  • #2 Growth plate fractures | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20164401/
    Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. […] Most growth plate fractures occur in bones of the fingers, forearm and lower leg. Signs and symptoms of a growth plate fracture may include: Pain and tenderness, particularly in response to pressure on the growth plate; Inability to move the affected area or to put weight or pressure on the limb; Warmth and swelling at the end of a bone, near a joint. […] If a fracture goes through a growth plate, it can result in a shorter or crooked limb.
  • #2 Growth Plate Fracture or Injury | International Center for Limb Lengthening
    https://www.limblength.org/conditions/growth-plate-fracture-or-injury/
    Growth plate fractures often occur in the lower legs or forearms. A growth plate fracture can cause nearby joints to feel warm or swell. The fracture can cause pain, especially when pressure is applied to the area. Being unable to put weight on or move the arm or leg can be another symptom of a growth plate fracture. […] Without treatment, even after a fractured growth plate heals, a growth arrest can still occur. A growth arrest can cause the bone to grow unevenly and become crooked. The bone may also stop growing altogether, resulting in a shorter arm or leg. Most growth plate injuries heal after 4-6 weeks of immobilization in a cast. However, there is always a risk that a growth plate fracture could result in premature stoppage of growth of that particular growth plate.
  • #2 Growth plate fractures – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/growth-plate-fractures/diagnosis-treatment/drc-20351984
    Sometimes a growth plate fracture cannot be seen on X-ray. If the child is tender over the area of the growth plate, your doctor may recommend a cast or a splint to protect the limb. […] At the time of injury, it’s 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.
  • #2 Growth Plate Fractures (for Parents) – Norton Children’s
    https://kidshealth.org/NortonChildrens/en/parents/growth-plate-injuries.html
    A child with a growth plate fracture can have pain, swelling, and trouble moving and using the injured body part. Sometimes there is a deformity this means that the body part looks crooked or different than it did before the injury. […] Most growth plate fractures heal and do not affect future bone growth. […] However, sometimes changes in the growth plate from the fracture can cause problems later. For example, the bone could end up a little crooked or slightly longer or shorter than expected. If the bone does not grow normally, surgery or other treatments may be needed. […] Most kids recover from growth plate fractures without any long-term problems. Help your child follow the health care provider’s directions. Go to all follow-up visits to check that the bones are healing well. In the rare case that a growth problem happens, catching it early makes treating it much easier.
  • #2 Fractures and Growth Plate Injuries – Seattle Children’s Hospital
    https://www.seattlechildrens.org/conditions/fractures/
    When your child or teen breaks a bone, they will have pain at the site of the break. It will be hard for them to move the body part that is broken. This pain and loss of movement are your cues to take them to the doctor, an urgent care clinic or the Emergency Department. […] Some signs of broken bones are clear for example, when the bone breaks through the skin in an open fracture. Other signs that a bone may be broken and a growth plate may be injured include: Severe pain, Swelling, bruising or bleeding, Limb or joint looks out of place or the wrong shape, Numbness and tingling, Unable to move the affected part of the body. […] If a fracture or other injury damages the growth plate, the bone may stop growing. This serious problem is called growth arrest. Growth arrest can permanently stop a bones development and change how it functions. If only part of the growth plate is damaged and stops working, the bone may grow in an uneven way.
  • #2 Growth Plate Fractures: When a Broken Bone is Not Just a Break – GriffithLaw Injury Lawyersnifty-logo
    https://www.griffithinjurylaw.com/blog/growth-plate-fractures.cfm
    In some instances, a growth plate fracture causes the bone to accelerate growth, which has the same result… unequal limbs. There can also be development of a ridge along the fracture line which can interfere with normal bond development and cause it to “curve.” If the bone was breaking through the skin and becomes infected, the greater the likelihood of complication of the growth plate fracture. It is important that you stay in contact with your pediatric orthopedist and be on the lookout for abnormal growth, continued pain, curving of bones, “ridges” of growth that feel abnormal under the skin, and have regularly scheduled follow ups with your doctor.
  • #2 Growth Plate Fractures – Injuries and Poisoning – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/injuries-and-poisoning/fractures/growth-plate-fractures
    Growth plate fractures occur in areas at the ends of bones. These areas (called growth plates) are what enable children to grow. Growth plate fractures occur only in children and adolescents. […] If a growth plate is fractured, the area over it is painful and swollen, and children have trouble moving the affected limb. […] The area over the growth plate is painful, particularly when it is touched. This area is also swollen and may feel warm. Children have trouble moving the affected limb or putting weight or pressure on it. […] When a growth plate is fractured, the bone may stop growing or grow crookedly. If a joint is involved, it may be permanently damaged, resulting in arthritis.
  • #2 Growth plate fractures | Beacon Health System
    https://www.beaconhealthsystem.org/library/diseases-and-conditions/growth-plate-fractures?content_id=CON-20164401
    Growth plate fractures often need immediate treatment because they can affect how the bone will grow. An improperly treated growth plate fracture could result in a fractured bone ending up more crooked or shorter than its opposite limb. With proper treatment, most growth plate fractures heal without complications. […] Signs and symptoms of a growth plate fracture may include: Pain and tenderness, particularly in response to pressure on the growth plate; Inability to move the affected area or to put weight or pressure on the limb; Warmth and swelling at the end of a bone, near a joint. […] Most growth plate fractures heal with no complications. But the following factors can increase the risk of crooked, accelerated or stunted bone growth: 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 shorter, longer or crooked if the growth plate has permanent damage. Growth plate injuries around the wrist and shoulder usually heal without problems.
  • #2 Growth Plate Fractures: Treatment, Surgery, Complications, and More
    https://www.webmd.com/children/growth-plate-fracture
    Younger children are more likely to get complications because their bones still have a lot of growing to do. But one benefit is that younger bones tend to heal faster. […] Most of the time, kids get back to normal after a growth plate fracture without any lasting effects. One exception is if the growth plate is crushed. When that happens, the bone will almost always grow differently.
  • #2 Growth Plate Fracture: How It Happens and How It’s Treated
    https://www.healthline.com/health/fracture-of-growth-plate
    No matter the location of the fracture, prompt and appropriate treatment can help reduce the risk of complications. […] Many growth plate fractures heal without long-term complications. However, its possible for growth plate fractures to impact future bone growth. […] The best way to avoid permanent complications is prompt diagnosis and treatment. […] The outlook for growth plate fractures is typically positive. Children and teens can recover from growth plate fractures without lasting complications. Quick diagnosis and appropriate treatment can help prevent the fracture from affecting future bone growth. […] Healing time depends on the type and location of the break. However, many growth plate injuries heal in about 6 weeks. […] Without treatment, severe fractures can affect bone growth and lead to complications, such as reduced growth and changes in limb formation. However, with treatment, many children can heal from growth plate fractures without any lasting damage.
  • #2 Fractures to Children’s Growth Plates – Orthopedic Specialists Western Mass – Arm and Hand Fractures in Children – The Hand Center of Western Massachusetts
    https://www.handctr.com/growth-plate-fractures.html
    Any child who experiences an injury that results in visible deformity, persistent or severe pain, or an inability to move or put pressure on a limb should be examined by a doctor. […] Growth plate fractures must be watched carefully to ensure proper long-term results. In some cases, a bony bridge will form that prevents the bone from getting longer or will cause a curve of the bone. Orthopaedic surgeons are developing techniques that enable them to remove the bony bar and insert fat, cartilage, or other materials to prevent it from reforming. […] Regular follow-up visits to the doctor should continue for at least a year after the fracture. Complicated fractures (types IV, V, and VI) as well as fractures to the thighbone (femur) and shinbone (tibia) may need to be followed until the child reaches skeletal maturity.
  • #2 Growth Plate Fractures | Rady Children’s Hospital
    https://www.rchsd.org/health-article/growth-plate-fractures/
    A child with a growth plate fracture can have pain, swelling, and trouble moving and using the injured body part. Sometimes there is a deformity this means that the body part looks crooked or different than it did before the injury. […] Most growth plate fractures heal and do not affect future bone growth. […] However, sometimes changes in the growth plate from the fracture can cause problems later. For example, the bone could end up a little crooked or slightly longer or shorter than expected. If the bone does not grow normally, surgery or other treatments may be needed. […] Most kids recover from growth plate fractures without any long-term problems. Help your child follow the health care providers directions. Go to all follow-up doctor visits to make sure the bones heal well and continue to grow normally.
  • #2 Growth Plate Injuries in Children – Washington Orthopaedics & Sports Medicine
    https://www.wosm.com/blog/growth-plate-injuries-in-children/
    Growth plate fractures are very common in children. Approximately 1530% of all childhood fractures occur through the growth plate. They are twice as likely to occur in boys as in girls. […] The most common locations for growth plate fractures are the wrist and elbow, followed by the ankle, knee, and hip. Growth plate fractures often need immediate treatment because they can affect how the bone will grow. Improper treatment can lead to crooked or shortened limbs. […] Children who have persistent pain, or pain that affects their athletic performance or ability to move and puts pressure on a limb, may get a possible fracture or overuse injury. […] Overall, you should avoid trying to ignore persistent pain for more than a couple of days, as it may be indicative of a more severe injury rather than a simple sprain. Most growth plate injuries need 1014 days to start uniting, making the reduction and fixation more difficult the longer treatment is delayed. Be sure to get help early.

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