A crash injury near a child's growth plate
What a pediatric orthopedic surgeon wants parents to know
Near the end of a child’s bone is a soft area where growth happens, called a growth plate. A crash can injure it. Pain near a joint may look like a sprain. With some growth plate injuries, the first X ray shows only slight changes. Tell the doctor exactly where your child points to the pain. Say whether your child can put weight on the limb and is using it normally. [1, 2]
Don't brush off pain that lingers
Some children keep limping or won’t use an arm. Others have tenderness in one spot over a bone, meaning it hurts when pressed. Any of these needs another exam. Don’t lean on one reassuring image if your child still clearly uses the limb differently. [1, 2]
The doctor may protect the limb and set up another exam or more imaging. The plan depends on your child’s age, the bone and the type of injury. [1, 2]
Why the follow up visits matter
Most growth plate injuries heal well with proper care. Some can change how a bone grows. The risk is higher with certain kinds of breaks and in certain places. Ask whether your child should see an orthopedic specialist. Also ask how long to hold off on running or sports. Keep any later imaging appointment, even if the pain gets better. [1]
Keep an eye on the limb at home
Follow the instructions for the splint, cast or boot. Get urgent care if the fingers or toes turn pale or cold, or if numbness gets worse. Severe pain also calls for urgent care. So does a child who can’t move the fingers or toes as instructed. Don’t let your child go back to activities with impact just because the swelling went down. [1, 2]
What to ask at the appointment
- Is the sore spot close to a growth plate?
- What should we do if our child is still limping or guarding the limb?
- When should growth or alignment be checked again?
Make a note of today's limits
Write down where it hurts and what your child can’t do today. [1]
Sources and further reading
- 1American Academy of Orthopaedic Surgeons, growth plate fractures
- 2American Academy of Pediatrics, bone injuries in children
This article is general information from a pediatric orthopedic viewpoint. A doctor must examine your child and decide whether imaging, protection or follow up care is needed.
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