Pediatric-fractures:  Bone Fractures mean broken bones. Many parents ask me if my child has broken bones or broken bones, just to clarify the same. Your child has a fracture, major or minor, that may require surgery There is a possibility. The incidence of childhood fractures is increasing as our children become more athletic and athletic.

Children’s bones are softer than those of adults and tend to bend rather than break. Fractures occur after a child falls or after a large force is applied to the bone. They show different specific types of damage compared to their adult counterparts. These may include buckle fractures, greenstick fractures, plastic deformation of bone, or fractures around and involving the growth plate. Growth plates are located near the ends of bones and are made of specialized cartilage. The growth plate is the weakest and most prone to injury. The most common ones we see are wrist, forearm, and elbow fractures. It can also cause injuries around the knee, ankle, and sometimes shin and thigh bones.

Epiphyseal injury:  Traction epiphyseal injury during an active growth spurt (also known as Sever’s disease) is common in active adolescents (more boys than girls). A strong pull on the triceps surae muscle causes painful inflammation through repeated micro trauma to the unossified epiphysis. Young athletes complain of pain on the posterior aspect of the heel at the attachment point of the Achilles tendon. It is exacerbated by activity and relieved by rest.

Manual compression (inside-out compression) best reproduces discomfort during a clinical examination (Figure 20-32). This condition is a self-limiting entity that ends with skeletal maturation as the epiphysis closes. Until then, proper rest, gentle stretching, proper footwear, and the use of bilateral heel lifts can help reduce harmful stress.