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November 23, 2009
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Growth Plate Injuries

What Is the Growth Plate?

The growth plate, also known as the epiphyseal plate or physis, is the area of growing tissue near the end of the long bones in children and adolescents. Each long bone has at least two growth plates: one at each end. The growth plate determines the future length and shape of the mature bone. When growth is complete--sometime during adolescence--the growth plates close and are replaced by solid bone.

Who Gets Growth Plate Injuries?

These injuries occur in children and adolescents. The growth plate is the weakest area of the growing skeleton, weaker than the nearby ligaments and tendons that connect bones to other bones and muscles. In a growing child, a serious injury to a joint is more likely to damage a growth plate than the ligaments that stabilize the joint. An injury that would cause a sprain in an adult can be associated with a growth plate injury in a child.

Injuries to the growth plate are fractures. They comprise 15 percent of all childhood fractures. They occur twice as often in boys as in girls, with the greatest incidence among 14- to 16-year-old boys and 11- to 13-year-old girls. Older girls experience these fractures less often because their bodies mature at an earlier age than boys. As a result, their bones finish growing sooner, and their growth plates are replaced by stronger, solid bone.

Approximately half of all growth plate injuries occur in the lower end of the outer bone of the forearm (radius) at the wrist. These injuries also occur frequently in the lower bones of the leg (tibia and fibula). They can also occur in the upper leg bone (femur) or in the ankle, foot, or hip bone.



Next: What Causes Growth Plate Injuries? »

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Growth Plate Fractures and Injuries

Introduction

Winter cold and snow provide a number of opportunities to get outside and participate in activities such as skiing, sledding, and snowmobiling. However, without proper protection, cold weather-related injuries can occur even when temperatures are above freezing (32°F, 0°C). This is especially true if there are high winds or if clothing is wet. In general, however, it is both the temperature and the duration of exposure that play a role in determining the extent and severity of cold weather-related injuries. The information below describes the different types of cold weather-related injuries, as well as what to do to prevent and treat them prior to reaching a healthcare provider.

What type of injuries can be caused by cold weather?

Cold weather-related injuries can be divided into two general categories. These are those that occur without the freezing of body tissue (chilblains and trench foo...

Read the Frostbite article »










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