From Wikipedia, the free encyclopedia
A child bone fracture is a medical condition in which a bone of a child (a person younger than the age of 18) is cracked or broken.[1]About 15% of all injuries in children are fracture injuries.[2] Bone fractures in children are different than adult bone fractures because a child’s bones are still growing. Also, more consideration needs to be taken when a child fractures a bone since it will affect the child in his or her growth[3]
How fractures occur
On an everyday basis bones will support many kinds of forces naturally applied to them, but when the forces are too strong the bones will break. For example, when an adolescent jumps off of a trampoline and lands on his/her feet the bones and connective tissue in the adolescent’s feet will usually absorb the force, flex, then return to their original shape. However, if the adolescent lands and the force is too strong, the bones and the connective tissue will not be able to support the force and will fracture.[4]
[edit]Differences between child and adult bones
There are differences in the bone structure of a child and an adult. These differences are important for the correct evaluation and treatment of the fractures. A child’s bones heal faster than an adult’s because a thicker, stronger, and more active dense fibrous membrane (periosteum) covers the surface of their bones.[5] The periosteum has blood vessels that supply oxygen and nutrition to the bone cells. The stronger and thicker periosteum in children causes a better supply of oxygen and nutrients to the bones, [6] and this helps in the remodeling of the fractured bones by supplying. The periosteum in children causes a more rapid union of fractured bones and an increased potential for remodeling.[5] A child’s fractures not only heal more quickly, but are significantly reduced due to the thickness and strength of a child’s periosteum. But this thickness also has its drawbacks; when there is a small