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Broken Bones in Children – Definition, Causes, Symptoms, and Treatment of Fractures in Children

Sabine Schneider
Editor-in-Chief

Here you will find medical specialists in the field of bone fractures in children. All of the doctors listed are specialists in their field and have been handpicked for you according to the strict Leading Medicine Guide guidelines. The experts look forward to hearing from you.

ICD codes for this disease: T14.2

Quick Overview:

Bone fractures in children (fractures in childhood) are often caused by falls or accidents and frequently affect a limb, such as the forearm or upper arm. Children’s bone tissue is more elastic, which is why typical fracture patterns such as greenstick fractures occur. Accurate diagnosis is crucial to protect growth plates (epiphyseal plates) and prevent complications. Treatment is either conservative or surgical, depending on the type of fracture and its stability.

Article Overview

What is a broken bone in children?

A fracture is a break in the bone structure. Fractures in children differ from those in adults because the bones are more flexible due to growth plates and the elastic structure of the pediatric skeleton.

As a result, greenstick fractures, diaphyseal fractures, or non-displaced fractures are more common. Pediatric traumatology and trauma surgery take these specific characteristics into account when treating fractures.

In addition, specific factors play a role in bone fractures in children: distal fractures of the forearm or leg must be stabilized in a way that protects the growth plates. Supracondylar humerus fractures require particularly careful clinical evaluation, as nerves and blood vessels may be at risk in these cases.

In pediatric orthopedics, minimally invasive procedures such as wire fixation are frequently used to prevent malalignment or potential dislocation. Treatment is always guided by the goal of supporting the natural healing of the child’s bone and preventing long-term functional impairments.

Causes of Fractures in Children

The most common causes are falls, sports injuries, and traffic accidents. Fractures during childhood can occur rapidly when high stress is placed on long bones, the forearm, or supracondylar regions.

Dislocations, rotational deformities, or stress on the growth plates can also play a role. Fractures in children often result from underdeveloped muscles, which provide less protection.

In addition, fractures in children frequently occur when external forces act directly or subcutaneously, such as from falls onto an outstretched arm.

Many injuries can be treated on an outpatient basis, provided there are no complications or displacement. Fracture management always depends on the type and stability of the fracture and aims to avoid impairing growth.

Broken Bones in Children

A pediatric orthopedist treats a child’s forearm fracture with a colorful cast in a modern clinic, while a parent looks on reassuringly.

Symptoms of a Bone Fracture

Typical symptoms include a painful, swollen area, limited movement, and misalignment. In the case of displaced fractures, axial deviations, visible deformities, or a widening fracture gap may occur.
Some bone fractures in children present only with localized pain and are easily overlooked.

Fractures in Children—Options in Pediatric Surgery and Surgical Treatment

Treatment & Options

Treatment depends on the type of fracture.

  • Conservative treatment: Immobilization, cast, cast wedge, or splint, as appropriate for stabilization.
  • Closed reduction: In cases of misalignment, the fracture is corrected without surgery.
  • Surgical treatment: Necessary for displaced, open, or complicated fractures.

Commonly used methods include ESIN, external fixators, wire osteosynthesis, elastically stable intramedullary nailing, or intramedullary nailing.
Fractures of the epiphyseal plate carry a risk of growth disturbances, which is why precise treatment and X-ray monitoring are important.

Special Considerations for Fractures During Growth and Proper Fracture Treatment

Special Case: Bone Fractures in Children and Adolescents

Children have open growth plates, which allows for partial correction of misalignments over the years. Nevertheless, improperly treated fractures can lead to axial deviations, growth disturbances, or permanent misalignments.

Fractures such as supracondylar humeral fractures or fractures of the radial head carry a risk of nerve and vascular damage. Complications such as varus stress, radial head luxation, soft tissue damage, or subcutaneous injuries may occur. Early diagnosis is essential in these cases.

Treatment is tailored to the age-specific characteristics of the pediatric skeleton. Methods such as ESIN, reduction, and the selection of stabilizing materials take into account the bone’s maturity. Approximately 90 percent of all fractures in children heal without complications.

FAQs on Fractures in Children

How common are fractures in children?
Fractures are among the most common injuries during childhood, as the developing pediatric skeleton is susceptible to injury. Fractures of the forearm, in particular, occur frequently.
Does every bone fracture require surgery?
No. Many fractures in children can be treated conservatively. Only displaced or complicated fractures require surgical treatment, such as ESIN or an external fixator.
How long does healing take?
Because of the active growth plate, bone fractures in children heal significantly faster—often within a few weeks. A follow-up X-ray is usually performed within the first week.
What is a greenstick fracture?
A greenstick fracture is typical in children: the bone breaks on one side, while the other side remains flexible. It frequently occurs in the forearm.
What complications can occur?
Possible complications include growth disturbances, axial deviations, rotational deformities, and vascular or nerve injuries. An inadequately healed fracture site can also cause problems.

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