Paediatric Fractures
Skeletal trauma accounts for 10% to 15% of all childhood injuries. Fractures of the immature skeleton differ from those of the mature skeleton.
Physeal disruptions make up about 15% of all skeletal injuries in children,Damage involving specific growth regions, such as the physis or epiphyseal ossification center, may lead to acute or chronic growth disturbancesupper-extremity fractures account for 65% to 75% of all fractures in children.
The most common area of the upper extremity injured is the distal forearm 7% to 9% of upper-extremity fractures involve the elbow. The distal humerus accounts for approximately 86% of fractures about the elbow region. Supracondylar fractures are the most frequent elbow injuries in children, reported to occur in 55% to 75% of patients with elbow fractures.
Lateral condylar fractures are the second most common, followed by medial epicondylar fractures.(Children Orthopaedic Hospital In Ahmedabad) Fractures of the olecranon, radial head. Forearm fractures in children are the most common long bone fractures, comprising about 40% of all pediatric fractures.(Paediatric fracture Treatment In Ahmedabad) Femoral shaft fractures, including subtrochanteric and supracondylar fractures, represent approximately 1.6% of all bony injuries in children.
Management : X ray affected part, comparative view, CT scan, MRI for understand physis or intraarticular fragment status.
Healing and remodeling potential is very high so most of fracture in children are treated by plaster and adolescent require surgery.