Fractures

Children are more prone to fractures as their bodies—especially their bones and growth plates— are still developing and are weaker than adults. Fractures refer to bones that have been either partially or completely broken due to falls, accidents, sports injuries, or overuse. Furthermore, medical conditions and repetitive force increase the chances of sustaining a fracture. The severity of a fracture depends on the force that causes the break.

Fractures can commonly occur in the following locations, especially among children

As a child’s body is still growing and developing, they have a higher risk of sustaining fractures. Some common causes of fractures among children include:

  • Sport accidents
  • Accidents such as a fall from the monkey bars, etc
  • Obesity
  • Low calcium diet

Some common indications of a fracture include:

  • Pain
  • Swelling
  • Tenderness
  • Inability to move the affected area
  • Bruising/ discolouration
  • Deformity or bump at the injured site

If you are unsure if your child has sustained a fracture, it is advisable to seek medical help and obtain an X-ray of the affected area for a proper diagnosis and treatment plan.

If you suspect your child might have sustained a fracture, especially in the neck or back area, avoid moving the child unless they are in immediate danger. Movement can cause further damage to the nerves. If the child must be moved, ensure that the neck and back are completely immobilised. Next, with at least another person assisting you, keep the head, neck and back in alignment and move the child together as a unit.

If you suspect your child has a fracture of the arms, limbs, hands, or wrist, you can make a sling to help support the affected area. Once the affected area is secured, seek medical help for the appropriate treatment and pain management.

Treatment for a child’s fracture will differ from an adult as a child’s bones are bendable and resilient, allowing the bones to heal faster. Fractures in children are commonly treated with the following:

  • Splint/ Cast: Immobilisation to allow the bone to heal after manipulation and reduction if required
  • Medication: To help ease the pain
  • Traction: To gently realign the bones using weights, pulleys and ropes
  • Surgery: Certain types of fractures may require surgery

Rest assured, your paediatric orthopaedist will conduct a thorough examination before drafting the appropriate treatment plan.

Fractures are common during childhood and are not fully preventable. However, there are several steps you can take to lower the risk of your child sustaining a fracture. These involve:

  • Ensuring your child is consuming enough calcium
  • Ensuring your child is exercising adequately to strengthen their bones
  • Ensuring your child is wearing the appropriate sports gear
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