Treatments for Growth plate injuries
Treatment List for Growth plate injuries
The list of treatments mentioned in various sources
for Growth plate injuries
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Discussion of treatments for Growth plate injuries:
As indicated in the previous section, treatment depends on
the type of fracture. Treatment, which should be started as soon as
possible after injury, generally involves a mix of the following:
Immobilization
The affected limb is often put in a cast or splint, and
the child is told to limit any activity that puts pressure on the
injured area.
Manipulation or Surgery
If the fracture is displaced, the doctor will have to put
the bones or joints back in their correct positions, either by using his
or her hands (called manipulation) or by performing surgery (open
reduction and internal fixation). After the procedure, the bone will be
set in place so it can heal without moving. This is usually done with a
cast that encloses the injured growth plate and the joints on both sides
of it. The cast is left in place until the injury heals, which can take
anywhere from a few weeks to two or more months for serious injuries.
The need for manipulation or surgery depends on the location and extent
of the injury, its effect on nearby nerves and blood vessels, and the
child’s age.
Strengthening and Range-of-Motion Exercises
These treatments may also be recommended after the
fracture is healed.
Long-Term Followup
Long-term followup is usually necessary to monitor the
child’s recuperation and growth. Evaluation includes x rays of matching
limbs at 3- to 6-month intervals for at least 2 years. Some fractures
require periodic evaluations until the child’s bones have finished
growing. Sometimes a growth arrest line may appear as a marker of the
injury. Continued bone growth away from that line may mean that there
will not be a long-term problem, and the doctor may decide to stop
following the patient.
(Source: excerpt from Questions and Answers About Growth Plate Injuries: NIAMS)
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