Fractures in children

Abstract

Children's fractures can be divided into shaft fractures, epiphysiolysis and epiphyseal fractures. Shaft fractures always heal with conservative methods. Slight axis deviations and shortening will correct spontaneously, while fracture disease and pseudarthrosis are extremely rare. Nevertheless, acute complications such as compartment syndromes deserve special attention. Epiphyseal fractures call for anatomical reduction and foolproof fixation to prevent growth disturbance through partial or complete closure of the growth plate. Such growth disturbance is not to be expected in case of epiphysiolysis.