Foot Health Highlight: Pediatric Foot Injury and When to Be Concerned About Damage to Your Child’s Growth Plate
Whenever podiatrists hear of a child suffering from an injury, we automatically worry about possible damage to growth plates. It’s a legitimate concern that needs to be thoroughly evaluated upon presentation to the doctor. When dealing with lower extremity injuries the podiatrist will typically x-ray and clinically evaluate the injury to determine if the area in and around the growth plate is affected, or if the injury has directly disrupted the growth plate itself. The treatment plan changes from initial management to the possibility of surgical management and the choice of fixation (pins/screws etc) that can be utilized depending on the extent of growth plate involvement.
When understanding a pediatric injury versus the same injury in an adult, there are some important differences to consider. In kids, the bones are very malleable, meaning that the tendons and ligaments surrounding the bones are stronger than the actual bones themselves. Therefore, in a pediatric patient injury is likely to lead to bone injury — versus in an adult where ligament damage is more likely. Secondly, treating injuries or fractures in the pediatric patient is much more complicated because of the presence of the growth plate.
Growth plates in the lower extremity, when visualized on x-ray, indicate that growth of the individual is still possible. When evaluating bones on x-ray, there are specific “zones” that can be identified to signify growth, disruption of growth, and healthy bone. During infancy, the bones are very soft and malleable. They only harden (ossify) and change completely into solid bone in a child’s mid to late teens, sometimes not until their early twenties. What this means is that injury anywhere in the body, before ossification takes place, can affect growing bone with the possibility of disrupting growth, causing abnormal/irregular growth and even potentially halting growth altogether.
In an adult, the growth plate has closed, growth has ceased, and treatment of a fracture can be initiated without fear of interrupting growing bone. If pins, screws, or plates are needed for fixing the adult fracture, they can be applied without reservations or worries of disrupting growth. However, in pediatric patients certain types of fixation must be avoided and others used carefully and in specific ways so as to protect the growth plate and allow for normal growth to continue.
When the growth plate is unaffected, fracture management is still tricky, but can be more easily handled and the growth plate more easily avoided during treatment. When fracture across the growth plate is created by the initial injury, the goal of fracture management becomes more complicated as the growth plate cannot be avoided during treatment. It must be addressed with reduction and fixation bringing the edges of the fractured growth plate into close proximity with one another. Doing so decreases the risk of interrupted or halted growth in the affected bone with the hope that restoration of normal growth occurs.
Pediatric fractures can be complex, but they can be treated in such a way as to minimize disruption to normal growth patterns. It is important to seek treatment immediately if fracture is suspected, but refrain from pondering the worst-case scenario until your child has been evaluated!
Tags: a foot doctor, a podiatrist, about feet podiatry, academy of podiatry, aching feet, acute foot pain, advanced podiatry, all about podiatry, all feet podiatry, anatomy of foot, ankle, ankle care, ankle clinic, ankle doctor, ankle foot pain, ankle injury, ankle pain, ankle problems, ankle specialist, ankle sprain, ankle surgeon, ankle surgery, arch foot pain, arch of foot pain, arch pain, arch pain in foot, are podiatrists doctors, are podiatrists mds, are podiatrists medical doctors, are podiatrists physicians, are podiatrists real doctors, arthritis foot pain, association of podiatrists, atlanta foot doctor, ball of foot pain causes, best foot doctor, best foot doctors, best podiatric surgeons, best podiatrist, best podiatrist in md, best podiatrist in usa, best podiatry schools, board certified podiatrist, board of podiatric medicine, bone spur foot, bones in the foot, bottom foot pain, bottom of foot pain, bottom of the foot pain, bunion, bunion surgeon, burning foot pain, can podiatrists perform surgery, care podiatry, careers in podiatry, causes of foot pain, causes of heel pain, causes of plantar fasciitis, child, child foot doctor, children's podiatrist, chiropodist, chiropodist podiatrist, chiropodists and podiatrists, chiropodists podiatrists, chiropody clinic, chronic foot pain, closest podiatrist, college of podiatric medicine, college of podiatry, common foot problems, corn, corn surgery, define podiatrist, definition of podiatrist, definition of podiatry, diabetes and foot pain, diabetic foot pain, diabetic foot surgery, diagnose foot pain, do podiatrists do surgery, do podiatrists go to medical school, do podiatrists perform surgery, doctor, doctor dpm, doctor feet, doctor foot, doctor foot specialist, doctor for feet, doctor for foot, doctor for the feet, doctor of feet, doctor of podiatric medicine, doctor of podiatric medicine degree, doctor of podiatric medicine dpm, doctor of podiatric medicine schools, doctor of podiatry, doctor of the foot, doctor podiatric medicine, doctor podiatrist, doctors of podiatric medicine, dorsal foot pain, dpm credentials, dpm doctor, dpm doctor of podiatric medicine, dpm foot, dpm foot doctor, dpm medical, dpm medical degree, dpm physician, dpm podiatry, dpm schools, dpm surgeon, dpm training, dr foot, dr monday podiatrist, dr of podiatry, education requirements for podiatrist, extreme foot pain, family foot care, feet, feet clinic, feet hurt, feet problems, feet swelling, find a podiatrist, find a podiatrist in my area, find a podiatrist near me, find local foot doctor, find podiatrist, flat feet, flat foot problems, flat foot surgery, foot, foot ailments, foot anatomy pain, foot and ankle, foot and ankle care, foot and ankle center, foot and ankle clinic, foot and ankle doctor, foot and ankle pain, foot and ankle specialist, foot and ankle surgery, foot and heel pain, foot and toe pain, foot ankle, foot ankle clinic, foot ankle doctor, foot ankle pain, foot ankle specialist, foot ankle specialists, foot arch, foot blister, foot bone pain, foot bone spur, foot bunion surgery, foot care, foot care center, foot care clinic, foot care doctor, foot care podiatry, foot care specialist, foot clinic, foot clinic near me, foot conditions, foot corn, foot diseases, foot disorders, foot doctor, foot doctor baltimore, foot doctor called podiatrist, foot doctor chiropodist, foot doctor in, foot doctor is a podiatrist, foot doctor md, foot doctor name, foot doctor near me, foot doctor ny, foot doctor podiatrist, foot doctor portland, foot doctor specialist, foot doctor sydney, foot doctors, foot doctors near me, foot dr, foot dr name, foot dr podiatrist, foot exercises, foot health, foot health practitioner, foot injuries, foot injury, foot injury diagnosis, foot pain, foot pain and swelling, foot pain arch, foot pain ball of feet, foot pain bottom of foot, foot pain causes, foot pain diabetes, foot pain diagnosis, foot pain doctor or podiatrist, foot pain from running, foot pain heel, foot pain identifier, foot pain in heel, foot pain in the morning, foot pain plantar, foot pain running, foot pain side of foot, foot pain surgery, foot pain swelling, foot pain symptoms, foot pain toes, foot pain top, foot pain top of foot, foot pain walking, foot pain when walking, foot pains, foot physician, foot podiatrist, foot problems, foot problems symptoms, foot specialist, foot specialist doctor, foot specialist name, foot specialist near me, foot specialist podiatrist, foot specialists, foot sprain, foot spur, foot spurs, foot surgeon, foot surgeons, foot surgery, foot surgery doctors, foot surgery pain, foot surgery procedures, foot surgery recovery, foot swelling and pain, foot tendon pain, foot tendonitis, foot tendons, foot toe pain, footpain, fracture, geriatric foot care, gout foot pain, great feet podiatry, growth plate, hammertoe, hammertoe surgery, heal foot pain, heel and foot pain, heel bone pain, heel foot pain, heel of foot pain, heel pain exercises, heel pain in children, heel pain in foot, heel pain in the morning, heel pain running, heel pain when walking, heel problems, heel spur, heel spur surgery, heel spur symptoms, heel spur syndrome, heel surgery, history of podiatry, how do you become a podiatrist, how long is podiatry school, how to be a podiatrist, how to become a foot doctor, how to become a podiatric surgeon, how to become a podiatrist, how to become podiatrist, how to find a podiatrist, hurt heel, injury, is a chiropodist a medical doctor, is a dpm a doctor, is a dpm a medical doctor, is a podiatrist a doctor, is a podiatrist a md, is a podiatrist a medical doctor, is a podiatrist a physician, is a podiatrist a real doctor, is a podiatrist an md, is dpm a doctor, is podiatrist a doctor, is podiatrist a medical doctor, kids, lateral foot pain, left foot pain, leg foot pain, ligaments of the foot, manhattan foot doctor, meaning of podiatrist, meaning of podiatry, medical foot care, medical podiatrist, morning foot pain, my foot doctor, my podiatrist, my podiatry clinic, nail surgery, name for foot doctor, name of foot doctor, name of foot specialist, nearest podiatrist, nerve pain in foot, neuroma, neuroma foot, online podiatrist, outer foot pain, outside foot pain, padiatry, padietrist, pain arch of foot, pain heel of foot, pain in bottom of foot, pain in foot, pain in foot arch, pain in foot when walking, pain in heels, pain in heels of feet, pain in my foot, pain in my heel, pain in the foot, pain in toes, pain in top of foot, pain on ball of foot, pain on bottom of foot, pain on heel of foot, pain on outside of foot, pain on side of foot, pain on top of foot, pain under foot, painful feet, painful foot, painful heel, pediatric, pediatric foot doctor, pediatric foot specialist, pediatric podiatrist, pediatric podiatrist maryland, pediatrist, physician, plantar fasciitis causes, plantar fasciitis symptoms, plantar foot pain, podiast, podiatr, podiatric, podiatric association, podiatric definition, podiatric doctor, podiatric medical, podiatric medical association, podiatric medical school, podiatric medical schools, podiatric medicine, podiatric medicine and surgery, podiatric medicine salary, podiatric medicine schools, podiatric physician, podiatric practice, podiatric school, podiatric schools, podiatric services, podiatric sports medicine, podiatric surgeon, podiatric surgeon salary, podiatric surgeons, podiatric surgery, podiatrics, podiatrist, podiatrist a doctor, podiatrist career, podiatrist colleges, podiatrist credentials, podiatrist definition, podiatrist description, podiatrist doctor, podiatrist dpm, podiatrist education, podiatrist education requirements, podiatrist foot doctor, podiatrist foot pain, podiatrist in, podiatrist in md, podiatrist in my area, podiatrist is, podiatrist md, podiatrist md degree, podiatrist meaning, podiatrist medical doctor, podiatrist medical school, podiatrist medicine, podiatrist melbourne, podiatrist near me, podiatrist nearby, podiatrist open on weekends, podiatrist plantar fasciitis, podiatrist qualifications, podiatrist real doctor, podiatrist requirements, podiatrist saturday, podiatrist sports medicine, podiatrist surgeon, podiatrist surgeon salary, podiatrist that accept medical, podiatrist title, podiatrist training, podiatrist training requirements, podiatrist visit, podiatrist website, podiatrist what do they do, podiatrist wiki, podiatry, podiatry application, podiatry associates, podiatry association, podiatry board certification, podiatry boards, podiatry care, podiatry careers, podiatry center, podiatry certification, podiatry clinic, podiatry com, podiatry dpm stand for, podiatry foot, podiatry foot care, podiatry foot problems, podiatry information, podiatry jobs, podiatry jobs usa, podiatry logo, podiatry med, podiatry medical terms, podiatry medicine, podiatry meetings, podiatry now, podiatry office, podiatry one, podiatry online, podiatry online course, podiatry practice, podiatry problems, podiatry programs, podiatry school, podiatry school application, podiatry school requirements, podiatry schools, podiatry schools in the us, podiatry schools in us, podiatry schools in usa, podiatry services, podiatry society, podiatry specialist, podiatry specialties, podiatry study, podiatry surgery, podiatry surgical boards, podiatry today, podiatry treatment, podiatry university, podiatry websites, podiatry what is it, podotrist, podriast, podriatrist, primary podiatric medicine, reconstructive foot surgery, relieve foot pain, right foot pain, runners foot pain, school of podiatric medicine, school of podiatry, schools for pod, schools of podiatry, severe foot pain, sharp foot pain, sharp pain in foot, side foot pain, side of foot pain, society of podiatrists, sore feet, sore feet causes, sore foot pain, sore heel, sore heel pain, specialist for feet, specialist in feet, specialist in feet problems, specialist podiatrist, sports medicine podiatrist, sports podiatrist, sprain, stretches for plantar fasciitis, student doctor podiatry, study podiatry, sudden foot pain, surgery, surgical podiatrist, swollen foot pain, swollen toe, symptoms of plantar fasciitis, texas foot doctor, the foot clinic, the foot doctor, the foot doctors, the foot dr, the foot specialist, the podiatrist, the podiatry associates, the podiatry clinic, the podiatry practice, toe bunion, toe doctor name, toe pain, toe surgery, toenail fell off, toenail problems, top foot pain, top of the foot pain, top podiatrists, train to be a podiatrist, training for podiatrist, university podiatry, upper foot pain, what causes heel pain, what do podiatrists do, what does a podiatrist do, what does podiatrist do, what does podiatry mean, what is a dpm, what is a dpm doctor, what is a foot doctor, what is a podiatric surgeon, what is a podiatrist, what is a podiatrist doctor, what is a podiatrist job, what is a podiatry clinic, what is dpm, what is dpm doctor, what is podiatric medicine, what is podiatric surgery, what is podiatrist doctor, what is podiatrist mean, what is podiatry, what is podiatry care, what is podiatry treatment, what podiatrist do, what's a podiatrist do, where do podiatrists work, who is a podiatrist, who is a podiatrist doctor, who is podiatrist
Trackback from your site.