Fractures

Childhood is a time of exuberance and play, but it can also be a period marked by physical injuries. Among these injuries, fractures are a common occurrence. Fractures in children can range from minor to severe, and they often require prompt attention to ensure proper healing and prevent long-term complications. All Kidz Urgent Care Pediatric Urgent Care plays a vital role in assessing and treating these fractures. In this article, we will explore different types of common childhood fractures that can be assessed in pediatric urgent care centers and the appropriate treatments for each.

Greenstick Fractures

Greenstick fractures are a unique type of fracture seen in children due to the flexibility of their developing bones. In a greenstick fracture, one side of the bone is broken, while the other side bends, similar to breaking a green twig. These fractures most often occur in long bones, such as the forearm or lower leg, and are typically treated with casting or splinting. A cast helps keep the bone in proper alignment while it heals.

Buckle Fractures

Buckle fractures, also known as torus fractures, are common in the pediatric population, often affecting the wrist. They result from compressive forces on the bone, causing it to buckle or deform without a complete break. In pediatric urgent care centers, a healthcare provider may assess the fracture through physical examination and, if necessary, apply a splint to immobilize the affected area. These fractures tend to heal quickly due to the resilience of children’s bones.

Growth Plate Fractures

The growth plates at the ends of long bones are susceptible to fractures in children since they are still developing. Growth plate fractures can lead to growth disturbances if not managed appropriately. There are five types of growth plate fractures: Salter-Harris Type I to V. Treatment depends on the type and location of the fracture, and it often involves casting, splinting, or surgery in more severe cases.

Fractures of the Collarbone (Clavicle)

Clavicle fractures are relatively common in children, usually caused by a fall on the shoulder or an impact injury. In pediatric urgent care centers, healthcare providers may assess the fracture through a physical examination and may recommend the use of a figure-eight brace or a sling to immobilize the area. Most clavicle fractures heal without surgery, and children typically recover well with proper care.

Fractures of the Forearm

Fractures of the forearm, often involving the radius and ulna bones, are typical in children. These fractures can occur in various ways, including falls on outstretched arms or direct impacts. Treatment may involve casting or surgery, depending on the severity and displacement of the fracture. Prompt attention is essential to ensure proper alignment and healing.

Fractures of the Elbow

Elbow fractures in children can involve different components of the joint, such as the humerus, radius, or ulna. Pediatric urgent care centers will assess these fractures with a physical examination and, if necessary, imaging. Treatment may include casting, bracing, or surgery, depending on the specific location and severity of the injury.

Fractures of the Ankle

Ankle fractures are common in active children who engage in sports or other physical activities. These fractures may involve the tibia, fibula, or both. A healthcare provider will assess the fracture and recommend treatment, which can involve casting or surgery. Children with ankle fractures often recover well with appropriate care and rehabilitation.

Fractures of the Collarbone (Clavicle)

Clavicle fractures are relatively common in children, usually caused by a fall on the shoulder or an impact injury. In pediatric urgent care centers, healthcare providers may assess the fracture through a physical examination and may recommend the use of a figure-eight brace or a sling to immobilize the area. Most clavicle fractures heal without surgery, and children typically recover well with proper care.

Nose Fractures

Nose fractures are not exclusive to adults; they can occur in children, especially in cases of sports injuries or falls. A healthcare provider will assess the fracture through a physical examination and may need imaging to determine the extent of the injury. Treatment for a simple nasal fracture may include pain management and instructions for proper care at home. However, more complex fractures may require a procedure to realign the bones, known as a closed reduction.

Toe and Finger Fractures

Fractures of the toes or fingers are relatively common in active children. Healthcare providers in pediatric urgent care centers will assess the fracture through a physical examination and, if necessary, order imaging to determine the extent of the injury. Treatment typically involves splinting or buddy taping, which involves taping the injured finger or toe to an adjacent healthy one. This provides support and helps in the healing process.

Treatment Approaches

The treatment of childhood fractures is highly dependent on the type, location, and severity of the injury. Here are some common approaches to managing these fractures:

Immobilization: Many fractures can be effectively treated by immobilizing the injured area with a cast, splint, brace, or sling. Immobilization helps maintain proper alignment and supports the natural healing process.

Reduction: In cases of displaced fractures, a procedure called “reduction” may be required. Closed reduction involves manually realigning the broken bones without surgery, while open reduction involves surgery to reposition the bones and secure them with hardware like pins or screws. If you require reduction, you need to be seen in an Emergency Room. Please do NOT go to an urgent care for open skin fractures, arm/leg deformity with obvious fractures or head injuries and only go to an Emergency Room immediately!

Pain Management: Pain management is an integral part of treating childhood fractures. Over-the-counter pain relievers or prescription medication may be used to alleviate pain and discomfort.

Rehabilitation: After the initial treatment, rehabilitation is often necessary to restore range of motion, strength, and function in the affected limb or joint. Physical therapy may be recommended in some cases.

Monitoring and Follow-up: Pediatric patients with fractures require careful monitoring by pediatric orthopedic physicians to ensure that the healing process is progressing as expected. Regular follow-up appointments with a pediatric orthopedic doctor are essential to assess the status of the fracture and make any necessary adjustments to the treatment plan.