![]() ![]() ![]() Although injury to the growth plate could affect that bone’s growth, many of these fractures in the hand and wrist heal well without later deformity.īroken fingers, wrists, and hands are mostly commonly treated in children with casting or splinting. Since the bone is softer in the area of the growth plate, it is common to see fractures in this zone. Since the cartilage does not have calcium, it appears as a clear band on an X-ray (see Figure 1b). Fractures may occur in the shaft of the bone, or near the end, or in the joint.Ĭhildren’s bones also have growth plates, which are bands of softer cartilage near the end of the bone that allow the bone to elongate as it grows. Other fractures may be displaced, which means that it is a complete fracture that has broken into two or more pieces with some shift in position so that the ends of the broken bone are not in alignment (see Figure 1a). If pain, swelling, or loss of movement persists, an evaluation by a physician is needed.įractures in children may be non-displaced, which means that it is a “hairline” fracture, or a fracture that has not broken into two separate pieces. If there is a significant nail-bed injury, an x-ray may be needed as the bone may be broken too. If there is significant bruising or swelling, an x-ray is the only way to know for sure if a bone is broken. Not all fractures in children will look crooked or have major loss of mobility. If the finger or wrist or forearm is in normal alignment and the child can move it, ice can be applied and the child can be looked at again later. If the finger, wrist, or forearm is not in normal alignment, or if there is a skin wound leading to the fracture, the child should be brought immediately to an emergency room. It does not store any personal data.Any time an injury is sustained in a child, an adult should provide attention to the injured child. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. The cookie is used to store the user consent for the cookies in the category "Performance". This cookie is set by GDPR Cookie Consent plugin. The cookie is used to store the user consent for the cookies in the category "Other. The cookies is used to store the user consent for the cookies in the category "Necessary". The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Analytics". These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. Unless the injury improves quickly, see a sports medicine specialist for an evaluation. In conclusion, wrist injuries after a fall are difficult to evaluate at home. This fracture heals poorly, and if treatment is delayed, surgery is often needed. Unfortunately, if a player thinks the scaphoid fracture is a sprain and doesn’t seek care, a real problem can develop. Usually a player can resume training in the cast after about a week, but the cast needs to be padded for soccer matches.Īnother fracture that is rare among youth soccer players occurs in the scaphoid bone in the wrist. This bone heals poorly and requires at least six weeks in a cast. This injury is treated with a short arm cast for about a month. The most common fracture is the green stick or buckle fracture at the end of the radius bone near the wrist. If pain is not significantly better in 24-48 hours, an evaluation is needed.įinally, any pain present 10 days after a fall requires further evaluation. At the evaluation, an x-ray of the wrist and/or forearm will be completed. If a player complains of significant pain with motion of the wrist or resists using the hand and wrist after a fall, a parent should be concerned. Obviously, if you notice a deformity or irregular bump, seek an evaluation from your physician. Differentiating between these injuries can be tricky. But, how canyou tell when a little wrist pain is more than a normal bump or bruise? When is an x-ray needed? These are questions parents frequently ask after their child’s fall results in wrist pain.Ī fall on an outstretched hand or “foosh” injury can result in a contusion, a ligament injury, a sprain or a fracture. Young and old soccer players fall numerous times in each game and during practice. ![]()
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