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Chapter-328 Immature Skeleton

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Negandhi Rajiv
ISBN
9789385891052
DOI
10.5005/jp/books/12869_329
Edition
3/e
Publishing Year
2016
Pages
3
Author Affiliations
1. Hong Kong UK Singapore USA; Postgraduate Institute of Swasthiyog Pratishthan, Fracture and Orthopedic Hospital, Miraj, Maharashtra, India, Hong Kong UK Singapore USA, Postgraduate Institute of Swasthiyog Pratishthan, Fracture and Orthopedic Hospital, Miraj, Maharashtra, India
Chapter keywords
Immature skeleton, skeletal injury, plastic deformation, osseous healing, trabecular healing, physeal healing, intracapsular metaphysis

Abstract

The skeleton of the newborn child is much softer, more pliable and biologically resilient than the rigid skeleton of an adult. Fractures are common in children and occur following comparatively minimal trauma. Physeal injuries constitute about 15% of all the skeletal injuries in children. Joint dislocations and ligamentous injuries are less common. Traumatic bowing of the ulna and fibula are a well-documented condition of plastic deformation. Traumatic bowing of forearm bones or fibula in children may occur because of plastic deformation capacity of certain developing bones. Healing responses, osseous healing, trabecular healing, physeal healing and epiphyseal cartilage repair are the different types of plastic deformation. Growth rate and intracapsular metaphysis are the unique features of the immature skeleton. The physis as a barrier, periosteum, circulation and flexibility are the other fractures of immature bone.

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