The growth plate and metaphysis are fractured without involving the epiphysis. This type is the most common type of growth plate fracture. Type II – Fracture through the growth plate and metaphysis. The epiphysis is the rounded end of the long bones below the growth plate and the metaphysis is the wider part at the end of the long bones above the growth plate. The epiphysis is separated from the metaphysis with the growth plate remaining attached to the epiphysis. Type I – Fracture through the growth plate.Growth plate fractures can be classified into five categories based on the type of damage caused. Growth plate fractures commonly occur at the wrist, long bones of the forearm (radius) and fingers (phalanges), legs ( tibia and fibula), foot, ankle or hip during sports activities such as football, basketball and gymnastics. Growth plate fractures are more common in boys than girls because the plates develop into mature bone faster in girls. Any injury that can cause a sprain in an adult can cause a growth plate fracture in a child. In children, severe injury to the joint may result in a growth plate fracture rather than a ligament injury. Growth plate injuries commonly occur in growing children and teenagers. The growth plates are more susceptible to damage from trauma because they are not as hard as bones. These growth plates determine the length and shape of the mature bone. Growth plates, also called the epiphyseal plate or physis, are the areas of growing cartilaginous tissue found at the ends of the long bones in children. Rehabilitation program involves exercises and gradual increase in activity levels until the process of healing is complete. You should limit your activities even after the removal of cast or brace so that the bone become solid enough to bear the stress.
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