Growth Plate Injuries: Sever’s Disease and Fractures

Growth plates are present in the bones of every growing child. Growth plates are areas of developing cartilage near the ends of bones. Once the growth of the bone is complete, the growth plates close and are replaced with solid bone. Because growth plates are the weakest area in a growing skeleton, they are vulnerable to injury.

Repetitive stress is a common cause of growth plate injuries. This minor injury can occur in any bone with a growth plate and often results in inflammation. This commonly affects the growth plates in the heel bone, this condition is called Sever’s disease. Thisfrequently occurs when the child is undergoing a growth spurt and whilethese injuries can be painful, they do not have any long-term effects. We often manage these injuries with physical therapy, supportive shoes and orthotics to reduce stress on the affected growth plate.

Another cause of growth plateinjuriesis through a direct injury – often causing a fracture at or through a growth plate. An x-ray is taken to visualize the fracture pattern. Growth plate fractures are evaluated through the Salter-Harris classification system.

In this classification system, the fracture is classified based on where the fracture is in relation to the growth plate. The fracture pattern will give us clues as to how well the fracture will heal and if growth in the bone will be impeded. In looking at the fracture patterns, we predominantly look at where the fracture is in relation to the growth plate, if the fracture is displaced from its normal anatomic position and if there is any compression injury to the growth plate. Fractures that cause compression of the growth plate or are displaced have a poorer prognosis than those that do not.

These growth plate injuries are often treated with immobilization in a cast or boot. If the fracture is displaced, the doctor may need to reduce the fracture back into its anatomical position with surgery or manipulation.

Growth plate injuries are fairly common in children. Less severe injuries do not often lead to complications, but certain growth plate fractures can lead to a loss of bone growth. It is important to have the injury evaluated by a doctor to determine the best course of action for the injury.

Dr. Gary B. Briskin, DPM, FACFAS

Dr. Gary B. Briskin, DPM, FACFAS

As co-founder and co-director of University Foot and Ankle Institute, board-certified Dr. Gary Briskin began his medical training by serving a residency at Flint General Hospital in Michigan. Once completed, he established a practice in Century City Hospital, where he soon became chief of podiatric surgery.

Dr. Briskin is a Diplomat of the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons. He also serves as an assistant clinical professor at the UCLA School of Medicine.
Dr. Gary B. Briskin, DPM, FACFAS

Latest posts by Dr. Gary B. Briskin, DPM, FACFAS

Leave a Reply

Your email address will not be published.

2738 Total 1st Party Reviews
4.9 out of 5 Stars
  • GatherUp
    I would highly recommend Dr.Kelman and I already have.
    Karenia K.
  • GatherUp
    Our son, Christian, who sees Dr. Kelman, likes going to the office. Dr. Kelman is friendly and warm. My son is special needs an...
    Christian H.
  • GatherUp
    Good
    Sigrid L.
  • GatherUp
    Everyone in the office is very nice and knowledgable. We love Dr. Kelman!
    Amy W.
  • GatherUp
    Thank you
    Garfneh P.
  • GatherUp
    Doctor was really nice and enjoyed my experience and foot care services they provided and the staff was really friendly and hel...
    Sandra M.
  • GatherUp
    I’ve been a patient of D.Feldman for many years. I highly recommend him.
    Jacqueline C.
  • GatherUp
    The staff and Dr were attentive and worked to help solve my problem. Very satisfied
    Scott S.
  • GatherUp
    Doctor Felman is pretty knowledgeable and helped me with my health condition!
    Samarah A.
  • GatherUp
    always on time and love Dr Feldman.
    Barbara M.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week