How Do You Know in a 6 Year Old if the Wrist Is Fractured

Does my child have a broken os? Hither'south how to tell.

Published: Feb 24, 2017

By Mike Brassfield

bicycle_crash_kid

Your child is climbing effectually on the monkey confined or on some elaborate piece of modern playground equipment. The kid slips and falls, plummeting to the ground with plenty force to concern you.

Every parent everywhere has been in this situation: My kid just crash-landed. Is he or she hurt? Are any bones broken or annihilation?

You lot rush over there. Equally you soothe your crying kid, you inspect him or her with a keen middle. Is there any bleeding? Any cuts or bruises? Is the kid complaining that something hurts? Are there any, God forbid, cleaved bones? Surely this won't call for a trip to the emergency room, volition it? Oh, delight, no.

Dr. Anjan Shah, orthopedic trauma surgeon at Tampa Full general Hospital and with Florida Orthopaedic Constitute, has dealt with countless cases like this. He's been treating pediatric bone fractures for many years.

Let's stipulate that if your child has an obvious injury – some body part is noticeably crooked or out of place – of course y'all're going to seek out immediate medical treatment. That's a no-brainer.

But what if there's not an obvious injury? That's where parental judgement comes into play. As a parent of 2 active little children, I have grappled many times with the questions that come upwardly at times like this:

How do I know if a os is broken? Is there something I should be looking for? When should I take my kid to the ER? Can the injury become worse if it's non treated right away? Why is it so hard to tell a small-scale fracture from a sprain?

Dr. Shah has answers.

What general advice would you lot requite parents in these kind of situations?

Trust your instincts. The majority of the time, parents are pretty adept at detecting when something is wrong – when kids are showing signs that they've got a fracture. Well-nigh parents accept a natural, innate ability to quickly guess how serious information technology is.

One thing about kids is, they're pretty resilient. Nosotros make the comment that kids bounce. And it's truthful.

What signs should parents be looking for?

You should pay attention if the problem persists. If the child is withal interim differently hours later, that's a cue. If the child is still complaining about pain, or guarding (belongings a paw over the injured area).

Maybe afterwards dinner, they don't desire to play on the iPad. They just want to go to sleep. They're not doing activities they'd ordinarily want to exercise. Or they're not using that wrist. These are all clues that it's more serious.

What fractures do you most frequently see in children?

In the elbow, wrist and talocrural joint. Falling from the monkey confined is a common source of elbow fractures. Or they'll footstep in a hole and twist their talocrural joint. Wrist fractures are very common because they'll fall and use their wrists to break their fall.

With children, what kind of injury is by and large probable to get unnoticed?

The most common injuries I see missed are wrist fractures. An elbow injury is pretty obvious. If information technology's a leg or ankle injury, the child's non going to walk. With a wrist fracture, sometimes it doesn't look bad.

Because of that, practice parents always delay bringing a child with a wrist fracture to the hospital? Does it sometimes take a day or and so?

Yeah. Parents usually feel pretty bad about information technology, but you can't blame them. Sometimes information technology'south just not obvious. A kid falls off a skateboard or a bicycle, and that wrist can look okay even though there's a fracture.

Are children's basic unlike than adults' bones?

In that location'south a huge divergence. Adults have completely grown bones. Kids are still growing, so they accept things called growth plates at the tops and bottoms of their basic. That's where their bones are growing.

The near common pediatric fractures are growth plate injuries. That's the weakest part of the bone. The weakest link in the chain is where the concatenation breaks.

What happens if a pediatric fracture isn't treated right away?

Swelling around it tin become an upshot. Just because kids are withal growing, you can often gear up the bone and put it in a bandage without surgery. Their basic have this remarkable ability to grow and correct themselves and go to where they need to be.

With adults, if you intermission your leg or your arm, you're more likely to need surgery to get the bone back into any position it needs to be in.

Based on your longtime feel in emergency rooms, what else would y'all advise parents to continue in mind?

Children don't need to be anywhere near a lawn mower. Those are the worst injuries I've ever seen.

In the car, make sure kids are wearing seat belts. Keep them in car seats. Kids take no mass in their bodies, then in an blow they'll get launched and ejected from the vehicle. It's devastating – and completely preventable.

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Source: https://www.tgh.org/news/tgh-health-news/2017/february/does-my-child-have-a-broken-bone-heres-how-to-tell

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