Fracture Care in Children: What’s Different?
Falls and injuries are a part of childhood—but when a bone breaks, parents often worry about long-term effects. Fortunately, children’s bones heal faster than adults’, but fracture care in children requires a different approach due to their ongoing growth and development.
Understanding how pediatric fractures differ and what treatment involves can help you respond confidently in case of injury.
Why Are Children More Prone to Fractures?
Children are naturally active and adventurous, which increases the risk of falls and accidents. Additionally, their bones are:
- Softer and more flexible, making them bend more before breaking
- Still developing growth plates, which are weaker than the surrounding bone
- More responsive to healing and remodeling—but only with proper alignment and care
Common Types of Fractures in Children
- Greenstick fracture – Bone bends and cracks on one side (common in young children)
- Torus (buckle) fracture – Compression injury that causes a bulge in the bone
- Complete fracture – Bone breaks into two or more pieces
- Growth plate fracture – Involves the soft area near the end of long bones
- Stress fracture – Caused by repetitive force, often in sports-active kids
Signs Your Child May Have a Fracture
- Sudden pain after a fall or impact
- Swelling, bruising, or tenderness
- Difficulty moving the limb
- Refusal to walk or use the affected arm/leg
- Visible deformity (in severe cases)
If you suspect a fracture, avoid moving the area and consult a pediatric orthopedic specialist immediately.
Diagnosis and Evaluation
Fractures in children are diagnosed using:
- X-rays – To view the break and assess alignment
- MRI or CT scans – In case of complex or growth plate injuries
- Physical examination – To evaluate range of motion and pain points
Growth plate injuries need close attention because they can affect future bone development.
Treatment Options
Treatment varies based on the type, location, and severity of the fracture:
- Casting or splinting – Most pediatric fractures can be managed non-surgically
- Reduction – Repositioning the bone under local or general anesthesia, if needed
- Surgery – Only in severe cases, especially if the growth plate is damaged
- Physical therapy – May be required after healing to regain strength and movement
Children’s bones often heal within 4 to 6 weeks, faster than adults, but regular follow-ups are crucial.
Growth Plate Injuries: A Special Concern
Growth plate fractures need expert care to ensure they don’t lead to:
- Limb length differences
- Angular deformities
- Early closure of the growth plate
That’s why it’s important to follow up with a pediatric orthopedic specialist even after the cast is removed.
Healing Right from the Start
If your child experiences a fracture, trust the expertise of Dr. Nargesh Agrawal at Child OrthoCare. Our pediatric-focused approach ensures proper healing, alignment, and a safe return to normal activities.
Contact Information
Clinic Name: Child OrthoCare
Consulting Pediatric Orthopedic Surgeon: Dr. Nargesh Agrawal
Address: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009
Phone: +91 88517 77145
Website: www.childorthocare.online

