Children are not small adults, children are children! Their immature bones are different from the adults, their unique properties also predispose them to a different pattern of injuries:
- Immature bones have growth plates, and growth plates are responsible for the growth. If the growth plate is injured, the injured limb maybe shorter, smaller and even deformed.
- Immature bones are very elastic, they can be bent without broken (plastic deformation) or bent and broken at the same time (green-stick fracture).
- The immature bones are not fully calcified yet, and they can’t be fully seen even on the X rays until about 12 years old! So clinching the diagnosis of a fracture relies mainly on the experience of the orthopaedic surgeons and advanced imaging techniques.
- Children bones are much smaller and conventional plates/ screws/ nails for adults are too big for them and hence specialized paediatric implants such as Titanium Elastic Nails (TENs) have to be used.