Table 2. Typical fracture types during the period of skeletal development and their characteristics.
Fracture type | Location | Mechanism | Characteristics | Stability |
Compression fracture | Metaphysis | Compression | Principally in distal forearm | Stable |
Greenstick fracture | Metaphysis, diaphysis | Compression and bending | Cortex interrupted on convex side but preserved on concave side (angulation) | Stable |
Bowing fracture | Metaphysis, diaphysis | Bending | As for greenstick fracture, only plastic deformation with no fracture separation | Stable |
Complete fracture | Metaphysis | Bending/ torsion | Angulation and complete displacement | Unstable |
Transverse and oblique fractures (with/without bending wedge) | Diaphysis | Direct trauma with torsion | Complete displacement, angulation, shortening | Unstable |
Torsion fracture (with/without bending wedge) | Diaphysis | Indirect trauma with torsion | Displacement, shortening, angulation | Unstable |
Assessment of stability, together with the prognosis for growth, determines the treatment plan