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. 2010 Dec 27;107(51-52):903–910. doi: 10.3238/arztebl.2010.0903

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