The nurse understands that which of the following is characteristic of fractures in children?
1. The younger the child, the faster a fracture heals.
2. Epiphyseal fractures seldom occur because of the elasticity of the growth plate.
3. A child's bone is more pliable and porous as compared with an adult's bone
4. A child's bone is thinner, weaker, and less osteogenic than that of an adult.
Answer: 1
The healing of fractures is more rapid in children, as compared with adults. The speed of healing is inversely related to the age of the child: the younger the child, the more rapid the healing process. The epiphyseal plate is a frequent site of injury during trauma, because it is the weakest point of long bones. Children's bones are more pliable and porous, which allows them to bend, buckle, and break, and have greater porosity, which increases the flexibility of the bone providing a good shock absorber for any forceful injury. The adult, not the child, has periosteum that is thinner, weaker, and less osteogenic.
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