Rehabilitation of fractures in children's age

Nikolovska, Lence and Milenkovski, Robert and Krstev, Toshe and Jovevska, Svetlana (2017) Rehabilitation of fractures in children's age. Knowledge - International Journal, Scientific and Applicative Papers, 20 (4). pp. 1987-1990. ISSN 1857-92

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Abstract

The fractures in children are very common, and statistics show that they are usually caused by banal
causes on the playground during sports, at home, on the street, during walking or running, in a fall from fences,
roofs, trees, stairs and so on. Fractures in boys are twice as common as girls. Also, fractures of the upper limbs are
several times more frequent than fractures of the lower limbs.
In order to provide proper and timely assistance to the child, knowledge of the characteristics of fractures of the
bones in children is necessary. Typically for fractures in childhood is the difficult diagnosis, rapid healing, and
spontaneous correction of bone malformation.
In the treatment-dominated conservative treatment. Surgery is indicated in only 2% of cases.
The duration of immobilization of fractures in childhood is shorter than in adults. In the most common fractures
(clavicle, wrist and proximal humerus), immobilization lasts 2-3 weeks. Malpposition of the joints does not require
special attention as in adults. The mobility of the joint at normal physiological limits is recovering very quickly.
Most fractures in childhood are healed spontaneously, without deformation and without disturbance in bone growth.
In fact, the bones of children are not as adults, they contain large amounts of ossein (organic matter), have areas with
active bone growth, and periosteum a well supplied with blood, which covers the bones from the outside and gives
them elasticity and flexibility.
Studies have shown that bone tissue regeneration is closely related to the local blood supply to the traumatic
segment. Therefore, early massage after a bone fracture is physiologically based. The optimal conditions for the
healing of the broken bone are created, allowing for proper and fast formation of a healthy bone ring.

Item Type: Article
Subjects: Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Tose Krstev
Date Deposited: 24 Jan 2018 14:30
Last Modified: 24 Jan 2018 14:30
URI: https://eprints.ugd.edu.mk/id/eprint/19083

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