Recovering from Ligament Tears and Growth Plate Injuries in Kids - Orthopedics

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Ligament tear and growth plate injury?


On graduation day, I was playing hopscotch and jumped to a certain square when I suddenly heard a crack.
I found myself lying on a spring mattress.
When I got home, my aunt, knowing that I couldn't walk, immediately took me to see an orthopedic doctor and informed my family.
Until Monday, my mom took me to another orthopedic clinic.
The doctor first performed an ultrasound and told my mom that I had a ligament tear.
My mom urgently asked the doctor if surgery was necessary, but the doctor said we needed to follow his treatment plan and that, for now, surgery was not required.
He put my leg in a cast and advised me to keep my foot elevated and do exercises, which involved bending my toes back and forth.

I had a follow-up appointment on Thursday.
During those four days, I was able to walk for the first two days, but I accidentally fell while trying to take a shower, which caused pain whenever I walked for the next two days.
I also felt a lack of blood circulation and pain when I descended from a height.
On Thursday, I had an X-ray, and the doctor noted that the growth plate on the outer side of my right leg was wider than that on the inner side.
The doctor concluded that I had a ligament tear and an injury to the growth plate.

Could you please advise me on what I should do to recover quickly? I just graduated from elementary school and am in the sixth grade, so my explanation might be a bit unclear.
Thank you!

Chen Jing, 10~19 year old female. Ask Date: 2017/06/15

Dr. Wang Shouji reply Orthopedics


Hello: Ligament injuries and growth plate injuries can occur simultaneously; however, in children, the likelihood of requiring surgical treatment for growth plate or ligament injuries is low unless there is significant displacement.
These injuries can typically be monitored.
The chance of severe long-term consequences from the growth plate injury based on your mechanism of injury should be minimal, but attention should still be paid to its impact on growth.

Reply Date: 2017/06/15

More Info


Recovering from ligament tears and growth plate injuries in children can be a complex process, as it involves both the healing of soft tissue and the proper development of bone structures. Given your situation, where you have sustained a ligament tear and have also been informed about an injury to your growth plate, it is essential to follow a structured recovery plan to ensure optimal healing and minimize any long-term effects on your growth and mobility.


Understanding the Injuries
1. Ligament Tears: Ligaments are tough bands of tissue that connect bones to each other at joints. A tear can cause pain, swelling, and instability in the affected joint. In children, the healing process can be different from adults due to the ongoing development of their bones and tissues.

2. Growth Plate Injuries: The growth plate, or epiphyseal plate, is the area of growing tissue near the ends of the long bones in children and adolescents. Injuries to the growth plate can potentially affect future growth and bone development. If the growth plate is damaged, it may lead to uneven growth or deformities in the affected limb.


Recovery Steps
1. Follow Medical Advice: It is crucial to adhere to the treatment plan provided by your orthopedic doctor. Since your doctor has indicated that surgery is not necessary at this time, focus on the prescribed conservative management, which may include immobilization with a cast, rest, and elevation of the affected limb.

2. Physical Therapy: Once the initial healing phase has passed, your doctor may recommend physical therapy. This is vital for regaining strength and mobility in your leg. A physical therapist can guide you through exercises that will help restore function without putting undue stress on the healing ligament or growth plate.

3. Pain Management: Managing pain is an essential part of recovery. Over-the-counter pain relievers, as recommended by your doctor, can help alleviate discomfort. Ice packs can also reduce swelling and pain.

4. Gradual Return to Activity: As you begin to heal, your doctor will likely advise a gradual return to normal activities. It’s important to listen to your body and not rush back into sports or high-impact activities until you have fully recovered.

5. Monitoring Growth Plate Development: Since there are concerns about the growth plate, regular follow-up appointments with your orthopedic specialist are necessary. They will monitor the growth plate through X-rays to ensure that it is healing properly and that there are no long-term implications for your growth.


Preventive Measures
1. Strengthening Exercises: Once cleared by your doctor, engaging in strengthening exercises for the muscles around the knee and ankle can help stabilize the joint and prevent future injuries.

2. Proper Warm-Up and Cool Down: Before engaging in any physical activity, ensure you perform proper warm-up exercises to prepare your muscles and joints. Similarly, cooling down after activity can help prevent injuries.

3. Use of Protective Gear: When returning to sports, consider using protective gear such as knee pads or braces, especially if you are participating in high-impact activities.

4. Nutrition: A balanced diet rich in calcium and vitamin D is essential for bone health, especially during periods of growth. Ensure you are consuming enough nutrients to support your recovery and overall growth.


Conclusion
Recovering from ligament tears and growth plate injuries requires patience and adherence to medical advice. By following your doctor's recommendations, engaging in physical therapy, and taking preventive measures, you can facilitate a successful recovery. Always communicate openly with your healthcare provider about any concerns or changes in your symptoms, as early intervention can help mitigate potential long-term effects on your growth and mobility. Remember, your body is still developing, and with proper care, you can look forward to a full recovery and return to your favorite activities.

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