Growth Plates: Location and Importance in Orthopedics - Orthopedics

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Growth plate


Where is the growth plate located? Is it near the knee?

A-Hong, 10~19 year old female. Ask Date: 2003/11/02

Dr. Shi Guozheng reply Orthopedics


The growth plate, or epiphyseal plate, is typically located at both ends of long bones near the joints.
In the case of the femur, it is a small segment of cartilage located above the knee joint and parallel to it.
Before puberty, the growth plate has the ability to facilitate bone elongation, resulting in longer limbs.
After puberty, it undergoes closure, and further bone growth ceases.

Reply Date: 2003/11/02

More Info


Understanding growth plates is crucial in the field of orthopedics, particularly when discussing skeletal development in children and adolescents. Growth plates, also known as epiphyseal plates, are areas of cartilage located at the ends of long bones. They play a vital role in the growth and lengthening of bones during childhood and adolescence.

To address your question regarding the location of growth plates in relation to the knee, it is important to note that growth plates are situated near the joints of long bones. In the case of the femur (the thigh bone), the growth plate is located just above the knee joint, specifically at the distal end of the femur. This area is crucial for the elongation of the femur, which contributes to overall height increase during growth spurts.

In addition to the femur, growth plates are also found in other long bones, such as the tibia (shin bone) and fibula, which are located in the lower leg. The growth plates in these bones are also positioned near the knee joint, with the tibial growth plate located just below the knee. This anatomical arrangement is essential for proper limb development and function.

As children grow, their growth plates remain active, allowing for the continuous lengthening of bones. However, this growth is regulated by various factors, including hormones, nutrition, and physical activity. During puberty, sex hormones such as estrogen and testosterone significantly influence the growth plates. These hormones promote the maturation of cartilage cells, leading to the eventual closure of the growth plates. Once the growth plates close, typically by the end of puberty, further bone lengthening ceases, marking the end of skeletal growth.

To ensure optimal growth plate health and function, it is essential to provide adequate nutrition. Nutrients such as calcium, vitamin D, and protein are vital for bone health. Calcium and vitamin D work together to promote bone density and strength, while protein is necessary for the growth and repair of tissues, including cartilage. Regular physical activity is also beneficial, as weight-bearing exercises stimulate bone growth and strengthen the surrounding muscles and ligaments.

In summary, growth plates are located near the joints of long bones, including those around the knee. They are crucial for bone growth during childhood and adolescence, and their closure marks the end of skeletal growth. Proper nutrition and physical activity are essential for maintaining healthy growth plates and preventing injuries, such as fractures. Understanding the role and location of growth plates is fundamental in orthopedics, as it helps guide treatment and management strategies for pediatric patients.

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