Growth Plate Injuries: Impact of Playing Baseball on Recovery - Orthopedics

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Growth plate and fracture at the junction of the fingers?


Hello Doctor: I am 14 years old.
While playing sports, I accidentally injured my finger by hitting it against a carrot.
I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in the growth plate of my left thumb joint and the bone above it.
The doctor advised me to stop all ball sports and mentioned that the recovery time would take about a month.
However, I find it really hard to resist playing baseball.
Will playing baseball while wearing a glove have any impact on my injury?

Rui, 10~19 year old female. Ask Date: 2024/05/11

Dr. Shen Boquan reply Orthopedics


Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture.
If it is indeed a fracture, early activity is not recommended to avoid improper healing.
Wishing you good health, Shen Boquan.

Reply Date: 2024/05/11

More Info


Injuries to the growth plates, particularly in young athletes like yourself, can have significant implications for both recovery and future athletic performance. At 14 years old, your body is still developing, and the growth plates—areas of developing cartilage tissue near the ends of long bones—are crucial for bone growth. When a growth plate is injured, it can potentially affect not only the healing process but also the overall growth and development of the bone.

In your case, the X-ray findings indicated a crack in the growth plate of your left thumb, which is classified as a type of fracture. The recommendation to cease all sports activities, including baseball, is standard practice in such situations. This is because any stress or impact on the injured area can exacerbate the injury, leading to complications such as improper healing or even permanent damage to the growth plate.
Playing baseball, even with a glove, can still place undue stress on your thumb, especially during throwing or catching activities. The glove may provide some protection, but it does not eliminate the risk of further injury. Engaging in activities that involve gripping or impact can hinder the healing process, potentially leading to longer recovery times or complications that could affect your growth.

The healing time for growth plate injuries can vary, but the typical recommendation is to allow at least a month for recovery, as your doctor suggested. During this time, it is essential to follow your physician's advice and avoid any activities that could stress the injured area. While it might be challenging to resist the urge to play, prioritizing your health and recovery is crucial. Engaging in other non-impact activities, such as swimming or light conditioning exercises that do not involve the injured hand, may help maintain your fitness without risking further injury.

In terms of growth, if the injury is managed properly and the growth plate heals correctly, it should not significantly impact your overall height or development. However, if the injury leads to complications, such as growth plate fusion or deformity, it could potentially affect your growth in that limb. Therefore, it is vital to adhere to your doctor's recommendations and allow your body the necessary time to heal.

In summary, while the desire to return to baseball is understandable, it is crucial to prioritize your recovery. Engaging in activities that could stress the injured growth plate can lead to complications that may affect both your healing and future growth. Following your doctor's advice and allowing adequate time for recovery will help ensure that you can return to the sport safely and effectively in the future. Remember, your long-term health and athletic performance depend on making wise choices during your recovery period.

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