Can Wrist Fractures Affect Growth Plate and Height in Teens? - Orthopedics

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Can a wrist fracture still allow for growth in height?


I previously fractured my wrist, specifically a hairline fracture.
I had a cast on for a month, and when it was removed, the doctor said it hadn't healed improperly.
However, my hand still hurts, and I'm unsure if I injured the growth plate.
If the growth plate in my hand is damaged, will it affect my height growth? (Right hand)

Li Zhu, 10~19 year old female. Ask Date: 2015/12/12

Dr. Wang Shouji reply Orthopedics


Hello: A 14-year-old with a wrist fracture, most of the growth plate has gradually fused, which should have little impact on bone growth.
Thank you!

Reply Date: 2015/12/12

More Info


Wrist fractures, particularly in adolescents, can indeed have implications for growth plates and overall height. The growth plates, or epiphyseal plates, are areas of developing cartilage tissue located near the ends of long bones. They are crucial for bone growth during childhood and adolescence. When a fracture occurs in a bone that still has open growth plates, there is a risk that it could affect the growth potential of that bone.

In your case, since you mentioned that you had a wrist fracture, it's important to consider a few factors. First, if the fracture involved the growth plate (which is often referred to as a Salter-Harris fracture), there could be a risk of growth disturbances. However, if your doctor confirmed that the fracture did not affect the growth plate and that your bone healed properly without any malalignment, the risk of height impact is significantly reduced.

The healing process for fractures typically involves the formation of new bone tissue, which can take several weeks to months. During this time, it's essential to follow your doctor's advice regarding rehabilitation and any necessary physical therapy to regain strength and mobility in your wrist. Persistent pain after the removal of a cast can be common, especially if the wrist was immobilized for an extended period. This pain may be due to stiffness, muscle weakness, or even residual inflammation.

Regarding your concern about whether a growth plate injury could stop you from growing taller, it largely depends on the nature and severity of the injury. If the growth plate was not involved in the fracture, or if it was minimally affected and has since healed well, you should still have the potential to grow. However, if there was significant damage to the growth plate, it could potentially lead to premature closure, which might limit growth in that limb.

In general, the growth plates in the wrist and other long bones close at different ages, often around the late teens to early twenties. Since you are still in your teenage years, you may still have some growth potential left, depending on your individual growth patterns and genetic factors. It's also worth noting that genetics plays a significant role in determining final adult height, so your parents' heights can provide some insight into your potential growth.

If you have ongoing concerns about your wrist pain or its potential impact on your growth, it would be advisable to consult with an orthopedic specialist. They may recommend imaging studies, such as X-rays, to assess the condition of the growth plates and ensure that everything is healing as expected. Additionally, they can provide guidance on exercises and rehabilitation strategies to help you recover fully.

In conclusion, while wrist fractures can affect growth plates, the impact on height largely depends on the specifics of the injury. If your growth plates are intact and healing properly, you should still have the potential to grow taller. Maintaining a healthy lifestyle, including proper nutrition and regular exercise, can also support your growth during this critical period of development.

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