What to do in fractures?

Children are very active, hurt easily and sometimes break a bone. When it comes to fractures, however, they have an advantage over adults: In children, the fractures grow faster due to the very active bone metabolism and the better blood circulation and usually without complications. In addition, infants can break bones without destroying the periosteum. This injury is called greenwood fracture. Because green wood is juicy and flexible and does not break apart when pressed together. This is beneficial for the injury because the periosteum encloses the fracture tightly and the bone can heal better at the fracture site.

How can one recognize a broken bone?

It is not always easy to find out if the child has contracted a fall or maybe just a sprain. Sometimes only an x-ray examination can give final clarity. If a bone fracture is suspected, the child should always be taken to a hospital for X-rays. If a break is overlooked, bone growth can be disturbed and bone or joint deformity can develop.

As a rule, a child has severe pain after a bone fracture, and the area surrounding the fracture is also extremely sensitive to touch. It causes a swelling of the surrounding soft tissue, possibly associated with bruising. Due to the pain, the child will protect the affected limb and move it only to a limited extent. This in turn leads to a reduction of the force. The affected limb may have an abnormal position or mobility, occasionally a crunching sound.

What to do?

  • Soothe your child, store it warm and safe.
  • Make sure that it does not move the affected limb and try to keep it steady (eg by padding with cushions when breaking a leg or triangles when breaking the arm).
  • Do not try to correct misalignments on your own or set your joints. Even the rails with sticks is reserved only for emergencies, if for a long time no medical help is to be expected.
  • In neck and spine injuries: These injuries are particularly dangerous (paraplegia risk). The child must not move in any case, especially the head must not be raised! Try to fix the child with blankets and pillows in his position. Call the rescue service.
  • Open fractures: To prevent infection, the wound is covered with sterile compresses.
  • Closed Bone Fractures: Affected Area Cool.
  • Call the Rescue Service: For fractures of the lower limb and pelvis. This can lead to heavy internal bleeding and there is a risk of shock. There is also a risk of shock in the event of suspected neck and spine injuries or multiple fractures.
  • In case of arm or hand fractures, keep the extremity steady (triangular tissue from the first-aid kit) and bring the child to the hospital without hurry.


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