Growth Plate Injury and Bone Growth: An Update.

ABSTRACT

This literature review reveals an accumulating body of evidence indicating that growth disturbance associated with both chronic and acute growth plate injury occurs in young athletes and may be more prevalent than formerly believed. Skeletal complications resulting from these injuries may include progressive bone shortening, progressive deformity, joint incongruity, and arthritic sequelae. Against this background an increased concern for the welfare of young athletes is recommended. It is emphasized that back pain or pain around a joint in young athletes may be the symptom of significant growth plate changes that require accurate diagnosis, adequate treatment, and specific recommendations about return to activity. Suggestions are given for further research and prevention of growth plate injuries.