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Growth & Maturation Growth & Maturation During AdolescenceDuring Adolescence
Growth & Maturation Growth & Maturation During AdolescenceDuring Adolescence
Dealing with the young patientDealing with the young patient
Introduction• Adolescence:
– Late maturing girls do better in sports….early maturing boys do worse in sports
• Physical concerns:
• Psychological Concerns:
Physical Issues• Development linked to
onset/stages of puberty– Tanner Stages I-V
• 40% of weight gain is during puberty
Tanner Stages of Development
• Male
• Female
GIRLS
BOYS
Bone Growth• Apophyseal Growth Plates:
• Epiphyseal Growth Plates:
Adolescent Bone Injury• Salter Harris Fx
– I-V: Determines the likelihood of growth interruption
• I. Pure physeal separation If non-displaced, jt effusion may be
only sign • II. Metaphyseal fracture + physeal separation • III. Epiphyseal fracture + physeal separation • IV. Fx through epiphysis + metaphysis • V. Crush injury of physis (not detected acutely)
– Know when the growth plates close. Don’t want to miss Fx!
Salter Harris Fractures Classification
Growth plate closure
Adolescent Psychology• What are they thinking?
– 1.
– 2.
– 3.
Cognitive Development• 1. Early Adolescence (<14):
• 2. Middle Adolescence (15-17):
• 3. Late Adolescence (>18):
Summary• Puberty/Tanner Stages
• Bone growth & Fx
• Psychological & Cognitive development