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Growth & Maturation During Adolescence

Growth & Maturation During Adolescence. Dealing 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

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Growth & Maturation During Adolescence

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  1. Growth & Maturation During Adolescence Dealing with the young patient

  2. Introduction • Adolescence: • Late maturing girls do better in sports….early maturing boys do worse in sports • Physical concerns: • Psychological Concerns:

  3. Physical Issues • Development linked to onset/stages of puberty • Tanner Stages I-V • 40% of weight gain is during puberty

  4. Tanner Stages of Development • Male • Female

  5. GIRLS

  6. BOYS

  7. Bone Growth • Apophyseal Growth Plates: • Epiphyseal Growth Plates:

  8. 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!

  9. Salter Harris Fractures Classification

  10. Growth plate closure

  11. Adolescent Psychology • What are they thinking? • 1. • 2. • 3.

  12. Cognitive Development • 1. Early Adolescence (<14): • 2.Middle Adolescence (15-17): • 3. Late Adolescence (>18):

  13. Summary • Puberty/Tanner Stages • Bone growth & Fx • Psychological & Cognitive development

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