American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

What is the usual treatment for fractures in children?

1. Operative intervention

2. Non-operative management

3. Physical therapy

4. Immediate casting

The correct answer is: Non-operative management

Non-operative management is typically the usual treatment approach for fractures in children. This is largely due to the remarkable ability of children's bones to heal and remodel more effectively than those of adults. Many pediatric fractures can be treated successfully through methods such as immobilization with splints or casts, pain management, and close monitoring, allowing the bone to heal naturally without the complications associated with surgical interventions. Children often sustain fractures that are less severe and can be managed with conservative techniques. Non-operative management reduces the risks of surgery, such as infection, anesthesia complications, and damage to growth plates, which are crucial for the proper development of children's bones. In addition, children's bones are generally more pliable, often resulting in incomplete fractures that may not require extensive surgical treatment. Therefore, non-operative management remains a preferred method, emphasizing careful observation and support as the bone heals and the child continues to grow.