Orthopedic Surgeons


If you suspect your child has broken his or her hand, you can bring him or her to Medical City Children’s Orthopedic and Spine Specialists Fracture Care Clinic where your child can be seen by a pediatric orthopedic specialist.

It important to see a pediatric orthopedic specialist as soon as possible after a child’s injury. We have four convenient locations and you never have to wait. You have access to care and access to an experienced physician right away, 5 days a week.

A Fractured or Broken Hand

Girl with castFractures are cracks or breaks in bones. Children and teens may break their finger or thumb bones (phalanges, fah-LAN-jeez), their wrist bones (carpals), or the long bones between their fingers and their wrist (metacarpals). Most hand fractures happen when:

  • A child falls on their hand.
  • Their hand gets twisted, bent or smashed.
  • The child hits (or is hit by) something hard.
  • In toddlers, breaks often happen when the tip of their finger gets caught in a door.
  • Older children tend to get breaks during sports or other active play.

An injury that breaks a bone may also damage a child’s growth plates or soft tissues that are near the bone or connect to the bone, such as skin, ligaments, or tendons. Damage to growth plates or soft tissues may affect the way doctors treat your child’s fracture. Seeing a pediatric orthopedic specialist who is focused on providing treatment options based on the location of the fracture and whether or not it will affect the growth plates is extremely important for the future of your child’s recovery.

Fractures are very common in children and teens. About half of all boys and a quarter of all girls break a bone sometime before adulthood. Children are flexible, so their bones may bend after a break. They may straighten out as they heal. This process is called remodeling. Because of remodeling, a young person’s broken bone will heal better and with less treatment than a similar break in an adult. But some fractures that look simple to treat can cause serious problems for children or teens and affect the bone’s ability to grow.

We treat even the most complex cases

“At Medical City Children’s Orthopedics and Spine Specialists, we understand children’s and teens’ growth plates and their importance for growing bones. Our pediatric physicians have expertise in treating children and the experience and to provide fracture care, including surgical treatment of the most complex cases.” Shyam Kishan, MD

Growth plates

In every child’s and teen’s bones, growth occurs at specific points called growth centers or growth plates. Often, these points are near the ends of the bone. If the growth plate is damaged by a fracture or another injury, the bone may stop growing. This serious problem is called a growth arrest. Growth arrest can permanently stop a bone’s development and change how it functions. If only part of the growth plate is damaged and stops working, the bone may grow in an uneven way.

Our physicians at Medical City Children’s Orthopedic and Spine Specialists have experience and expertise in the treatment of hand fractures. Our board-certified physicians specialize in the treatment of children and adolescents and can give your child the care and attention they deserve.

Call 214-556-0590 to make an appointment.

Comprehensive services for children from birth through adolescence at four convenient locations: Arlington, Dallas, Frisco and McKinney.