When Injuries Hide: Understanding Occult Fractures in Children

Written By Lyall Ashberg

Children are incredibly resilient, but not all injuries are obvious. Sometimes a broken bone can be missed on an initial X-ray. These hidden breaks are known as occult fractures, and they’re more common in children than you might think.

At HealthNexus Orthopedics and Wellness, we specialize in identifying and managing these tricky injuries — starting with the convenience of a telehealth visit.

What Is an Occult Fracture?

An occult fracture is a bone break that doesn’t show up clearly on a standard X-ray. It may take time — or more advanced imaging — to reveal. Children are particularly prone to these subtle injuries because their bones are still growing and often more flexible.

Signs to Watch For

  • Even if initial imaging looks “normal,” be alert if your child:
  • Refuses to walk or avoids using a limb
  • Has persistent pain, swelling, or bruising
  • Limps or favors one side days after the injury.
  • Still complains despite reassurance or rest

Trust your instincts — if something doesn’t feel right, it probably isn’t.

Common Locations for Occult Fractures in Kids

  • Wrist and forearm – the so-called buckle or torus fracture.
  • Elbow (especially supracondylar injuries).
  • Ankle or lower leg – “Toddler’s fractures”
  • Knee (especially growth plate areas).
  • Spine (in young athletes) – Spondylolysis (stress “fracture” in dancers and gymnasts).

Why Early Diagnosis Matters

If left untreated, occult fractures can cause improper healing, growth plate complications, or chronic discomfort. A timely diagnosis can prevent long-term issues and help your child return to full activity, safely and confidently.

How We Help — Fast, Convenient, and Specialized

At HealthNexus Orthopedics and Wellness, our streamlined process helps you get answers quickly:

  • Start with a telehealth consult — often same-day.
  • We arrange imaging when necessary.
  • In-person evaluation available by direct appointment where casting or custom bracing can be applied.
  • Treatment plans tailored to your child’s needs

Book Today — Because Waiting Doesn’t Help Bones Heal
Schedule online anytime at https://healthnex.us
Call or text: 561-510-1514
Email us: [email protected]

Your child’s healing starts with the right diagnosis — let’s get started.

author avatar
Lyall Ashberg