STRUCTURAL AND FUNCTIONAL CHARACTERISTICS OF THE PERIOSTEUM IN CHILDREN
Keywords:
periosteum, children, pediatric orthopedics, bone growth, fracture healingAbstract
The periosteum is a specialized connective tissue membrane covering the outer surface
of bones and plays a crucial role in bone growth, remodeling, repair, and vascular supply. In
children, the periosteum exhibits unique anatomical and physiological characteristics that
distinguish it from that of adults. Pediatric periosteum is thicker, more vascular, and possesses
greater osteogenic potential, contributing to rapid bone healing and regeneration. These age-related
features are of significant clinical importance in pediatric traumatology, orthopedics, and
reconstructive surgery. This article reviews the structural and functional characteristics of the
periosteum in children and discusses their relevance to bone growth, fracture healing, and clinical
practice.
References
1. Standring S. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 42nd ed. Elsevier; 2021.
2. Kliegman RM, St. Geme JW. Nelson Textbook of Pediatrics. 22nd ed. Elsevier; 2023.
3. Beaty JH, Kasser JR. Rockwood and Wilkins' Fractures in Children. 9th ed. Wolters Kluwer;
2020.
4. Court-Brown CM, Heckman JD, McQueen MM, Ricci WM, Tornetta P. Rockwood and Green's
Fractures in Adults and Children. 9th ed. Wolters Kluwer; 2019.
5. Ogden JA. Skeletal Injury in the Child. 3rd ed. Springer; 2000.
6. Schindeler A, McDonald MM, Bokko P, Little DG. Bone remodeling during fracture repair.
Journal of Cellular Biochemistry. 2008;103(3):706–718.
7. Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42(6):551–555.
8. Dimitriou R, Tsiridis E, Giannoudis PV. Current concepts of molecular aspects of bone healing.
Injury. 2005;36(12):1392–1404.
9. Shapiro F. Bone development and its relation to fracture repair. Journal of Bone and Joint
Surgery. 1988;70(7):1063–1081.
10. Buckwalter JA, Glimcher MJ, Cooper RR, Recker R. Bone biology. Journal of Bone and Joint
Surgery. 1995;77(8):1256–1275.
