Physeal injuries

♦ Damage to the physis may lead to slowing or angulation of growth, especially if a bone bar forms♦ Fractures involving the physis may be difficult to diagnose on x-ray♦ The Salter–Harris classification is commonly used♦ Fixation of fractures should not cross the physis if it can be avoided♦ Partial growth arrest may be best treated with a complete epiphysiodesis followed by reconstruction.