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Growth plate injuries are commonly encountered by pediatricians. Growth plate trauma can occur acutely with an injury or chronically with repetitive stress. Injuries to growth plates are unique to those who are skeletally immature and warrant special attention for several reasons. Although most fractures of physes heal rapidly without any adverse effects, limb-length discrepancy from complete growth disturbance of a physis, angular limb deformities from incomplete physeal closure, and joint surface misalignment potentially leading to premature joint arthritis are complications that can have long-lasting and devastating effects on a growing child. In addition, the apophysis is vulnerable to acute and chronic injuries of varying severity. A working knowledge of the anatomy of the physis and apophysis, evaluation and initial management of acute and chronic injuries, definitive management of select conditions, and when to refer to a specialist are essential for any...

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