HOW I MANAGE PHYSEAL FRACTURES ABOUT THE KNEE

Knee injuries in children and adolescents often involve the growth pla te (physis), as well as the adjacent bony areas of the femur, tibia, o r patella. Young patients who have injured knees require careful clini cal and radiographic assessment to determine the extent of their injur ies, with specific management to minimize the potential for growth arr est and resultant deformity. This article discusses distal femoral phy seal, proximal tibial physeal, tibial eminence, patellar sleeve, and t ibial tubercle fractures in skeletally immature patients.