Chronic avulsive injuries of childhood

Children and adolescents are prone to avulsive injuries related to a combin ation of their propensity for great strength, ability to sustain extreme le vels of activity, and immature growing apophyses. Appropriate interpretatio n of imaging studies showing chronic avulsive injuries is essential so that the irregularity and periostitis that can be associated with chronic avuls ions is not misinterpreted as probable malignancy. This article reviews the chronic avulsive injuries of childhood.