Radiological evaluation
1. Imaging of physeal injuries
Physeal injuries require radiological assessment to evaluate location, extent, displacement, and articular involvement. This will inform decision making, with a primary goal of anatomical reduction of the articular surface and physis, to minimize the risk of growth disturbance and joint degeneration.
Recommended reading:
- Nguyen JC, Markhardt BK, Merrow AC, et al. Imaging of Pediatric Growth Plate Disturbances. Radiographics. 2017 Oct;37(6):1791–1812.
2. X-rays
Most fractures can be identified on plain x-rays.
AP and lateral views, centered at the shoulder, are usually sufficient for diagnosis.
Transthoracic lateral views should be avoided.
Due to the shape and orientation of the physis, the appearance may be mistaken for a fracture in the lateral view.
