Management of Growth Plate Injuries

Treatment of acute growth plate injuries is determined by a prognostic evaluation of the radiographs. The Salter and Harris classification [1] is the most widely used and has been modified by Ogden [2] and more recently by Peterson [3]. The present Ogden classification includes nine major types with subclassifications. For practical purposes the intra-articular fracture line and the degree of initial chondroepiphyseal displacement determine management, as originally proposed by Poland in 1898 [4].