β£Usually is Salter Harris what?Mostly SH-2 with metaphyseal fragmentβ£What is unique of the physis that causes higher risk of growth arrest?Unique UNDULATING physis β high risk of growth arrest and angular deformity!β£Management?Mx is dependant on extent of displacement< 2mm displacement = Non Op in cast> 2mm displacement = ORIFCross pinning with smooth K-wire - "2mm, cross above physis, bicortical" (+ Easy removal, - Pin site infection)OR Physeal sparing screws - 6.5mm screwsβ£What complication is it at high risk of?High risk of growth disturbance - LLD, angulation in up to 30-50%If < 2cm projection at maturity = non OpIf > 2cm - epiphysiodesisPhyseal bridge with angulationβ£"What happens when you get a physeal bar?"It depends on the extent of the barIf central/ complete β LLDif peripheral β angular deformityβ£Management of LLD Physeal bar with no angulation (This means complete or central)?CT scan to evaluate size< 40% central Bar β Consider resection> 40% β No point resecting. Manage as per LLD:GENERAL MX OF LLD Limb Length Discrepancy (LLD), Hemihypertrophy and associated Syndromes β£Management of Angular Physeal Bar?No access