‣What kind of Salter Harris fracture is this?If < 3yo = SH1; if > 3yo = SH2 (With thurston holland fragment)‣What is differential?LATERAL CONDYLE FRACTURE‣How do you differentiate this from the above differential?Age group, Type of swelling, Direction of displacement (posteromedial in physeal separation), Radio-capitellum relationship ‣Key physical findings?"FUSIFORM" swelling‣What are the key features on the XR?“Radiocapitellar relationship is preserved”‣What must you rule out in distal humerus physeal separation? NAI‣Most common direction of displacement?POSTEROMEDIAL [Like supra con]This is opposed to POSTEROLATERAL seen in elbow dislocation‣How can you assess alignment intraoperative?Chou et al. described to align the ulnar axis within the medial and lateral humeral lineChou et al. 2018 JPO case series of 13 patients utilising this technique. 1 patient developed varus‣Management?Tip: "I will Treat this as a grade 3 Supracon" ➔ CRPP‣Complication?70% cubitus varus!Neurovascular compromise is rare