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The fracture occurs at the hypertrophic zone of the physeal cartilage.
While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present.
The main risks of surgery in a child whose bones are still growing is slowed growth (physeal arrest), which may result in one leg being longer than another.
T-2 toxin can cause lesions in hematopoietic, lymphoid, gastrointestinal, and cartilage tissues, especially in physeal cartilage.
Destroying the growth plate by scraping or drilling it (epiphysiodesis or physeal arrest) will restrict further growth at that growth plate.
Anatomy of the proximal tibia in pediatric and adolescent patients: Implications for ACL reconstruction and prevention of physeal arrest.