Management of Equivocal Extension to the Physis (Growth Plate)

Surgical Management

• Surgery should be performed by surgeons with expertise in metabolic bone diseases and growth plate injuries, as recommended by the American Academy of Orthopaedic Surgeons 1

Growth Plate Monitoring

• In late-pubertal adolescents, if growth velocity drops below 2 cm per year and/or epiphyseal growth plate closure is evident on radiography, further growth potential is exhausted, according to the Pediatric Orthopedic Society of North America 2, 3