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distortion.
Orthopedic referral is an important component of management and follow up
for these injuries.

FIGURE 111.1 Diagrammatic representation of the femur in late childhood.

In assessing young children with musculoskeletal trauma, the clinician must be
attuned to the possibility of fractures occurring at the physis (growth plate),
which may not be readily apparent on plain film. These relatively common