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Abstract
The knee is a common site of injury in children and adolescents, especially those who engage in competitive sports. The physician who evaluates and treats fractures in the pediatric age group must be familiar with the types of injuries and complications that are unique to these patients. Fractures of the immature knee, such as those that involve the distal femoral and proximal tibial epiphyses, tibial tubercle apophysis, tibial spine, and proximal tibial metaphysis, are particularly challenging in terms of establishing the diagnosis and predicting long-term sequelae. An understanding of the classification, clinical and radiographic evaluation, treatment, and potential complications of each type of injury can lead to more effective treatment as well as to clear communication with the child’s parents.