No article notes available at this time.
• Challenges the default assumption that a radiograph-negative lateral ankle injury in a child represents an occult SH1DF — MRI showed true growth plate fractures are rare (3.0%), with sprains and occult avulsion fractures being far more common. • Supports treating these injuries functionally (removable brace, self-regulated return to activity) without evidence of worse recovery in the small subset with MRI-detected fracture. • Provides a rationale for reducing routine immobilization and orthopedic referral for this common low-risk injury pattern, potentially decreasing unnecessary treatment burden and cost.
No article notes available at this time.
• Challenges the default assumption that a radiograph-negative lateral ankle injury in a child represents an occult SH1DF — MRI showed true growth plate fractures are rare (3.0%), with sprains and occult avulsion fractures being far more common. • Supports treating these injuries functionally (removable brace, self-regulated return to activity) without evidence of worse recovery in the small subset with MRI-detected fracture. • Provides a rationale for reducing routine immobilization and orthopedic referral for this common low-risk injury pattern, potentially decreasing unnecessary treatment burden and cost.