distal femur

Distal Femoral Physeal Injuries

1. Undulating growth plate / higher rate of growth plate injury

- growth arrest / LLD

- angular deformity

- need to be warned

- require close and careful follow up especially in first 2 years

2. Can be unstable / malunion and shortening very problematic in this area

Salter Harris I

Benign lesion with a wide spectrum of behavior characterized by stromal cells and giant cells

Common

- 20% of benign tumours

More common females

- F:M = 1.5:1

- most tumours M>F

Usually patient in 20's

- usually after skeletal maturity

- 3% < epiphyseal closure