ABSTRACT
Pediatric patients are often examined in emergency departments for various orthopedic problems. One of the major concerns with the pediatric patient is the diagnosis and treatment of possible growth plate injuries. Therefore, the advanced practice nurse must never be complacent when assessing an orthopedic injury. A radiologic examination is required in every child where a growth plate injury is suspect. Permanent damage and growth plate arrest may occur if this type of injury is not properly diagnosed and appropriately treated. This article outlines Salter-Harris fractures I-V for the pediatric population. Using actual cases studies, this article provides a logical approach to the assessment and interpretation of radiology films in pediatric patients with traumatic bony injuries. Comprehensive management of these types of injuries is also addressed.