• Occur in pediatrics presents as Salter-Harris fractures. These can lead to growth arrest and decreased joint mobility.
  • Occur in elderly or frail patients.
  • At risk for popliteal artery and peroneal nerve injury. Include A-A or ABI in your vascular evaluation (<90% of unaffected limb is considered abnormal).
  • Most fractures require surgical treatment.
  • Stable, nondisplaced fractures can be treated nonoperatively with immobilization.
  • CT scan be useful to evaluate for articular extension.