This case shows a picture of Salter-harris type II, where, the physeal plate is the site of injury with intact epiphysis and a tiny accompanying fracture through the lateral metaphysis. A careful search for the metaphyseal involvement is important, especially since true Salter-Harris I fractures have a much lower incidence than type II.

Physeal injuries can be subtle and easily missed and can be challenging to diagnosis at the initial presentation. It affects the growth plate and may cause premature closure resulting in shortening.