Growing pains: Salter-Harris classification of physeal injuries

Case presentation

A 15-year-old male presents to the emergency department with right wrist pain. The patient reports that he fell on his outstretched right hand while skateboarding. Physical examination is significant for mild swelling with tenderness to palpation over the distal right forearm. He has 2+ radial pulses with full range of motion and intact sensation in the radial, ulnar, and median distributions. Capillary refill in his fingers is normal. There is no shoulder or elbow pain, swelling, or deformity.

Imaging considerations