Pediatric<unk>  injuries are common (>2 million ED visits in North America per year)
Historically, there has been concern about missing a potential growth plate fracture (Salter-Harris Type 1), which can rarely result in growth arrest
It was previously taught that the weaker physis would fail before the stronger ligamentous complex.
This was commonly treated with immobilization (casting), follow-up imaging, and orthopedic referral (as opposed to adult<unk>  sprain)
Recent studies have questioned the need for this practice
There was no measurable difference in functional recovery for children with or without Salter Harris Type 1 distal fibula fractures at 1 and 3 months
It was previously taught that the weaker physis would fail before the stronger ligamentous complex.
This was commonly treated with immobilization (casting), follow-up imaging, and orthopedic referral (as opposed to adult<unk>  sprain)
There was no measurable difference in functional recovery for children with or without Salter Harris Type 1 distal fibula fractures at 1 and 3 months
Radiograph-negative ankle injury 
Ankle fracture
Ankle pain
Salter-Harris fracture
Flank pain
Ligimentous injury
Distal radioulnar joint disruption
Contusion of bone or soft tissue