The physis is the growth plate near the end of bones, from which the new bone cells develop.

growth plate or physis
The physis is an area of rapid cell turnover.


Growth plate fusion

The growth plates fuse in adulthood. Any interference with the growth plates prior to fusion may result in growth anomalies of the limb.

Growth plates

Discussion of changes to limb length caused by damage to the growth plate before puberty.



ACL injury in 10 year old.

Should we pursue TTT surgery for our 16 year-old.


Regenerative Medicine Approaches for the Treatment of Pediatric Physeal Injuries. Shaw N, Erickson C, Bryant SJ, Ferguson VL, Krebs MD, Hadley-Miller N and Payne KA. Tissue Eng Part B Rev. 2018 Apr 1; 24(2): 85–97.

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