Fortunately, healthy children love to play, jump, run, and climb anywhere, and eventually, they fall. Unfortunately, this trauma may impact their whole life if not promptly diagnosed and treated. This study highlights what to look for and what not to miss in the context of children's trauma.

As it is known, a child's skeleton differs biochemically and physiologically from an adult's. Therefore, their mechanisms and patterns of injury and fracture are distinct. In childhood, there are four basic types of acute fracture patterns: plastic deformity, torus fracture, greenstick fracture, and fracture involving the physis.

The epiphyseal plate is a critical component of the immature skeleton, with complex anatomy and physiology. This presentation focuses on it.

Familiarity with the functional anatomy of the physeal is essential because lesions in this structure may determine growth disturbances such as bone bridge, differential longitudinal growth, and growth plate widening. Nevertheless, growth plate injuries may also be occasioned by physiological or metabolic stress; these topics are outside this presentation's scope.

The main imaging findings in children and adolescents with direct and indirect bone trauma are reviewed here. We focus on Physeal injuries based on literature and our daily practice's most common injuries.