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This document discusses fractures in the growing pediatric skeleton. It aims to explain how fractures can occur in different parts of the skeleton as it develops and grows. These include fractures of the physis where growth occurs, the metaphysis near the growth plate, and the diaphysis or shaft of long bones. It also discusses fractures of apophyses, which are outgrowths of bone. The key messages are that the physis and growth plates are most vulnerable to fractures due to growth, while plastic deformation and greenstick fractures are common in the diaphysis of long bones.Read less