Children younger than 2 years may present late with early callus on the x-ray. It is not recommended to try to reduce lesions that are diagnosed after a few days from injury. As a result of rapid healing, the injury is usually stable after 24-36 hours and manipulation might cause more harm than benefit.
Note: Consider a nonaccidental mechanism when the lesion is discovered after the immediate neonatal period.
Timing of treatment
Treatment is only required if, at the time of admission, the separation of the physis is still mobile.
Emergency surgical treatment is never required. It is preferable for the child to be referred to a specialist unit.