The authors observed 4 cases of traumatic lesions of the upper tibial epiphysis in children or adolescents. These are fairly rare lesions, treated usually by plaster immobilisation. The authors recall the main anatomical characteristics and note the difficulty and instability of conservative treatment. They carried out in 3 cases stable osteosynthesis (internal fixation) which permitted a complete cure with a minimum of sequelae. They advise in similar cases surgical operation as soon as possible.

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