Goals of Treatment Growth plate fractures of the ankle are the third most common type of physeal fracture in children, after finger and distal radial physeal fractures The ankle ligaments attach to the epiphysis of the tibia and fibula, and they are generally stronger than the physis As a result, children are more likely to sustain physeal and bony injury than ligamentous injury after ankle trauma Correctly identifying a physeal or ligamentous injury is important to ensure appropriate treatment