Suspected triplane fractures should be further evaluated by CT for assessing the fracture configuration and surgical planning for fractures displaced >2 mm Clinical indications for discharge or admission Children with ankle sprains may be discharged with appropriate immobilization and crutches For children with nondisplaced fractures and minimal swelling, the extremity should be immobilized with a posterior splint They can be discharged with urgent outpatient orthopedic follow-up Those with significantly displaced physeal fractures, open fractures, substantial distal lower extremity swelling and pain, and concern for development of compartment syndrome should be admitted for inpatient orthopedic management