Fig. (2) A 14-year-old girl stressed her wrist against a wall while running. Clinical examination was indicative of a physeal fracture of the distal radius. Radiographs were negative. She was treated with a splint. Radiographs 5 weeks post-injury were indicative of distal radial metaphyseal sclerosis, most likely due to an occult Salter-Harris type II injury of the distal radius.