Which type of fracture puts a child at most risk for altered bone growth and development?

Rationale: A. This is a common type of incomplete fracture in children but typically heals well without affecting growth. B. While painful, it generally does not interfere with growth or development. C. Describes a fracture where the skin is intact, but this alone doesn't determine the risk to bone growth. D. The epiphyseal (growth) plate is responsible for bone growth, and damage here can impair future bone development and lead to deformities.