Fan ZQ, Xie YY, Liu C, Chen YF, Yi YF, Tang ZW, Wen J, Xiao S, Li YF. Most vexing problem in pediatric fractures: Epiphyseal fractures. World J Orthop 2025; 16(5): 106265 [DOI: 10.5312/wjo.v16.i5.106265]
Corresponding Author of This Article
Jie Wen, Associate Professor, Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, No. 61 West Jiefang Road, Changsha 410013, Hunan Province, China. cashwj@qq.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. May 18, 2025; 16(5): 106265 Published online May 18, 2025. doi: 10.5312/wjo.v16.i5.106265
Most vexing problem in pediatric fractures: Epiphyseal fractures
Zi-Qi Fan, Yu-Yin Xie, Can Liu, Yi-Fan Chen, Yang-Fei Yi, Zhong-Wen Tang, Jie Wen, Sheng Xiao, Yu-Fei Li
Zi-Qi Fan, School of Medicine, Hunan Normal University School of Medicine, Changsha 410005, Hunan Province, China
Yu-Yin Xie, Yi-Fan Chen, Zhong-Wen Tang, Jie Wen, Sheng Xiao, Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410013, Hunan Province, China
Can Liu, Yang-Fei Yi, Yu-Fei Li, Department of Anatomy, Hunan Normal University School of Medicine, Changsha 410005, Hunan Province, China
Co-first authors: Zi-Qi Fan and Yu-Yin Xie.
Co-corresponding authors: Jie Wen and Yu-Fei Li.
Author contributions: Fan ZQ and Xie YY conceptualized and designed the research, wrote the paper, they contribute equally to this study, they shared co-first author; Liu C, Chen YF and Yi YF visualized and performed data analysis; All the authors have read and approved the final manuscript. Tang ZW searched the literature, Wen J revised the early version of the manuscript; Xiao S supervised, Li YF revised manuscript. Wen J and Li YF shared co-corresponding author and they contribute equally to this study.
Supported by the Science project of Health Commission of Hunan Province, No. 20230844.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Wen, Associate Professor, Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, No. 61 West Jiefang Road, Changsha 410013, Hunan Province, China. cashwj@qq.com
Received: February 21, 2025 Revised: March 27, 2025 Accepted: April 15, 2025 Published online: May 18, 2025 Processing time: 85 Days and 0.3 Hours
Core Tip
Core Tip: Epiphyseal fracture is a significant etiology of limb deformity in children following fractures. However, unlike the rapid advancements in orthopedics, progress regarding the pathological changes, diagnosis, and treatment of epiphyseal fractures has been slow. This review provides an overview of the epidemiology and classification of epiphyseal fractures, as well as the post-fracture pathological changes occurring within the epiphysis and its surrounding areas. Furthermore, it reviews recent advancements in the treatment of epiphyseal fractures. By summarizing laboratory-to-clinical progress related to this type of fracture, this article aims to assist pediatric orthopedists in accurately recognizing, diagnosing, and treating such injuries.
