Vol. 11, Issue 4 (2025)

Introduction: Epiphyseal separation fractures (ESFs) are a common traumatic condition in pediatrics. This study aims to describe their epidemiological, diagnostic, and therapeutic aspects in an African context.
Patients and Methods: Prospective study conducted from January 2024 to October 2025 including 91 patients aged 0 to 15 years with epiphyseal separation fractures. Sociodemographic, clinical, radiological, and therapeutic parameters were analyzed.
Results: The mean age was 11 years with a male predominance (84.1%). The main circumstances were recreational accidents (37.4%) and domestic accidents (24.2%). The thoracic limb was affected in 57.1% of cases. The Salter-Harris II type was the most common (44%). Standard radiography was sufficient for diagnosis in 97.8% of cases. Orthopedic treatment was used in 90% of cases. Complications (pseudarthrosis and malunion) were only observed in cases treated surgically (5.6% each).
Conclusion: In our context, epiphyseal separation fractures mainly affect adolescent boys, with a predominance of recreational accidents. Orthopedic treatment gives excellent results and should remain the first choice of treatment.