Epiphyseal Disorders

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Abstract
THE epiphyses of developing bones are responsible for longitudinal growth and for shaping the articular surfaces. Epiphyseal disorders in children, therefore, can lead to shortness of the involved bone, to angular deformity, and to joint incongruity, which predisposes the patient to osteoarthritis. This review will concentrate on progress in understanding and treating three groups of disorders: skeletal dysplasias, fractures of the growth plate, and discrepancies in the length of the lower extremities. The epiphyseal regions will be described in histologic detail, and the relations between structure and function will be discussed briefly. Medical knowledge has moved beyond representations of gross . . .

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