Publication Name	World Journal of Orthopedics
Manuscript ID	113095
Country	China

Category	Orthopedics
Manuscript Type	Opinion Review
Article Title	Avulsion fracture of the ischial tuberosity: Is the current evidence sufficient to resolve the challenges of treatment selection?
Manuscript Source	Invited Manuscript
All Author List	Fu-Chun Yang
Funding Agency and Grant Number
Corresponding Author	Fu-Chun Yang, MD, PhD, Professor, Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. yangfuch89@163.com
Key Words	Avulsion fracture of the ischial tuberosity; Treatment selection; Conservative management; Surgical intervention; Pelvic avulsion fracture
Core Tip	Avulsion fracture of the ischial tuberosity (AFIT) is a clinically rare injury mainly incurred by adolescents during competitive sports. AFIT is frequently misdiagnosed as a tendon tear or muscle strain and selecting an appropriate treatment method remains challenging due to the absence of evidence-based treatment guidelines. A literature review indicated that AFIT exhibits more complex healing patterns than other pelvic avulsion fractures under conservative management. Clinicians should increase their awareness of this type of injury. Aggressive surgical intervention is suggested for patients with displaced AFIT to ensure optimal outcomes and expedite their return to pre-injury athletic performance levels.
Citation	Yang FC. Avulsion fracture of the ischial tuberosity: Is the current evidence sufficient to resolve the challenges of treatment selection? World J Orthop 2025; In press

Received	2025-08-15 04:11
Peer-Review Started	2025-08-15 04:11
First Decision by Editorial Office Director	2025-10-13 08:53
Return for Revision	2025-10-13 08:53
Revised	2025-10-24 23:55
Publication Fee Transferred
Second Decision by Editor	2025-12-29 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-29 06:25
Articles in Press	2025-12-29 06:25
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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