Ingram R R
Victoria Infirmary, Glasgow, Scotland.
J Pediatr Orthop. 1992 Mar-Apr;12(2):241-4.
In 20 children with multiple epiphyseal dysplasia, an objective assessment of epiphyseal size was made to determine its value in early diagnosis of this condition. All had wrist radiographs taken at age less than 15 years, and 16 children had knee radiographs. Before the epiphyses become fully ossified, abnormalities of size and shape may be difficult to assess, but carpal length/width ratios were abnormal in 60%, and distal femoral epiphyseal/metaphyseal ratios were abnormal in 56%. When both measurements were combined, 80% could be classified as abnormal. Objective radiologic assessment of epiphyses is of value in early diagnosis of multiple epiphyseal dysplasia.
对20例多发性骨骺发育不良患儿的骨骺大小进行客观评估，以确定其在该疾病早期诊断中的价值。所有患儿均在15岁之前拍摄了腕部X光片，16例患儿拍摄了膝部X光片。在骨骺完全骨化之前，大小和形状异常可能难以评估，但60%的患儿腕骨长宽比异常，56%的患儿股骨远端骨骺/干骺端比值异常。当两项测量结果结合起来时，80%可被归类为异常。骨骺的客观放射学评估对多发性骨骺发育不良的早期诊断具有价值。
