Procell Villalobos Carlos R, Cassis Zacarías Nelson, Juárez Rojas Carlos S, Cárdenas Turrent Martha Beatríz
Cirujano Ortopedista, Hospital ABC, DF México.
Acta Ortop Mex. 2008 Nov-Dec;22(6):347-9.
Existing data of the order of appearance of ossification centers is from Anglo-Saxon literature. This literature describes the following order of appearance of the ossification centers of the distal humerus as follows: lateral condyle appears before one year of age, but it might delay up to 18-24 months; medial epicondyle between 5 to 6 years of age; the medal condyle between 9 to 10 years of age; the lateral epicondyle is the last one to ossify, between 10 to 12 years of age. Proximal radius ossifies between 3.8 and 4.5 years; olecranon at 6 to 8 years of age.
We studied 240 elbows and classified them in 6 groups according to the age of appearance of ossification centers. Anteroposterior and lateral radiographs were taken, and analyzed.
We found a delay in the manifestation of the olecranon and the medial epicondyle. In base of our clinical observations, the ossification centers present later in Mexican children.
关于骨化中心出现顺序的现有数据来自盎格鲁-撒克逊文献。该文献描述了肱骨远端骨化中心的出现顺序如下:外侧髁在1岁前出现,但可能延迟至18 - 24个月;内上髁在5至6岁出现;滑车在9至10岁出现;外侧髁是最后一个骨化的,在10至12岁。桡骨近端在3.8至4.5岁骨化;鹰嘴在6至8岁骨化。
我们研究了240个肘部,并根据骨化中心出现的年龄将其分为6组。拍摄并分析了前后位和侧位X线片。
我们发现鹰嘴和内上髁的表现出现延迟。根据我们的临床观察,墨西哥儿童的骨化中心出现较晚。