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儿童骨骺阻滞的影像学表现

Imaging of physeal bars in children.

作者信息

Wang David C, Deeney Vincent, Roach James W, Shah Amisha J

机构信息

Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.

出版信息

Pediatr Radiol. 2015 Aug;45(9):1403-12. doi: 10.1007/s00247-015-3280-5. Epub 2015 Mar 19.

DOI:10.1007/s00247-015-3280-5
PMID:25786604
Abstract

The growth plate, also known as the physis or epiphyseal plate, is essential for longitudinal growth of bones in the immature skeleton. A variety of insults to the growth plate from trauma to infection to idiopathic causes can lead to physeal bar formation, an interruption in normal growth plate cartilage, where a bony or fibrous bridge develops between the metaphysis and epiphysis. This bridge restricts subsequent bone growth, leading to limb shortening and/or angular deformities. Early recognition of the presence of a physeal bar can help direct appropriate surgical management to restore linear growth of the bone.

摘要

生长板,也称为骨骺或骺板,对于未成熟骨骼中骨骼的纵向生长至关重要。从创伤到感染再到特发性原因等对生长板的各种损伤,都可能导致骨骺条形成,即正常生长板软骨中断,在干骺端和骨骺之间形成骨桥或纤维桥。这种桥会限制随后的骨骼生长,导致肢体缩短和/或成角畸形。早期识别骨骺条的存在有助于指导适当的手术治疗,以恢复骨骼的线性生长。

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Imaging of physeal bars in children.儿童骨骺阻滞的影像学表现
Pediatr Radiol. 2015 Aug;45(9):1403-12. doi: 10.1007/s00247-015-3280-5. Epub 2015 Mar 19.
2
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Three-dimensional MR imaging in the assessment of physeal growth arrest.三维磁共振成像在评估骨骺生长停滞中的应用
Eur Radiol. 2004 Sep;14(9):1600-8. doi: 10.1007/s00330-004-2319-z. Epub 2004 Apr 3.
4
MR imaging of fractures of the growth plate.生长板骨折的磁共振成像
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本文引用的文献

1
Three-dimensional magnetic resonance imaging of physeal injury: reliability and clinical utility.骨骺损伤的三维磁共振成像:可靠性与临床应用价值
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Correlation of magnetic resonance imaging and histologic examination of physeal bars in a rabbit model.兔模型中生长板骨桥的磁共振成像与组织学检查的相关性
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Arthroscopically assisted central physeal bar resection.关节镜辅助下中央骺板骨桥切除术
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Indications and Timing of Guided Growth Techniques for Pediatric Upper Extremity Deformities: A Literature Review.小儿上肢畸形引导生长技术的适应证与时机:文献综述
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Treatment of ankle varus deformity due to physeal bar formation: A case report.治疗骨骺板形成所致踝内翻畸形:病例报告。
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Does Retrograde Femoral Nailing through a Normal Physis Impair Growth? An Experimental Porcine Model.经正常生长板逆行股骨钉固定会影响生长吗?一项猪实验模型研究。
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Inter-rater and Intra-rater Reliability in the Radiographic Diagnosis of Growth Arrest in Paediatric Physeal Fractures.小儿骨骺骨折生长停滞的影像学诊断中评分者间及评分者内信度
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Deformity Reconstruction Surgery for Blount's Disease.布朗特氏病的畸形重建手术
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J Child Orthop. 2020 Oct 1;14(5):459-465. doi: 10.1302/1863-2548.14.200024.
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Angular deformities of lower limb in children: Correction for whom, when and how?儿童下肢角畸形:为谁矫正、何时矫正以及如何矫正?
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Intramembranous ossification mechanism for bone bridge formation at the growth plate cartilage injury site.生长板软骨损伤部位骨桥形成的膜内成骨机制。
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