Brian James M, Choi David H, Moore Michael M
Department of Radiology and Pediatrics, Penn State College of Medicine, Hershey, Pennsylvania.
Department of Radiology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Semin Musculoskelet Radiol. 2018 Feb;22(1):95-103. doi: 10.1055/s-0037-1608002. Epub 2018 Feb 6.
The primary physis is responsible for long bone growth in children and adolescents. Injury and physiologic or metabolic stress to the primary physis present unique radiologic findings that are important for radiologists to recognize and diagnose. Appreciation of the anatomy and histology of the primary physis forms the basis for understanding the imaging findings associated with pathologic conditions affecting the primary physis. Salter-Harris injuries, physeal bars, growth arrest lines, rickets, and focal periphyseal edema zones are common conditions with recognizable radiologic presentations. Proper diagnosis of these primary physeal conditions will aid in the treatment of affected pediatric patients.
骨骺板负责儿童和青少年长骨的生长。骨骺板受到的损伤以及生理或代谢应激会呈现出独特的放射学表现，放射科医生认识和诊断这些表现很重要。了解骨骺板的解剖学和组织学是理解与影响骨骺板的病理状况相关的影像学表现的基础。Salter-Harris损伤、骨骺桥、生长停滞线、佝偻病和局灶性骨骺周围水肿区是具有可识别放射学表现的常见病症。正确诊断这些骨骺板病症将有助于治疗受影响的儿科患者。
