From the Department of Orthopaedic Surgery, Duke University Medical Center, Lenox Baker Children's Hospital, Durham, NC (Dr. Hubbard), the Department of Orthopaedic Surgery, Rainbow Babies & Children's Hospital, UH Hospitals, Cleveland, OH (Dr. Liu), and the Department of Orthopaedic Surgery, Nationwide Children's Hospital, Columbus, OH (Dr. Iobst).
J Am Acad Orthop Surg. 2019 May 1;27(9):312-319. doi: 10.5435/JAAOS-D-18-00143.
Limb-length inequality in a child can be a complex condition for patients, parents, and medical providers. Managing these patients and explaining the treatment options to families requires knowledge of the potential risks associated with leaving a discrepancy untreated and a thorough understanding of skeletal growth. The provider must also be familiar with the available growth prediction methods as treatment is influenced by the anticipated discrepancy at skeletal maturity. This article provides an overview to skeletal growth, assessing skeletal maturity and growth prediction to help providers develop an organized and thoughtful approach to treating pediatric patients with limb-length inequalities.
儿童肢体长度不等是一种复杂的病症，涉及患者、家长和医疗服务提供者三方。为这些患者提供治疗并向患者家庭解释治疗方案，需要了解未治疗的潜在风险，全面理解骨骼生长。医疗服务者还需要熟悉现有的生长预测方法，因为治疗方案受骨骼成熟时预计的差异影响。本文介绍了骨骼生长的概述，包括评估骨骼成熟度和生长预测，以帮助医疗服务者制定有组织、有思考的方案，治疗患有肢体长度不等的儿科患者。
