Little D G, Sussman M D
Shriners Hospital for Crippled Children, Portland Unit, Oregon 97201.
J Pediatr Orthop. 1994 Sep-Oct;14(5):569-75. doi: 10.1097/01241398-199409000-00003.
Orthopedic surgeons commonly use the Risser sign to estimate skeletal maturity; however, the data presented in the orthopedic literature supporting the accuracy of the Risser sign in estimating skeletal maturity do not stand up to critical statistical analysis. The Risser sign is less accurate than chronologic age as a predictor of skeletal age and should not be used as a substitute for a hand and wrist radiograph in most cases. The Risser sign is also no better a predictor of scoliosis progression than is chronologic age.
骨科医生通常使用里塞尔征来评估骨骼成熟度；然而，骨科文献中所呈现的支持里塞尔征在评估骨骼成熟度方面准确性的数据，经不起严格的统计分析。作为骨骼年龄的预测指标，里塞尔征不如实际年龄准确，在大多数情况下，它不应被用作手部和腕部X光片的替代方法。里塞尔征在预测脊柱侧弯进展方面也并不比实际年龄更具优势。
