Rogers L F, Poznanski A K
Department of Radiology, Northwestern University Medical School, Chicago, Ill.
Radiology. 1994 May;191(2):297-308. doi: 10.1148/radiology.191.2.8153295.
There have been many advances in the diagnosis and treatment of epiphyseal injuries in the 30 years since the publication of the landmark article by Drs Robert Salter and William Harris. They are the subject of this review. The anatomic features of the physis, epiphysis, and metaphysis are presented, and histologic studies of human and experimental physeal injuries are described. The recently recognized histologic, anatomic, and imaging characteristics of bone bridging of the physis resulting in growth disturbances are reviewed. Modification in and additions to the original Salter-Harris classification system have been proposed. The role and technique of computed tomography and magnetic resonance imaging in the assessment of the initial injury and analysis of subsequent growth disturbance are discussed.
自罗伯特·索尔特医生和威廉·哈里斯医生发表具有里程碑意义的文章以来的30年里，骨骺损伤的诊断和治疗取得了许多进展。它们是本综述的主题。文中介绍了骨骺、骺板和干骺端的解剖特征，并描述了人类和实验性骨骺损伤的组织学研究。本文还综述了最近认识到的导致生长障碍的骺板骨桥接的组织学、解剖学和影像学特征。有人提出了对原始的索尔特-哈里斯分类系统的修改和补充。讨论了计算机断层扫描和磁共振成像在评估初始损伤和分析后续生长障碍中的作用和技术。
