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Determination of skeletal maturity by ultrasound: a preliminary report

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Abstract

Objective

Replacement of radiography by sonography for determination of skeletal maturity.

Design

Sonographic and radiographie evaluation of the maturation of the iliac bone apophysis (Risser's sign) and evaluation of the distal radial epiphyses.

Patients

64 children and adolescents with idiopathic scoliosis, aged from 5 to 19 years.

Results

Sonograms with corresponding radiographs were available for the hand and wrist in 36 cases and for the iliac bone in 28 cases. Comparison of sonographic with radiological data revealed sonography to have a sensitivity for qualifying the status of the distal radial epiphysis of 93.1%. Specificity was 100%, accuracy 94.4% for investigation of the distal radial epiphysis. Overall accuracy for correct determination of Risser's stage by ultrasound (in comparison with the radiographie standard) was 89.2%.

Conclusions

These findings suggest that ultrasound is a useful and highly acceptable tool for bone age determination in clinical routine or screening studies and will help to reduce ionizing radiation to children and adolescents.

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References

  1. Risser JC, Ferguson AB. Scoliosis: its prognosis. J Bone Joint Surg 1936; 18: 667.

    Google Scholar 

  2. Exner U, Kaufmann L, Schreiber A. Relationship between the development of the apophyses of the iliac crest (“Risser's sign”) and development of the hand skeleton in girls with scoliosis. Z Orthop 1985; 123: 910–914.

    PubMed  Google Scholar 

  3. Greulich W, Pyle S. Radiographie atlas of skeletal development of hand and wrist. Stanford: Stanford University Press, 1974.

    Google Scholar 

  4. Scoles P, Salvagno R, Villalba K, Riew D. Relationship of iliac crest maturation to skeletal and chronological age. J Pediatr Orthop 1988; B: 639–644.

    Google Scholar 

  5. Urbaniak J, Schaefer W, Stelling F. Iliac apophysis — prognostic value in idiopathic scoliosis. Clin Orthop 1976; 116: 80–85.

    PubMed  Google Scholar 

  6. Zaoussis A, James J. The iliac apophysis and the evolution of curves in scoliosis. J Bone Joint Surg [Br] 1958; 40-B: 442.

    Google Scholar 

  7. Biondi J, Weiner SD, Bethem D, Reed J. Correlation of Risser sign and bone age determination in adolescent idiopathic scoliosis. J Pediatr Orthop 1985; 5: 697–701.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, University of Bonn, Bonn, Germany

    U. A. Wagner M.D., V. Diedrich C.M. & O. Schmitt M.D.

Authors
  1. U. A. Wagner M.D.
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  2. V. Diedrich C.M.
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  3. O. Schmitt M.D.
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Additional information

Scientific Award in Pédiatrie Orthopaedics 1995 of the German- Austrian-Swiss Ped. Orthopaedic Association

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Wagner, U.A., Diedrich, V. & Schmitt, O. Determination of skeletal maturity by ultrasound: a preliminary report. Skeletal Radiol. 24, 417–420 (1995). https://doi.org/10.1007/BF00941236

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  • DOI: https://doi.org/10.1007/BF00941236

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