Post-traumatic disturbance of the epiphysis of the humeral trochlea: a spectrum of pathology
Autor: | Denise Eygendaal, Taco Gosens, Femke M.A.P. Claessen, Michel P.J. van den Bekerom, Suzanne de Vos-Jakobs |
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Přispěvatelé: | Graduate School, Orthopedic Surgery and Sports Medicine, AMS - Sports, AMS - Ageing & Vitality |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
lcsh:Diseases of the musculoskeletal system
Radiography etiology Elbow epiphysis Physical examination trochlear osteonecrosis lcsh:Orthopedic surgery Hegemann disease medicine Deformity fishtail deformity diagnostics Orthopedics and Sports Medicine Prospective cohort study Orthodontics medicine.diagnostic_test business.industry Bone age lcsh:RD701-811 medicine.anatomical_structure Trochlear notch Epiphysis Surgery lcsh:RC925-935 medicine.symptom business |
Zdroj: | JSES international, 4(4), 1011-1017. Elsevier BV JSES International JSES International, Vol 4, Iss 4, Pp 1011-1017 (2020) |
ISSN: | 2666-6383 |
Popis: | Background: Hegemann disease and fishtail deformity are classified as growth disturbances in the physeal plate of the humeral trochlea. It is questionable if these 2 diseases should be considered as 2 distinct conditions. The aims of this study are to (1) point out similarities between both conditions, (2) discuss etiology, and (3) provide diagnostic tools. Methods: In a multicenter prospective cohort study, 19 patients with growth disturbance of the humeral trochlea were included. Assessment consisted of a detailed history, physical examination, and standard radiographs in 2 directions. The radiographs were evaluated for skeletal age, carrying angles, and trochlear notch angles. Statistical analysis was performed using Stata. Results: A total of 19 patients were included: 2 males (11%) and 17 females (89%). The mean age of the patients was 12.8 years. In 17 patients (89%), a traumatic injury of the elbow was reported, before presentation. Decreased trochlear notch angle ( |
Databáze: | OpenAIRE |
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