Gender differences in the order of appearance of elbow ossification centres.
Scott Med J
; 64(1): 2-9, 2019 Feb.
Article
em En
| MEDLINE
| ID: mdl-30428299
ABSTRACT
BACKGROUND:
The predictable order of appearance of elbow secondary ossification centres in children is important in interpreting elbow radiographs, most commonly in the context of trauma. The usual sequence of appearance of these ossification centres is given by the acronym CRITOL, but exceptions have been described and are recognised as normal variants.AIM:
To investigate the extent to which the appearance of the elbow secondary ossification centres follows a predictable sequence, and to establish the incidence of exceptions to the usual CRITOL order.METHODS:
Two-stage retrospective review of 421 elbow radiographs in children at our centre.RESULTS:
Of 64 children with two visible ossification centres, there was a 23% overall variant incidence (49 CR, 15 CI). Twenty-eight children had four visible ossification centres, with an overall variant incidence of 32% (19 CRIT, 9 CRIO). The variants were significantly more common in girls than in boys ( p < 0.001).CONCLUSION:
Whilst the majority of radiographs remained consistent with the described CRITOL sequence, variance in this order was seen in a quarter of children with two visible ossification centres, and a third of children with four visible ossification centres. Incidence of variance was much more common in girls, reaching statistical significance. Awareness of these normal variations, particularly in girls, should help to avoid misinterpretation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Osteogênese
/
Radiografia
/
Cotovelo
Tipo de estudo:
Diagnostic_studies
/
Incidence_studies
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Observational_studies
/
Prognostic_studies
Limite:
Child
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Female
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Humans
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Male
Idioma:
En
Revista:
Scott Med J
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Reino Unido