Heights were measured at three different areas of epiphyseal plate
right, left and central area and average of these three readings was recorded.
1) They state that the earliest and most frequent finding is a widened epiphyseal plate
, with less frequent signs of demineralization, sclerosis, fragmentation of the physis, and cystic changes.
Growth ceases when the cartilaginous epiphyseal plates
separating these portions ossify.
Failure of provisional calcification of cartilage results in increased depth and width of epiphyseal plates
particularly of long bones and costal cartilages of ribs.
After examining X-rays, paediatric radiologist Ralph Lachman, co-director of the International Skeletal Dysplasia Registry at Cedars-Sinai Medical Centre in Los Angeles, concluded that the skeletal development, based on the density of the epiphyseal plates
of the knees (growth plates at the end of long bones found only in children), surprisingly seemed to be equivalent to that of a six- to eight-year-old kid.
In the young, a UBC is near the epiphyseal plate
, migrating distally in time to abut or involve the diaphysis.
Premature closing of the epiphyseal plate
by hyperostosis may lead to growth disturbance with leg length discrepancies of up to 10 cm documented in the literature .
Cartilage cells proliferate in the upper most part of the epiphyseal plate
, become hypertrophic as they migrate into the lower part of the epiphyseal plate
where they attract growth of the blood vessels and bone forming osteoblasts which ossify the trabeculae (Nilsson et al.
Fracture extension into the epiphyseal plate
is another potential risk of OSD, although it only occurs rarely.
In many cases a specific pin position is desired and there are often neurovascular or other structures such as the epiphyseal plate
or joint surface that are to be avoided.
The growth plate, also known as the epiphyseal plate
or physis, is the area of growing tissue near the end of the long bones in children and adolescents.
The size of the epiphyseal plate
, its rate of growth, the patient's age and physeal contour all factor in the development of the bony bar.
Growth of the long bones occurs primarily in the cartilage of the epiphyseal plate
Some researchers suggest that cartilage cells of epiphyseal plate
are arranged in form of vertical columns and their abnormal secondary ossification can lead to osseous growth at vertebra.
Avulsion injuries of the coracoid epiphyseal plate
near the CCL attachment often occur in younger patients with ACJ dislocations [13, 14].