By positioning an extruding femoral head in a more covered position, there is a theoretical benefit for accelerated healing, decrease in fragmentation of the epiphysis
, and potential change in the vascular supply.
The stages of maturity and union of the medial clavicular epiphysis
were then observed and recorded chronologically according to the scoring system of Schmeling et al.
Pin is placed from the distal epiphysis
of the radial styloid obliquely across the physis into the more proximal ulnar aspect of the radial metaphysis.
Exclusion criteria were fracture of the epiphysis
, congenital anomaly of the bones, and/or bone disease.
CT scan confirmed the diagnosis of epiphysiolysis of the medial clavicular epiphysis
(Figures 3(a) and 3(b)).
Magnetic resonance imagining (MRI) demonstrated a nonspecific infiltrative process involving the left distal medial femoral epiphysis
, extending proximally along the posterior femoral cortical surface, appearing dark on T1 and bright on STIR and T2 weighted images (Figure 2).
In young people, it preferentially occurs in the epiphysis
of long tubular bones, with the most common sites being the proximal tibia or femur, distal femur, and proximal humerus.
Figure 4: AP pelvis X-ray obtained 12 weeks from initial presentation with progressive flattening of femoral epiphysis
indicative of segmental collapse seen in non-Perthes osteonecrosis.
Signs of osteophagic activity on cervical, thoracic, and lumbar vertebrae, on five ribs, scapula, and also on the humerus and femoral epiphysis
Therefore, we focused on the distribution of PEDF within different human cartilaginous tissues of different developmental stages that are subjected to endochondral ossification, including the fetal epiphysis
, the postnatal growth plate, and adult articular and osteophytic cartilage.
To the Editor: Slipped capital femoral epiphysis
(SCFE) is the most common hip disorder affecting adolescents and has multifactorial aetiology.
is separated from the shaft of the bone by a layer of cartilage, called the epiphyseal plate or growth plate.