Deceleration in maturation of bone during adolescent age in achondroplasia—a retrospective study using RUS scoring system

Objectives Knowledge of bone age in achondroplasia is required for the prediction of adult height, timings of limb lengthening, and epiphysiodesis procedures. The purpose of this investigation was to determine the differences in skeletal age in achondroplasia and a control population with the Tanner...

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Veröffentlicht in:Skeletal radiology 2009-02, Vol.38 (2), p.165-170
Hauptverfasser: Lee, Suk-Ha, Modi, Hitesh N., Song, Hae-Ryong, Hazra, Sunit, Suh, Seung Woo, Modi, Chetna
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container_end_page 170
container_issue 2
container_start_page 165
container_title Skeletal radiology
container_volume 38
creator Lee, Suk-Ha
Modi, Hitesh N.
Song, Hae-Ryong
Hazra, Sunit
Suh, Seung Woo
Modi, Chetna
description Objectives Knowledge of bone age in achondroplasia is required for the prediction of adult height, timings of limb lengthening, and epiphysiodesis procedures. The purpose of this investigation was to determine the differences in skeletal age in achondroplasia and a control population with the Tanner–Whitehouse 3 method using the RUS score and to determine the right age for the interventional procedure for limb lengthening procedure or deformity correction in these patients. Materials and methods Left hand radiographs of 34 patients (age range, 5–18 years) with achondroplasia were evaluated for skeletal age using the RUS scoring system, which were compared with the left hand radiographs of 41 patients (age range, 5–18 years) without achondroplasia measuring skeletal age. The difference in chronological age and RUS bone age were evaluated statistically according to gender and age group. Results In the achondroplasia group, chronological age were 10.5 ± 4.3 years for males and 10.1 ± 3.6 years for females and RUS bone age were 9.2 ± 4.0 years for males and 8.9 ± 3.4 years for females, which showed statistically significantly difference (males p  = 0.0003 and females p  statistically significant difference (10 years p  
doi_str_mv 10.1007/s00256-008-0544-2
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The purpose of this investigation was to determine the differences in skeletal age in achondroplasia and a control population with the Tanner–Whitehouse 3 method using the RUS score and to determine the right age for the interventional procedure for limb lengthening procedure or deformity correction in these patients. Materials and methods Left hand radiographs of 34 patients (age range, 5–18 years) with achondroplasia were evaluated for skeletal age using the RUS scoring system, which were compared with the left hand radiographs of 41 patients (age range, 5–18 years) without achondroplasia measuring skeletal age. The difference in chronological age and RUS bone age were evaluated statistically according to gender and age group. Results In the achondroplasia group, chronological age were 10.5 ± 4.3 years for males and 10.1 ± 3.6 years for females and RUS bone age were 9.2 ± 4.0 years for males and 8.9 ± 3.4 years for females, which showed statistically significantly difference (males p  = 0.0003 and females p  < 0.0001), while in the control group, chronological age were 11.1 ± 2.9 years for males and 10.7 ± 3.4 years for females and RUS bone age were 11.2 ± 3.4 years for males and 10.7 ± 3.3 years for females, which did not show statistically significantly difference (males p  = 0.54 and females p  = 0.76). Our finding suggested a delay of 1.4 years for males and 1.2 years for females in the maturation of bone in achondroplasia patients. Difference between chronological age and RUS bone age was 0.9 ± 1.1 for <10 years and 1.6 ± 0.9 for >10 years in the study group, while 0.1 ± 1.1 for <10 years and −0.2 ± 0.6 for >10 years in the control group, which also showed >statistically significant difference (<10 years p  = 0.04 and >10 years p  < 0.0001). These differences indicate that there was a delay in the maturation of bones by 1 year in the group <10 years and 1.8 years in the group >10 years in achondroplasia patients compared to nonachondroplasia patients. Conclusion We recommend the use of the Tanner–Whitehouse 3 method especially the radius, ulna, short bone score to measure the skeletal age and to wait for a longer time before interventional procedures in achondroplasia patients.]]></description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-008-0544-2</identifier><identifier>PMID: 18629458</identifier><identifier>CODEN: SKRADI</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Achondroplasia - diagnostic imaging ; Achondroplasia - pathology ; Adolescent ; Age Determination by Skeleton - methods ; Biological and medical sciences ; Bone and Bones - diagnostic imaging ; Bone Development ; Child ; Child, Preschool ; Diseases of the osteoarticular system ; Female ; Humans ; Imaging ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Malformations and congenital and or hereditary diseases involving bones. Joint deformations ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Nuclear Medicine ; Orthopedics ; Osteoarticular system. Muscles ; Pathology ; Radiodiagnosis. Nmr imagery. 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The purpose of this investigation was to determine the differences in skeletal age in achondroplasia and a control population with the Tanner–Whitehouse 3 method using the RUS score and to determine the right age for the interventional procedure for limb lengthening procedure or deformity correction in these patients. Materials and methods Left hand radiographs of 34 patients (age range, 5–18 years) with achondroplasia were evaluated for skeletal age using the RUS scoring system, which were compared with the left hand radiographs of 41 patients (age range, 5–18 years) without achondroplasia measuring skeletal age. The difference in chronological age and RUS bone age were evaluated statistically according to gender and age group. Results In the achondroplasia group, chronological age were 10.5 ± 4.3 years for males and 10.1 ± 3.6 years for females and RUS bone age were 9.2 ± 4.0 years for males and 8.9 ± 3.4 years for females, which showed statistically significantly difference (males p  = 0.0003 and females p  < 0.0001), while in the control group, chronological age were 11.1 ± 2.9 years for males and 10.7 ± 3.4 years for females and RUS bone age were 11.2 ± 3.4 years for males and 10.7 ± 3.3 years for females, which did not show statistically significantly difference (males p  = 0.54 and females p  = 0.76). Our finding suggested a delay of 1.4 years for males and 1.2 years for females in the maturation of bone in achondroplasia patients. Difference between chronological age and RUS bone age was 0.9 ± 1.1 for <10 years and 1.6 ± 0.9 for >10 years in the study group, while 0.1 ± 1.1 for <10 years and −0.2 ± 0.6 for >10 years in the control group, which also showed >statistically significant difference (<10 years p  = 0.04 and >10 years p  < 0.0001). These differences indicate that there was a delay in the maturation of bones by 1 year in the group <10 years and 1.8 years in the group >10 years in achondroplasia patients compared to nonachondroplasia patients. Conclusion We recommend the use of the Tanner–Whitehouse 3 method especially the radius, ulna, short bone score to measure the skeletal age and to wait for a longer time before interventional procedures in achondroplasia patients.]]></description><subject>Achondroplasia - diagnostic imaging</subject><subject>Achondroplasia - pathology</subject><subject>Adolescent</subject><subject>Age Determination by Skeleton - methods</subject><subject>Biological and medical sciences</subject><subject>Bone and Bones - diagnostic imaging</subject><subject>Bone Development</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology</subject><subject>Radiodiagnosis. Nmr imagery. 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The purpose of this investigation was to determine the differences in skeletal age in achondroplasia and a control population with the Tanner–Whitehouse 3 method using the RUS score and to determine the right age for the interventional procedure for limb lengthening procedure or deformity correction in these patients. Materials and methods Left hand radiographs of 34 patients (age range, 5–18 years) with achondroplasia were evaluated for skeletal age using the RUS scoring system, which were compared with the left hand radiographs of 41 patients (age range, 5–18 years) without achondroplasia measuring skeletal age. The difference in chronological age and RUS bone age were evaluated statistically according to gender and age group. Results In the achondroplasia group, chronological age were 10.5 ± 4.3 years for males and 10.1 ± 3.6 years for females and RUS bone age were 9.2 ± 4.0 years for males and 8.9 ± 3.4 years for females, which showed statistically significantly difference (males p  = 0.0003 and females p  < 0.0001), while in the control group, chronological age were 11.1 ± 2.9 years for males and 10.7 ± 3.4 years for females and RUS bone age were 11.2 ± 3.4 years for males and 10.7 ± 3.3 years for females, which did not show statistically significantly difference (males p  = 0.54 and females p  = 0.76). Our finding suggested a delay of 1.4 years for males and 1.2 years for females in the maturation of bone in achondroplasia patients. Difference between chronological age and RUS bone age was 0.9 ± 1.1 for <10 years and 1.6 ± 0.9 for >10 years in the study group, while 0.1 ± 1.1 for <10 years and −0.2 ± 0.6 for >10 years in the control group, which also showed >statistically significant difference (<10 years p  = 0.04 and >10 years p  < 0.0001). These differences indicate that there was a delay in the maturation of bones by 1 year in the group <10 years and 1.8 years in the group >10 years in achondroplasia patients compared to nonachondroplasia patients. Conclusion We recommend the use of the Tanner–Whitehouse 3 method especially the radius, ulna, short bone score to measure the skeletal age and to wait for a longer time before interventional procedures in achondroplasia patients.]]></abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18629458</pmid><doi>10.1007/s00256-008-0544-2</doi><tpages>6</tpages></addata></record>
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subjects Achondroplasia - diagnostic imaging
Achondroplasia - pathology
Adolescent
Age Determination by Skeleton - methods
Biological and medical sciences
Bone and Bones - diagnostic imaging
Bone Development
Child
Child, Preschool
Diseases of the osteoarticular system
Female
Humans
Imaging
Investigative techniques, diagnostic techniques (general aspects)
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Osteoarticular system. Muscles
Pathology
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Radiology
Retrospective Studies
Scientific Article
title Deceleration in maturation of bone during adolescent age in achondroplasia—a retrospective study using RUS scoring system
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