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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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 |
format | Article |
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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
< 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 & Public Health ; Nuclear Medicine ; Orthopedics ; Osteoarticular system. Muscles ; Pathology ; Radiodiagnosis. Nmr imagery. Nmr spectrometry ; Radiology ; Retrospective Studies ; Scientific Article</subject><ispartof>Skeletal radiology, 2009-02, Vol.38 (2), p.165-170</ispartof><rights>ISS 2008</rights><rights>2009 INIST-CNRS</rights><rights>ISS 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-12661dbb4f33c80a60d7a4030b976b1413091c9d2a684b923c78cd092cbf72333</citedby><cites>FETCH-LOGICAL-c430t-12661dbb4f33c80a60d7a4030b976b1413091c9d2a684b923c78cd092cbf72333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-008-0544-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-008-0544-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21029737$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18629458$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Suk-Ha</creatorcontrib><creatorcontrib>Modi, Hitesh N.</creatorcontrib><creatorcontrib>Song, Hae-Ryong</creatorcontrib><creatorcontrib>Hazra, Sunit</creatorcontrib><creatorcontrib>Suh, Seung Woo</creatorcontrib><creatorcontrib>Modi, Chetna</creatorcontrib><title>Deceleration in maturation of bone during adolescent age in achondroplasia—a retrospective study using RUS scoring system</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description><![CDATA[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
< 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 & Public Health</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Osteoarticular system. Muscles</subject><subject>Pathology</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Scientific Article</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkd2K1TAUhYMozvHoA3gjQXDuqjs_TdpLGR0VBgR1rkOapGOHNqlJOnDwxofwCX0S0znFAUG8Cjt8a-2fhdBTAi8JgHyVAGgtKoCmgprzit5DO8IZrSgR5D7aARPlk_HmBD1K6RqASFmLh-iENIK2vG526PsbZ9zoos5D8HjweNJ52arQ4y54h-0SB3-FtQ2jS8b5jPWVW1ltvgZvY5hHnQb968dPjaPLMaTZmTzcOJzyYg94Sav80-VnnEy4tUqHlN30GD3o9Zjck-3do8vzt1_O3lcXH999OHt9URnOIFeECkFs1_GeMdOAFmCl5sCga6XoCCcMWmJaS7VoeNdSZmRjLLTUdL2kjLE9Oj36zjF8W1zKahrKHuOovQtLUkLImoCs_wtSUuwk4wV8_hd4HZboyxKKQkMk8Fs3coRMuUiKrldzHCYdD4qAWvNTx_xUyU-t-SlaNM8246WbnL1TbIEV4MUG6GT02EftzZD-cJQAbWWZcY_okUvzenEX7yb8d_ffRqmzzA</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Lee, Suk-Ha</creator><creator>Modi, Hitesh N.</creator><creator>Song, Hae-Ryong</creator><creator>Hazra, Sunit</creator><creator>Suh, Seung Woo</creator><creator>Modi, Chetna</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Deceleration in maturation of bone during adolescent age in achondroplasia—a retrospective study using RUS scoring system</title><author>Lee, Suk-Ha ; Modi, Hitesh N. ; Song, Hae-Ryong ; Hazra, Sunit ; Suh, Seung Woo ; Modi, Chetna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-12661dbb4f33c80a60d7a4030b976b1413091c9d2a684b923c78cd092cbf72333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Achondroplasia - diagnostic imaging</topic><topic>Achondroplasia - pathology</topic><topic>Adolescent</topic><topic>Age Determination by Skeleton - methods</topic><topic>Biological and medical sciences</topic><topic>Bone and Bones - diagnostic imaging</topic><topic>Bone Development</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Malformations and congenital and or hereditary diseases involving bones. Joint deformations</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Osteoarticular system. Muscles</topic><topic>Pathology</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Scientific Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Suk-Ha</creatorcontrib><creatorcontrib>Modi, Hitesh N.</creatorcontrib><creatorcontrib>Song, Hae-Ryong</creatorcontrib><creatorcontrib>Hazra, Sunit</creatorcontrib><creatorcontrib>Suh, Seung Woo</creatorcontrib><creatorcontrib>Modi, Chetna</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Suk-Ha</au><au>Modi, Hitesh N.</au><au>Song, Hae-Ryong</au><au>Hazra, Sunit</au><au>Suh, Seung Woo</au><au>Modi, Chetna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deceleration in maturation of bone during adolescent age in achondroplasia—a retrospective study using RUS scoring system</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>38</volume><issue>2</issue><spage>165</spage><epage>170</epage><pages>165-170</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><coden>SKRADI</coden><abstract><![CDATA[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
< 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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