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Hand Growth Plates

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1. Hand Growth Plates

Hand Growth Plates Hand Growth Plates Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hand Growth Plates Hand Growth Plates Aka: Hand (...) Growth Plates , Hand Ossification Centers , Hand Epiphyseal Lines II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hand Growth Plates." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Anatomy About FPnotebook.com is a rapid access, point-of-care medical reference for primary care

2018 FP Notebook

2. Physeal Bar Resection Under Guidance With a Navigation System and Endoscopy for Correction of Distal Radial Deformities After Partial Growth Plate Arrest. (Abstract)

Physeal Bar Resection Under Guidance With a Navigation System and Endoscopy for Correction of Distal Radial Deformities After Partial Growth Plate Arrest. Partial growth plate arrest caused by trauma may lead to severe deformity and dysfunction. The Langenskiöld method is a surgical technique that involves resection of the physeal bar causing partial growth plate arrest. However, it is a technically demanding procedure. We used the Langenskiöld method under guidance with a navigation system (...) and endoscopy and obtained good results in 2 cases. We consider that use of these tools can be a helpful adjunct to the carrying out this procedure.Copyright © 2018 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2018 Journal of Hand Surgery - American

3. Systematic assessment of the growth plates of the wrist in young gymnasts: development and validation of the Amsterdam MRI assessment of the Physis (AMPHYS) protocol Full Text available with Trip Pro

Systematic assessment of the growth plates of the wrist in young gymnasts: development and validation of the Amsterdam MRI assessment of the Physis (AMPHYS) protocol To develop and validate a protocol for MRI assessment of the distal radial and ulnar periphyseal area in gymnasts and non-gymnasts.Twenty-four gymnasts with wrist pain, 18 asymptomatic gymnasts and 24 non-gymnastic controls (33 girls) underwent MRI of the wrist on a 3T scanner. Sequences included coronal proton density-weighted (...) images with and without fat saturation, and three-dimensional water-selective cartilage scan and T2 Dixon series. Skeletal age was determined using hand radiographs. Three experienced musculoskeletal radiologists established a checklist of possible (peri)physeal abnormalities based on literature and clinical experience. Five other musculoskeletal radiologists and residents evaluated 30 MRI scans (10 from each group) using this checklist and reliability was determined using the intraclass correlation

2018 BMJ Open Sport — Exercise Medicine

4. Retinoic acid regulates cell-shape and -death of E-FABP (FABP5)-immunoreactive septoclasts in the growth plate cartilage of mice Full Text available with Trip Pro

Retinoic acid regulates cell-shape and -death of E-FABP (FABP5)-immunoreactive septoclasts in the growth plate cartilage of mice Septoclasts, which are mononuclear and spindle-shaped cells with many processes, have been considered to resorb the transverse septa of the growth plate (GP) cartilage at the chondro-osseous junction (COJ). We previously reported the expression of epidermal-type fatty acid-binding protein (E-FABP, FABP5) and localization of peroxisome proliferator-activated receptor (...) (PPAR)β/δ, which mediates the cell survival or proliferation, in septoclasts. On the other hand, retinoic acid (RA) can bind to E-FABP and is stored abundantly in the GP cartilage. From these information, it is possible to hypothesize that RA in the GP is incorporated into septoclasts during the cartilage resorption and regulates the growth and/or death of septoclasts. To clarify the mechanism of the cartilage resorption induced by RA, we administered an overdose of RA or its precursor vitamin A (VA

2017 Histochemistry and cell biology

5. No Growth Disturbance After Trochleoplasty for Recurrent Patellar Dislocation in Adolescents With Open Growth Plates. (Abstract)

No Growth Disturbance After Trochleoplasty for Recurrent Patellar Dislocation in Adolescents With Open Growth Plates. Trochlear dysplasia is the most important risk factor for patellofemoral instability among adolescents; therefore, trochleoplasty to reshape the trochlear groove is the treatment of choice for patients with high-grade trochlear dysplasia. However, in the presence of open growth plates, there is a potential risk of injury to the distal femoral growth plate and subsequent growth (...) disturbance. As such, most authors do not recommend trochleoplasty for skeletally immature patients. The effect of trochleoplasty on femoral growth when performed before closure of the distal femoral physis remains unclear.For patients with open growth plates and an expected growth <2 years, trochleoplasty does not cause growth disturbance of the distal femur.Case series; Level of evidence, 4.Eighteen consecutive adolescents (18 knees) with open physes and severe trochlear dysplasia underwent thin flap

2018 American Journal of Sports Medicine

6. Effect of Long-Term Diving on the Morphology and Growth of the Distal Radial Epiphyseal Plate of Young Divers: A Magnetic Resonance Imaging Study. (Abstract)

radial epiphyseal plate injury were observed in 20 divers (20/38, 52.63%). The incidence of injury to the right hand was higher than that for the left (P = 0.009). There were statistically significant differences (P = 0.000) among the 3 groups in terms of epiphyseal plate thickness; group A > group B > group C.Distal radial epiphyseal plate injury is common in divers, and more injuries are seen in the right hand. Moreover, growth of the radius was impaired in divers relative to controls. We consider (...) Effect of Long-Term Diving on the Morphology and Growth of the Distal Radial Epiphyseal Plate of Young Divers: A Magnetic Resonance Imaging Study. To investigate the effects of long-term diving on the morphology and growth of the distal radial epiphyseal plate in young divers.Cohort study.Guangzhou Sport University.Thirty-eight professional divers, aged 10 to 17 years, and 25 age-matched volunteers.Each subject received a physical examination at the beginning of the study and underwent

2019 Clinical Journal of Sport Medicine

7. Hand Growth Plates

Hand Growth Plates Hand Growth Plates Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Hand Growth Plates Hand Growth Plates Aka: Hand (...) Growth Plates , Hand Ossification Centers , Hand Epiphyseal Lines II. Anatomy Lewis (1918) Gray's Anatomy 20th ed (in at or ) Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Hand Growth Plates." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Anatomy About FPnotebook.com is a rapid access, point-of-care medical reference for primary care

2015 FP Notebook

8. AACE/ACE Guidelines for Management of Growth Hormone Deficiency in Adults and Patients Transitioning from Pediatric to Adult Care

AACE/ACE Guidelines for Management of Growth Hormone Deficiency in Adults and Patients Transitioning from Pediatric to Adult Care ENDOCRINE PRACTICE Vol 25 No. 11 November 2019 1191 Copyright © 2019 AACE AACE 2019 Guidelines AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY GUIDELINES FOR MANAGEMENT OF GROWTH HORMONE DEFICIENCY IN ADULTS AND PATIENTS TRANSITIONING FROM PEDIATRIC TO ADULT CARE 2019 AACE GROWTH HORMONE TASK FORCE Kevin C. J. Yuen, MD, FRCP (...) (no clinical evidence). Conclusion: This CPG is a practical tool that prac- ticing endocrinologists and regulatory bodies can refer to regarding the identification, diagnosis, and treatment of adults and patients transitioning from pediatric to adult- care services with growth hormone deficiency (GHD). It provides guidelines on assessment, screening, diagnostic testing, and treatment recommendations for a range of individuals with various causes of adult GHD. The recom- mendations emphasize the importance

2019 American Association of Clinical Endocrinologists

9. CRACKCast E050 – Orthopedics – Hand Injuries

on imaging, as well as joint widening and sometimes sesmoid bones in the joint space. Injury of the volar plate mandates consultation with a hand surgeon CMC + MCP dislocation Again, uncommon injury. Most commonly index finger, next most common little finger Simple – joint hyperextended, joint surfaces may appear to be in contact on imaging Closed reduction with appropriate analgesia: flex wrist (relaxes flexor tendons), firm pressure over dorsum of proximal phalanx Complex – as above, volar plate (...) -160 days If the nail bed isn’t properly repaired accurately granulation tissue will impede smooth nail growth Fingertip amputations Zone I: proximal ⅔ of the nail bed is preserved, no bony involvement Zone II: exposed bone Zone III: entire nailbed is lost Important: maintain thumb length in any way possible: Refer these to a hand surgeon, don’t rongeur or trim tissue. Index is the next most important digit – want to be able to preserve pulp-to-pulp pinch if possible Consider age, occupation

2016 CandiEM

10. Influence of surface geometry on the culture of human cell lines: A comparative study using flat, round-bottom and v-shaped 96 well plates. Full Text available with Trip Pro

this approach to a cell culture study is limited by the need to provide an accurate, in vitro-like, microenvironment in conjunction with a low cost and high-throughput screening (HTS) methodology. Although the geometry and/or alignment of cells has been reported to have a profound influence on cell growth and differentiation, only a handful of studies have directly compared the growth of a single cell line on different shaped multiwell plates the most commonly used substrate for HTS, in vitro, studies (...) . Herein, the impact of various surface geometries (flat, round and v-shaped 96 well plates), as well as fixed volume growth media and fixed growth surface area have been investigated on the characteristics of three commonly used human cell lines in biopharmaceutical research and development, namely ARPE-19 (retinal epithelial), A549 (alveolar epithelial) and Malme-3M (dermal fibroblastic) cells. The effect of the surface curvature on cells was characterised using a combination of a metabolic activity

2017 PLoS ONE

11. Microbial counts in hands with and without nail varnish after surgical skin preparation: a randomized control trial. (Abstract)

and had both hands tested 1 week later. There was no significant difference in terms of positive microbial growth between the nail plates or hyponichia with or without nail varnish applied. Our results demonstrate that the presence of nail varnish does not have an effect on the microbial counts of hands following surgical skin preparation.I. (...) Microbial counts in hands with and without nail varnish after surgical skin preparation: a randomized control trial. Nail varnish is commonly removed from fingernails prior to surgical procedures. We report the results of a randomized controlled trial comparing the microbial counts in hands with and without nail varnish applied, following surgical skin preparation. Forty-three patients were randomized; three patients were lost to follow-up. Each patient had one hand painted with nail varnish

2018 Journal of Hand Surgery - European Controlled trial quality: uncertain

12. Clinical and Radiological Outcomes of Centralization of Radial Club Hand

osteotomy to correct the bow, along with splitting of the distal ulna for insertion of the carpus. Reconstruction of the radius with a bone graft to support the carpus was reported in the 1920s, and non-vascularized epiphyseal transfer was reported in 1945. Results of these procedures were disappointing. They had multiple causes of failure, including disruption of the ulnar growth plate and subsequent increase in limb-length discrepancy, inadvertent ankylosis or arthrodesis of the wrist and loss (...) of motion, and failure of the transplanted bone to grow, with eventual loss of radial support. Centralization of the carpus on the distal ulna has emerged as the preferred surgical technique for correcting radial clubhand.in 1893, Sayre described it consisting of seating the distal ulna into a surgically created carpal notch. Pioneers in congenital hand surgery developed the basis for this procedure. Numerous modifications have been described to obtain or maintain correction of the wrist on the ulna

2018 Clinical Trials

13. Reverse total shoulder versus angular stable plate treatment for proximal humeral fractures in over 65 years old patients Full Text available with Trip Pro

Reverse total shoulder versus angular stable plate treatment for proximal humeral fractures in over 65 years old patients Treatment for displaced proximal humeral fractures is still under debate. Poor rotator cuff status and non-union of the tubercles in elderly patients has caused reversed total shoulder prosthesis growing popularity and showed promising results, even in comparison to angular stable plates fixation.The purpose of this study is to report clinical and radiological results (...) °, modal Internal rotation hand at Sacroiliac joint, Constant Score 52.9 and Simple Shoulder Test 8.0. RSA: Flexion 133.3°, Abduction 101.4°, External rotation at 90° of abduction 35.5°, modal Internal rotation hand at waist (L3), Constant Score 65.9 and Simple Shoulder Test 9.2. No nerve injuries were reported. No cases of pseudoarthrosis or plate fractures. No arthroplasty implant loosening, infection or dislocation was documented and revision required.Our study shows good clinical outcomes and fewer

2017 Muscles, ligaments and tendons journal

14. Acute Hand and Wrist Trauma

is especially useful in evaluating hand soft-tissues injuries, including the collateral ligaments, volar plates, tendons, and pulleys. For metacarpal and digital fractures, MRI is usually not indicated during acute injury [22]. There is no evidence to support the use of MRI with IV contrast in the setting of acute hand and wrist trauma. US Area of Interest US may have a limited utility for evaluating bone injuries. Christiansen et al [28] reported 47% sensitivity and 61% specificity of US for the detection (...) Acute Hand and Wrist Trauma Revised 2018 ACR Appropriateness Criteria ® 1 Acute Hand and Wrist Trauma American College of Radiology ACR Appropriateness Criteria ® Acute Hand and Wrist Trauma Variant 1: Acute blunt or penetrating trauma to the hand or wrist. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography area of interest Usually Appropriate Varies CT area of interest with IV contrast Usually Not Appropriate Varies CT area of interest without and with IV

2013 American College of Radiology

15. Current Concepts in Radial Club Hand Full Text available with Trip Pro

, we should pay attention of the radial protrusion of the ulnar head. For avoiding the recurrence of radial deformity or circulatory impairment, gradual correction using Ilizarov external fixation can be indicated, especially in the cases with severe radial deviation or with short forearm. In the mild cases, Bayne Type I or Type II, radius lengthening is accompanied by a soft-tissue distraction or release at the ulnar carpal joint with keeping wrist and forearm motion without producing growth plate (...) Current Concepts in Radial Club Hand Radial club hand is a complex congenital abnormality of the radial or pre-axial border of the upper extremity. It has a wide range of phenotypes from hypoplasia of the thumb to complete absence of the radius and the first ray. Centralization with tendon transfer is a popular method for maintaining the correct position of radial club hand. On the other hand, various corrections were devised, e.g. radialization after distraction to emphasize the fact

2017 The open orthopaedics journal

16. Growth Plate (Physeal) Fractures (Follow-up)

of pediatric stubbed great toe. Growth plate (physeal) fractures. Clinical appearance of pediatric stubbed great toe. Note subungual hematoma, representative of open fracture. In the great toe (or, at times, the lesser toes), this injury has been termed a Pinckney fracture or Pinckney lesion. [ ] In the hand, such fractures of the terminal phalanx may be called Seymour fractures. [ ] Previous Next: Treatment of Physeal Fractures in Upper Extremity Proximal humerus fractures Proximal humerus fractures have (...) Growth Plate (Physeal) Fractures (Follow-up) Growth Plate (Physeal) Fractures Treatment & Management: Approach Considerations, Nonoperative Therapy, Options for Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

17. Growth Plate (Physeal) Fractures (Treatment)

of pediatric stubbed great toe. Growth plate (physeal) fractures. Clinical appearance of pediatric stubbed great toe. Note subungual hematoma, representative of open fracture. In the great toe (or, at times, the lesser toes), this injury has been termed a Pinckney fracture or Pinckney lesion. [ ] In the hand, such fractures of the terminal phalanx may be called Seymour fractures. [ ] Previous Next: Treatment of Physeal Fractures in Upper Extremity Proximal humerus fractures Proximal humerus fractures have (...) Growth Plate (Physeal) Fractures (Treatment) Growth Plate (Physeal) Fractures Treatment & Management: Approach Considerations, Nonoperative Therapy, Options for Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Surgery

18. Use of an Iliac Crest Growth Plate for the Development of a Neo-articulation for Congenital Transverse Deficiencies at the Wrist. (Abstract)

Use of an Iliac Crest Growth Plate for the Development of a Neo-articulation for Congenital Transverse Deficiencies at the Wrist. Terminal congenital transverse deficiencies of the wrist and hand are rare malformations. They are usually treated with prosthetic devices. We describe here a surgical technique to create a neo-articulation that could provide mobility distal to the forearm and help children with terminal transverse deficiencies use orthotic devices.This procedure involved (...) procedure does not restore limb length, but does add a new functional ability.Therapeutic IV.Copyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2012 Journal of Hand Surgery - American

19. Why Do Toenails Grow More Slowly Than Fingernails?

growth vary? Anyone who has ever had to wait as a broken toenail gradually grows in, treated a toe fungus, or gotten a mani-pedi is familiar with this difference, but not many have taken the time to quantify it. Luckily, scientists have. Fingernails grow a little over twice as quickly as toenails: an average rate of 3.47 mm/month compared to 1.62 mm/month [1]. Nails evolved from claws about 55 million years ago, and are one of the features that distinguish primates [2]. Analysis of the amino acid (...) trunks, fingernails allowed early primates to grasp terminal tree branches and modern man to tap on a smart screen [5]. Nails grow continuously throughout life and are composed primarily of keratin, a protein also found in hair, claws, and hooves [6]. This forms a hard nail plate attached to a soft nail bed and is surrounded on three sides by dermal nail folds for stability [3]. As new nail plate cells form from the matrix epithelium at the base of the nail, the older nail cells are pushed forward

2014 Clinical Correlations

20. The prevalence of pseudoepiphyses in the metacarpals of the growing hand. (Abstract)

The prevalence of pseudoepiphyses in the metacarpals of the growing hand. Normally the metacarpals have an epiphysis at one end--distally for the second to fifth and proximally for the first. Pseudoepiphyses are notches or clefts that occur at the non-epiphyseal ends of bones where an epiphyseal plate would be expected and are common incidental findings in the metacarpals of the growing hand. We aimed to identify the prevalence of pseudoepiphyses on serial radiographs of 610 healthy

2012 Journal of Hand Surgery - European

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