Pattern of Closure of the Proximal Femoral and Tibial Epiphyses in Man

Dvonch, Victoria; Bunch, Wilton H.

doi:10.1097/01241398-198309000-00015

Cited by 32 publications

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“…In addition, we classified all of our patients into a new classification system (type A-tubercle youth, type Bphyseal, type C-intra-articular, type D-tubercle teen) based on a combination of plain radiograph (anteroposterior and lateral), advanced imaging (CT/MRI), and intraoperative arthrotomy/arthroscopy findings. [13][14][15][16][17] Concurrently, the physis of the tibial tubercle is also closing in a proximal to distal direction (Fig. Injuries mostly occurred during jumping activities.…”

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confidence: 99%

“…We hypothesize that the utilization of plain lateral radiographs (ie, Ogden classification) alone in the assessment of tibial tubercle fractures underestimates the extent of injury. [13][14][15][16][17][18] METHODS This was a retrospective review examining operatively treated tibial tubercle fractures in 40 consecutive patients (41 fractures) at our institution from 2003 to 2010. 10 A B C FIGURE 2.…”

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confidence: 99%

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Tibial Tubercle Fractures

Pandya¹,

Edmonds

Roocroft

et al. 2012

Journal of Pediatric Orthopaedics

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confidence: 99%

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confidence: 99%

Tibial Tubercle Fractures

Pandya¹,

Edmonds

Roocroft

et al. 2012

Journal of Pediatric Orthopaedics

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“…Moreover, the vessels prior to the terminal vasculature showed a tangled structure in the proximal femur, but ran in straight lines in the distal femur and proximal tibia. In the femur, 70% and 30% of bone development in the longitudinal direction occurs in the distal and proximal parts respectively [4,12,14]. In the tibia, the proportion is 40% and 60%.…”

Section: Discussionmentioning

confidence: 92%

Structural changes in blood vessels entering the growth plate during growth in rats

Komuta

Hirano

Iwasaki

1998

International Orthopaedics

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Summary. We observed the structural changes in blood vessels entering the growth plates of the femur and tibia of rats during growth using scanning electron microscopy. The penetrating vessels had blind endings which were bulbous at a time when rats showed rapid skeletal development. With subsequent slowing of development, the density of the vessels decreased and the blind endings became short stumps. These changes were more prominent in the proximal femur than in the distal femur and proximal tibia. The present study indicates an intimate relation between endochondral ossification in the growth plate and the structure of the penetrating vessels.Re Âsume Â. En utilisant la microscopie e Âlectronique a Á balayage les auteurs ont fait l'e Âtude ultrastructurale des vaisseaux sanguins entrant dans les plaques de croissance des fe Âmurs et des tibias chez des rats pendant la croissance. Les vaisseaux perforants avaient des boucles terminales de structure bulbeuse quand le de Âveloppement squelettique des rats e Âtait intense. Avec le de Âclin du de Âveloppement, la densite Â des vaisseaux a diminue Â avec des terminaisons en moignon. Ces changements ont e Âte Â plus marque Âs au fe Âmur proximal qu'au fe Âmur distal et au tibia proximal. Cette e Âtude montre un rapport intime entre l'ossification enchondrale des plaques de croissance et la structure des vaisseaux perforants.

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“…In 1980 Ogden et al [12] suggested that the physis of the proximal tibia closes centrally followed by a centrifugal directed closure [13], while Dvonch et al [14] reported that the physeal closure starts anteromedially and proceeds posteriorly. The pattern of our proximal tibial triplane fracture suggests that the physeal closure starts anteromedially, as reported by Dvonch et al [14], and it is likely that final physeal closure is completed in the posteromedial to the anterolateral direction.…”

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confidence: 98%

The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature

Hermus¹,

Driessen²,

Mulder³

et al. 2003

Journal of Pediatric Orthopaedics B

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A rare case of tibial apophyseal fracture with extension in the antero-lateral physis and epiphysis in a 17-year-old boy is described. This type of fracture, which can be associated with intra-articular lesions and lesions of the extensor mechanism, resembles the better known distal tibial triplane fracture. Arthroscopic controlled anatomic reduction with restoration of the articular surface was achieved.

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Pattern of Closure of the Proximal Femoral and Tibial Epiphyses in Man

Cited by 32 publications

References 0 publications

Tibial Tubercle Fractures

Tibial Tubercle Fractures

Structural changes in blood vessels entering the growth plate during growth in rats

The triplane variant of the tibial apophyseal fracture: a case report and a review of the literature

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