Albert M. Barrett, Adolf Meyer, E. E. Southard, R. L. Whitney, A. I. Noble, E. V. Scribner, Earl D. Bond, W. C. Sandy, C. A. Porteous, Charles Whitney Page, J. E. Wallace Wallin,
... Acromegaly with Diabetes, with Discussion of the Hypo-Physis-Tumors Found so Far, Personality and Outcome in ...
1913 - Gale Group | NCCO-STM 1of2
Johan Kärrholm, Lars Hansson, G. Selvik,
... metaphysis and the growth in the distal fibular physis was slower than that in the distal tibial physis. Growth arrest in the distal fibular physis and continued growth in the distal tibial physis resulted in distal displacement of the fibular metaphysis ... or more rapid growth in the proximal fibular physis than in the proximal tibial physis, or both. Valgus deformity of the ankle developed when the growth of the distal tibial physis exceeded the distal sliding of the fibula, as ... and orthoroentgenograms. Growth arrest in the distal tibial physis and continued growth in the distal fibular physis ...
Tópico(s): Bone fractures and treatments
1984 - Wolters Kluwer | Journal of Bone and Joint Surgery
A Olin, Craig Creasman, Frederic Shapiro,
... in the lateral aspect of the distal femoral physis of rabbits. Excision of a portion of the lateral part of the physis led consistently to formation of a bone bridge, ... no evidence of increased activity by the persisting physis to fill the defect or of differentiation of ... layer, cartilage similar to epiphyseal cartilage, and a physis. The graft included the physis and some overlying epiphyseal cartilage but the outermost ... measurements of length, and histological characteristics. The transplanted physis retained its normal morphology, united with the residual ...
Tópico(s): Hernia repair and management
1984 - Wolters Kluwer | Journal of Bone and Joint Surgery
... long-term sequelae, the bony growth plate, or physis, is a site of overuse injury that can ... is not known, stress-related injuries involving the physis have been described in a multiplicity of sports ... that, in some cases, stress injuries to the physis result in irreversible damage to bone growth.4, ... the zone of provisional calcification. Widening of the physis then develops as the chondrocytes continue to transition ... cartilaginous extension into the metaphysis. Widening of the physis may be seen radiographically, whereas physeal cartilage extension ...
Tópico(s): Shoulder Injury and Treatment
2010 - Lippincott Williams & Wilkins | Clinical Journal of Sport Medicine
Lutul D. Farrow, Vincent J. Alentado, Zakaria Abdulnabi, Allison Gilmore, Raymond W. Liu,
... patellofemoral ligament (MPFL) attachment to the distal femoral physis in skeletally immature cadaveric specimens. As such, there ... to the medial border of the distal femoral physis. Study Design: Descriptive laboratory study. Methods: Sixteen skeletally ... specimens, and the topography of the distal femoral physis was carefully described. Measurements were then taken of ... from the medial aspect of the distal femoral physis to the MPFL femoral attachment and the horizontal ... a femoral tunnel would intersect the undulating femoral physis. All measurements were made with digital calipers. Results: ...
Tópico(s): Total Knee Arthroplasty Outcomes
2014 - SAGE Publishing | The American Journal of Sports Medicine
Cordelia W. Carter, Sarah D. Bixby, Yi‐Meng Yen, Adam Y. Nasreddine, Mininder S. Kocher,
... been postulated that injury to the proximal femoral physis results in the formation of a cam lesion, ... study was to investigate the relationship between the physis and the cam lesion. Our hypotheses were that ( ... the distance between the cam lesion and the physis would vary as a function of skeletal maturity. ... angle, the distance between the cam lesion and physis, and physeal status. Linear mixed models were used ... average distance from the cam lesion to the physis was 0.07 cm. There was a significant ... the distance of the cam lesion to the physis.The location of the cam lesion occurs at ...
Tópico(s): Cardiac Valve Diseases and Treatments
2014 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
Kevin G. Shea, John D. Polousky, John C. Jacobs, Theodore J. Ganley, Stephen K. Aoki, Nathan L. Grimm, Shital N. Parikh,
... between the MPFL femoral origin footprint and femoral physis is unclear. The purpose of this study was ... origin footprint and its relationship to the femoral physis in skeletally immature anatomic specimens.Six skeletally immature ... MPFL footprint to the medial aspect of the physis were measured.The mean width of the MPFL ... footprint to medial aspect of the distal femoral physis was 0.90 cm (0.52 to 1. ... 00 to 0.86 cm) distal to the physis for groups A and B, respectively. The mean ... footprint to the medial aspect of the femoral physis was -0.55 cm (-0.28 to -1. ...
Tópico(s): Total Knee Arthroplasty Outcomes
2014 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
William J. Dahl, Selina Silva, Kelly L. Vanderhave,
... fracture type, displacement, the undulating nature of the physis, and fracture reduction/fixation. The purpose of this ... the position of percutaneous smooth pins across the physis contributes to physeal bar formation.The previously validated ... guidance from the distal lateral femur across the physis centrally. A second 0.045 K-wire was ... one of 2 positions: zone 1--crossing the physis centrally or zone 2--crossing the physis peripherally. Pins were removed after 4 weeks and ... is aimed to minimize further injury to the physis. Cross-pinning with smooth K-wires results in ...
Tópico(s): Hip and Femur Fractures
2013 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
Melinda Witbreuk, Folkert J. van Kemenade, J. A. van der Sluijs, Elise P. Jansma, Joost Rotteveel, Barend J. van Royen,
... femoral epiphysis (SCFE). The mechanical insufficiency of the physis in SCFE is thought to be the result of an abnormal weakening of the physis. However, the mechanism at the cellular level has ... of endocrine and metabolic factors acting on the physis, we performed a systematic review focussing on published ... on hormonal, morphological and cellular abnormalities of the physis in children with SCFE. In addition, we looked ... of the effects of endocrinopathies on the human physis which can lead to cause SCFE and focussed ...
Tópico(s): Connective tissue disorders research
2013 - SAGE Publishing | Journal of Children s Orthopaedics
Daniel J. Cepela, Jason P. Tartaglione, Timothy P. Dooley, Prerana Patel,
History Fractures involving the epiphyseal plate, or physis, are common musculoskeletal injuries occurring in children with open growth plates. These fractures represent between 15% and 18% of all pediatric fractures [13, ... to injury.Fig. 1: The histology of the physis with standard hematoxylin and eosin staining is shown. ... toward the metaphysis. The four zones of the physis and the surrounding fibrocartilaginous structures are shown. The ... Type I fracture is a separation through the physis. A Type II fracture enters in the plane ...
Tópico(s): Orthopedic Surgery and Rehabilitation
2016 - Lippincott Williams & Wilkins | Clinical Orthopaedics and Related Research
Kevin G. Shea, Alexandra C. Styhl, John C. Jacobs, Theodore J. Ganley, Matthew D. Milewski, Peter C. Cannamela, Allen F. Anderson, John D. Polousky,
... of concerns about iatrogenic damage to the femoral physis.To evaluate the relationship of the distal femoral physis and the MPFL.Descriptive laboratory study.In 15 ... the most medial aspect of the distal femoral physis was measured.The mean femoral width of the ... femoral MPFL midpoint was distal to the femoral physis in 11 specimens and proximal to the physis in 4 specimens. The most proximal portion of the MPFL femoral attachment extended above the medial physis in 7, was at the physis in 5, and was below the physis in ...
Tópico(s): Sports injuries and prevention
2016 - SAGE Publishing | The American Journal of Sports Medicine
Kevin G. Shea, W. Duncan Martinson, Peter C. Cannamela, Connor G. Richmond, Peter D. Fabricant, Allen F. Anderson, John D. Polousky, Theodore J. Ganley,
... and study its relationship to the distal femoral physis. Study Design: Descriptive laboratory study. Methods: Thirty-six ... view and to describe the distance from the physis to the femoral origin of the MPFL. Results: ... origin of the MPFL was distal to the physis. Thirteen of the 36 specimens had an MPFL origin at or proximal to the physis, with a more proximal MPFL origin consistently seen ... The distance of the MPFL origin to the physis ranged from 15.1 mm distal to the physis to 8.3 mm proximal to the physis. ...
Tópico(s): Total Knee Arthroplasty Outcomes
2017 - SAGE Publishing | The American Journal of Sports Medicine
Charlene Jones, Michael Wolf, Martin J. Herman,
... length discrepancy from complete growth disturbance of a physis, angular limb deformities from incomplete physeal closure, and ... A working knowledge of the anatomy of the physis and apophysis, evaluation and initial management of acute ... long bone covered in articular cartilage between the physis and the joint. (1) The physis, the growth plate itself, is the area of ... flared portion of the long bone between the physis and the shaft. Finally, the diaphysis is the ... end. (1)There are 4 zones within the physis. Moving from the epiphysis to the metaphysis, they ...
Tópico(s): Injury Epidemiology and Prevention
2017 - American Academy of Pediatrics | Pediatrics in Review
Produção Nacional
Revisado por pares
João Victor Novaretti, Jason J. Shin, Márcio Albers, Monique C. Chambers, Moisés Cohen, Volker Musahl, Freddie H. Fu,
... SI) patients, as the presence of an open physis may play a role in energy dissipation given ... injured knees: the first group with an open physis and the second with a closed physis. Additionally, based on the bone bruise distribution pattern, ... Overall, 106 patients were identified: 53 with open physis (skeletally immature [SI] group) and 53 with closed physis as control (skeletally mature [SM] group). MRI scans ... a) does not or (b) does cross the physis. For the tibia, if the bone bruise is ... group had significantly fewer bone bruises cross the physis and extend into the metaphysis than did the ...
Tópico(s): Sports injuries and prevention
2018 - SAGE Publishing | The American Journal of Sports Medicine
Alexa J. Karkenny, Brandon M. Tauberg, Norman Y. Otsuka,
... in the hypertrophic zone of the growth plate (physis). Figure 1 illustrates the anatomy of the physis and epiphysis. Factors that may contribute to this ... predispose an individual to increased stress across the physis, such as obesity, or decrease its resistance to ... metabolic derangements (ie, hypothyroidism) that inherently weaken the physis. (1) The pathogenesis of SCFE is likely multifactorial, ... and temporal factors.Increased shear forces across the physis may predispose individuals to slippage. (1)(3) Obese ...
Tópico(s): Neurogenetic and Muscular Disorders Research
2018 - American Academy of Pediatrics | Pediatrics in Review
Christopher R. Paradise, Catalina Galeano‐Garces, Daniela Galeano-Garces, Amel Dudakovic, Todd A. Milbrandt, Daniël B.F. Saris, Aaron J. Krych, Marcel Karperien, Gabriel B. Ferguson, Denis Evseenko, Scott M. Riester, André J. van Wijnen, A. Noelle Larson,
The physis is a well-established and anatomically distinct cartilaginous structure that is crucial for normal long-bone development and growth. Abnormalities in physis function are linked to growth plate disorders and ... diseases. Understanding the molecular pathways operative in the physis may permit development of regenerative therapies to complement ... generation RNA sequencing on mRNA isolated from human physis and other skeletal tissues (e.g., articular cartilage ... statistically significant enrichment of gene sets in the physis when compared to the other musculoskeletal tissues. Further ...
Tópico(s): Cancer-related gene regulation
2018 - Elsevier BV | Gene
Shital N. Parikh, Neil Rajdev,
... relationship between dysplastic trochlea and anterior distal femoral physis has not been established. The purpose of this ... bump would coincide with the anterior distal femoral physis and that the distance between them would increase ... included trochlear depth, trochlear bump size, proximal trochlea-physis distance, and trochlear bump-physis distance. Linear regression analyses were performed to correlate ... with trochlear dysplasia were included. The mean trochlea-physis distance was 4.50 mm (SD=1.93) ...
Tópico(s): Hip disorders and treatments
2018 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
Meghan E. Bishop, Sheena R. Black, Joseph Nguyen, Douglas N. Mintz, Beth Shubin Stein,
... the Schöttle point to the medial distal femoral physis among skeletally immature individuals with patellar instability.Descriptive ... slice on MRI showing the medial distal femoral physis. The distance was measured from this point to the most distal aspect of the physis.The mean age of the study cohort was ... The mean distance from the medial distal femoral physis to the Schöttle point was 7.27 ± 1. ... point was distal to the medial distal femoral physis in all cases. There was no significant correlation ... the Schöttle point and the medial distal femoral physis was shorter for females than for males (6. ...
Tópico(s): Total Knee Arthroplasty Outcomes
2019 - SAGE Publishing | Orthopaedic Journal of Sports Medicine
Kyle R. Sochacki, Kevin G. Shea, Kunal Varshneya, Marc R. Safran, Geoffrey D. Abrams, Joseph Donahue, Seth L. Sherman,
... medial patellofemoral ligament (MPFL) and the distal femoral physis has been reported in multiple studies. Purpose: To ... the distal femur to the medial distal femoral physis in skeletally immature participants. Study Design: Systematic review. ... and its relationship to the medial distal femoral physis in skeletally immature participants. Study methodological quality was ... from the MPFL origin to the distal femoral physis ranged from 3.7 mm proximal to the physis to 10.0 mm distal to the physis in individual studies. Six of 7 studies reported ...
Tópico(s): Sports injuries and prevention
2020 - SAGE Publishing | The American Journal of Sports Medicine
Joseph Featherall, Allan K. Metz, Devin L. Froerer, Reece Rosenthal, Alexander J. Mortensen, Justin J. Ernat, Travis G. Maak, Stephen K. Aoki,
... Schöttle point) relative to the distal medial femoral physis is not well defined. Previous studies provide conflicting ... the Schöttle point relative to the distal femoral physis.The Schöttle point would be consistently distal to the distal medial femoral physis.Descriptive laboratory study.The institutional picture archiving and ... the Schöttle point to the distal medial femoral physis.A total of 49 pediatric knee CT scans ... 3 years. Mean minimum distance from the medial physis to the Schöttle point was 9.9 ± 3. ...
Tópico(s): Knee injuries and reconstruction techniques
2022 - SAGE Publishing | The American Journal of Sports Medicine
Kevin G. Shea, John D. Polousky, John C. Jacobs, Theodore J. Ganley,
... and LCL femoral origin to the distal femoral physis, and the distance from the PCL insertion footprint midpoint to the proximal tibial physis were measured. Results: The mean distance from the ... origin footprint of the PCL to the femoral physis was 11.1 mm (range, 10.6 to ... 2 to 19.2 mm) distal to the physis for infants and children, respectively. The mean distance ... insertion footprint of the PCL to the tibial physis was 3.1 mm (range, 0.0 to ... 5 to 8.9 mm) proximal to the physis for infants and children, respectively. The mean width ...
Tópico(s): Shoulder Injury and Treatment
2014 - Wolters Kluwer | Journal of Bone and Joint Surgery
Ragnhild B Gunderson, Joachim Horn, Thomas Kibsgård, Leif Pål Kristiansen, Are Hugo Pripp, Harald Steen,
... treating leg-length inequality. Longitudinal growth in the physis is believed to stop almost immediately after the operation. The extent of physis ablation required has never been investigated by any ... also studied the correlation between the extent of physis ablation and postoperative growth. Finally, we assessed any bone bridging across the physis.6, 12, and 30 weeks after surgery, we ... surgery to measure the percentage of the ablated physis and to determine the distribution of bone bridges across the physis.RSA showed that growth rate was reduced to ...
Tópico(s): Hip disorders and treatments
2013 - Taylor & Francis | Acta Orthopaedica
Y Takemura, Narihito Kodama, Hiroaki Ueba, Kosei Ando, Kensaku Kuga, Shinji Imai,
... is indicated when less than 30% of the physis is damaged and more than 2 years of ... bar must be resected completely and the normal physis must remain undamaged. Computed tomography (CT) and magnetic ... At age 6, the boy had injured the physis of the right distal radius after a fall ... an area of low signal intensity in the physis that extended in the radioulnar direction (Fig. 1E). ... styloid, and the drill was passed into the physis along the physeal bar under navigation (Fig. 2A ; ... bone was penetrated on either side of the physis by drilling. However, there was likely to be ...
Tópico(s): Orthopedic Surgery and Rehabilitation
2018 - Elsevier BV | The Journal Of Hand Surgery
John G. Birch, John A. Herring, Dennis R. Wenger,
... and the relationship of overlying structures to the physis are vital in preparing for precise surgical excision ... proximal tibia, and distal tibia and fibula. The physis of the distal radius was found to be ... capsular attachment extended to the level of the physis anteriorly and posteriorly. The capsular attachment to the ... served as landmarks to the level of the physis. The physis of the proximal tibia was completely extracapsular. The posterior aspects of the physis and the metaphysis were obscured in the midline ...
Tópico(s): Orthopedic Surgery and Rehabilitation
1984 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
J.R. Kercher, John W. Xerogeanes, Allen Tannenbaum, Ramsey Al-Hakim, James C. Black, John X. Zhao,
... the native ACL. The module calculated volume of physis was removed with the use of an 8- ... Results: Average volume of the tibial and femoral physis was 12,683.1 μL and 14,708. ... Average volume removed from the tibial and femoral physis was 318.4 μL and 306.29 μL, ... This represented 2.4% of the distal femoral physis and 2.5% of the proximal tibial physis. The volume percent removed decreased linearly with age. ... distance of 20 mm from the proximal tibial physis was 65 degrees with a range of 40 ... when drilling an 8-mm tunnel across the physis. A vertical tunnel has minimal effect, but the ...
Tópico(s): Sports injuries and prevention
2009 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
Vidyadhar V. Upasani, Shyam Kishan, Richard Oka, Andrew Mahar, Michael T. Rohmiller, Maya E. Pring, Dennis R. Wenger,
... a function of screw thread distribution across the physis.In vitro biomechanical study.Thirty porcine proximal femurs ... 2, 3, 4, or 5 threads across the physis) and biomechanically tested to determine failure load (N) ... Femurs with 2 or 3 threads across the physis had a significantly greater load to failure and ... with 1, 4, or 5 threads across the physis (P < 0.05).Thread distribution across the physis seems to be important. When using screws with ... when greater than 80% of threads cross the physis. Too few threads in the epiphysis as well ...
Tópico(s): Bone fractures and treatments
2006 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
Sung Gyu Moon, Heung Sik Kang, Sung-Hwan Hong, Na Ra Kim, Joon Woo Lee, So Dug Lim,
... mm active tip was placed distal to the physis under fluoroscopic guidance. MRI, including T1- and T2- ... sequential changes in the ablated zone, the injured physis, and the nonablated portion of the physis were correlated between MRI features and histologic results. ... images, physial conspicuity was less in the injured physis than in the nonablated portion and less in ... thickness at microscopic examination. The thickness of the physis was less in the ablated than in the ... t test). The cartilage column of the injured physis was delaminated 2 weeks after treatment, and a ...
Tópico(s): Management of metastatic bone disease
2012 - American Roentgen Ray Society | American Journal of Roentgenology
Raymond W. Liu, Douglas G. Armstrong, Ari D. Levine, Allison Gilmore, George H. Thompson, Daniel R. Cooperman,
The anatomy of the undulating distal femoral physis may be relevant to growth disturbance after physeal fractures and screw fixation about the physis. The surface anatomy of this physis has not been well described.We performed an ... connecting the medial and lateral aspects of the physis, we found that the central peak passes more ... more posteriorly located. The lowest point of the physis is located either anteromedial or posterolateral.The central ... the 3 major undulations in the distal femoral physis. The central ridge has the greatest height and ...
Tópico(s): Orthopedic Surgery and Rehabilitation
2013 - Lippincott Williams & Wilkins | Journal of Pediatric Orthopaedics
David Bryson, Faiz Shivji, Kathryn R. Price, Dominik Ławniczak, J. Chell, James B. Hunter,
... distal bones (forearm and tibia).Proximity to the physis: 75% of angular remodeling takes place at the physis.2 Remodeling occurs with asymmetric bone growth characterised ... concave side of the deformity to align the physis perpendicular to the axis of the bone.3 ... to monitor the extent of the remodeling.Which physis is affected: growth is not uniform across all physes. The proximal humeral physis contributes to 80% of humeral growth and 20% occurs distally. The distal radial physis contributes 75% of radial longitudinal growth. In the ...
Tópico(s): Shoulder and Clavicle Injuries
2016 - British Editorial Society of Bone & Joint Surgery | Bone and Joint 360