Hand Wrist Flashcards
Most frequent used method inevaluating skeletal age from hand-wrist radiograph is ?
Atlas of greulich and pyle
Orthodontic and orthopedic diagnosis and treatment planning
Orthopedic intervention
Orthodontic therapy
Orthognathic surgery
Combination
Standard hand and wrist film
Todd, followed by greulick and pyle (1959)
8 development stages maturation of bones of the hand (9-17yrs)
Bjork (1972)
6 ossification centers to detine skeletal age more accurately
Grave and brown (1976)
Skeletal maturation assessment during adolescence
Fishman (1982)
5 stages of MP3 growth, based on epiphyseal changes
Hagg and taranger (1980)
What is the most important piece of information in hand-wrist radiograph
Sex
How many stage is julian singer’smethod of assesment and describe each
6 stage
- early
-prepubertal - pubertal onset
- pubertal
- pubertal deacceleration
- growth completion
What stage
Absence of pisiform, hook of hamate and epiphysis of proximal phalanx of 2nd finger being narrower than its diaphysis
Stage 1 early
What stage
Initial ossificaiton of hook of hamate, pisiform and proximal phalanx of 2nd finger being equal to its epiphysis
Prepubertal stage 2
What stage
Beginning of calcification of ulnar sesamod, increased width of epiphysis of proximal phalanx of 2nd finger and increased calcification of hook of hamate and pisiform
Stage 3 pubertal onset
What stage
Calcified ulnar sesamoid and capping of diaphysis of middle phalanx of 3rd finger by its epiphysis
Stage. Pubertal
What stage
Calcified ulnar seasmoid, fusion of epiphysis of distal phalanxof the 3rd finger with its shaft, and epiphysis of radius and ulnar not fully fused with respective shafts
Pubertal deacceleration
What stage
No remanining growth sites seen
Stage 6 growth completion
