Hand Bone Age.pdf

V. Gilsanz /O. Ratib · Hand Bone Age

Vicente Gilsanz · Osman Ratib

Hand Bone Age

A Digital Atlas of Skeletal Maturity

With 88 Figures

Vicente Gilsanz, M.D., Ph.D.

Department of Radiology

Childrens Hospital Los Angeles

4650 Sunset Blvd., MS#81

Los Angeles, CA 90027

Osman Ratib, M.D., Ph.D.

Department of Radiology

David Geffen School of Medicine at UCLA

100 Medical Plaza

Los Angeles, CA 90095

This eBook does not include ancillary media that was packaged with the

printed version of the book.

ISBN 3-540-20951-4 Springer-Verlag Berlin Heidelberg New York

Library of Congress Control Number: 2004114078

This work is subject to copyright. All rights are reserved, whether the whole or part of the

material is concerned, specifically the rights of translation, reprinting, reuse of illustrations,

recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data

banks. Duplication of this publication or parts thereof is permitted only under the provisions

of the German Copyright Law of September 9, 1965, in its current version, and permission for

use must always be obtained from Springer-Verlag. Violations are liable to prosecution under

the German Copyright Law.

Springer-Verlag Berlin Heidelberg New York

Springer is a part of Springer Science+Business Media

http://www.springeronline.com

A Springer-Verlag Berlin Heidelberg 2005

Printed in Germany

The use of general descriptive names, registered names, trademarks, etc. in this publication

does not imply, even in the absence of a specific statement, that such names are exempt from

therelevantprotectivelawsandregulationsandthereforefreeforgeneraluse.

Product liability: The publishers cannot guarantee the accuracy of any information about the

application of operative techniques and medications contained in this book. In every individu-

al case the user must check such information by consulting the relevant literature.

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Typesetting: FotoSatz Pfeifer GmbH, D-82166 Gräfelfing

Printedonacid-freepaper–21/3150–54 3210

Table of Contents

Introduction ................................................. 1

Bone Development ............................................ 2

ClinicalApplicationsforSkeletalDeterminations .................. 3

ConventionalTechniquesforSkeletalDeterminations .............. 5

ComputerAssistedTechniquesforSkeletalDeterminations.......... 8

Indicators of Skeletal Maturity in Children and Adolescents ........ 9

Infancy...................................................... 10

Toddlers..................................................... 11

Pre-puberty.................................................. 12

EarlyandMid-puberty ........................................ 14

LatePuberty ................................................. 15

Post-puberty................................................. 16

Digital Bone Age Atlas ......................................... 18

Subjects ..................................................... 18

MethodsandTechniques....................................... 18

ValidationofStandardsandTechnique........................... 21

Software User Manual ......................................... 23

SoftwareInstallation .......................................... 25

Reference Images

Boys ........................................................ 35

Girls ........................................................ 64

Tables ....................................................... 93

References ................................................... 96

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