Parent-Child Similarities in Hand-Wrist Ossification

Stanley Marion Garn

31 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Forensic Anthropology and Bioarchaeology Studies Human Health and Disease Congenital limb and hand anomalies

Abstract

Ever since the advent of radiology, ossification of the hand and wrist has been used as a measure of maturational status. This was true for the original Wilms atlas of skeletal maturation published in 1902,1and it has remained true for the more recent atlases of Flory,2Todd,3and both editions of Greulich and Pyle.4,5 Over the years, however, a few workers have called attention to familial patterns of ossification that complicate the interpretation of hand-wrist radiographs. Pryor, in particular, observed similarities in the ossification sequence of siblings.6,7Several reports from the Fels Research Institute have stressed family-line similarities in both ossification timing and ossification patterning.8-10We have previously described a familial syndrome involving the disproportionately late appearance of a cluster of carpal centers11-12and have demonstrated twin similarities in both the sequences of hand ossification and epiphyseal union.13-14Recently, we have been able to extend our observations

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References

1959RADIOGRAPHIC ATLAS OF SKELETAL DEVELOPMENT OF THE HAND AND WRIST 1936Osseous Development in the Hand as an Index of Skeletal Development 1960Variability in the order of ossification of the bony centers of the hand and wrist 1961Complete epiphyseal union of the hand 1961A Longitudinal Study of Skeletal Maturation 1943The effect of illness and other factors on the appearance pattern of skeletal epiphyses 1959Communalities of the ossification centers of the hand and wrist

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1980Ossification in the hand and foot of the pigtail macaque (Macaca nemestrina). II. Order of appearance of centers and variability in sequence 2015Bone age assessment with conventional ultrasonography in healthy infants from 1 to 24 months of age 1969Apparent influence of the X chromosome on timing of 73 ossification centers 1970Variability of postnatal ossification timing and evidence for a “dosage” effect 1966“Communalities” in the ossification timing of the growing foot 2018Ultrasonography in determining pubertal growth and bone age

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