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Gender-specific pattern differences of the ossification centers in the pediatric elbow
Bijal Patel1, Martin Reed, Shamir Patel
1Department of Radiology, University of Manitoba, Winnipeg, Canada. bpatel03@hotmail.com
Pediatric Radiology
|January 7, 2009
Summary
Elbow ossification centers appear and fuse earlier in females, though the age ranges are broad for both sexes. This knowledge aids in interpreting pediatric elbow radiographs, especially after injury.
Area of Science:
- Pediatric Radiology
- Skeletal Development
- Orthopedic Imaging
Background:
- Limited research exists on elbow ossification timing.
- Understanding ossification sequences and gender differences is crucial for accurate radiographic assessment in children.
Purpose of the Study:
- To determine the sequence and age ranges for the appearance and fusion of elbow ossification centers.
- To identify potential gender-based differences in these developmental milestones.
Main Methods:
- Prospective analysis of 412 pediatric elbow radiograph sets.
- Evaluation by a single experienced pediatric radiologist.
- Inclusion of children aged 2 months to 17 years.
Main Results:
- Ossification centers appeared and fused earlier in females, except for the capitellum.
- The sequence of appearance and fusion was consistent between genders.
- The radial head and medial epicondyle appeared concurrently in girls, with a trend for earlier radial head appearance in boys.
Conclusions:
- Elbow ossification centers generally appear and fuse earlier in females.
- Wide normal age ranges exist for both appearance and fusion in both sexes.
- Findings support earlier skeletal maturation in females.
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