Detection of early changes after growth plate injury using MRI

Masashi Nakase1, Wook-Cheol Kim1, Yoshinobu Oka1

  • 1Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Abstract

Insights

Growth plate injury size impacts physeal growth disturbance timing. Larger injuries in rabbits led to earlier and more severe growth disturbances, as shown by MRI and histology.

Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Radiology

Background:

  • Growth plate injuries can lead to physeal growth disturbances.
  • Understanding the relationship between injury size and disturbance onset is crucial for treatment and prognosis.

Purpose of the Study:

  • To investigate the association between the size of a growth plate injury and the onset of physeal growth disturbance.
  • To evaluate the utility of Magnetic Resonance Imaging (MRI) in assessing these changes.

Main Methods:

  • Thirty-two rabbits underwent tibial growth plate injuries of 3.0-mm or 1.2-mm diameter.
  • Serial MRI, histology, radiography, and microcomputed tomography (µCT) were performed over 12 weeks.
  • Control limbs were used for comparison.

Main Results:

  • MRI revealed significant growth plate reduction in non-injured regions by 10-12 weeks post-injury for both injury sizes.
  • Tibia length and growth plate height were significantly reduced in injured limbs compared to controls at 12 weeks.
  • Bony bridge formation was observed in all 3.0-mm injuries and 5/8 of 1.2-mm injuries.

Conclusions:

  • Growth plate injury size is associated with the timing of physeal growth disturbance.
  • Larger injuries may lead to earlier and more pronounced growth disturbances.