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The distal radius and ulna classification in assessing skeletal maturity: a simplified scheme and reliability
Jason Pui Yin Cheung1, Dino Samartzis, Prudence Wing Hang Cheung
1Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong, Special Administrative Region, China.
Abstract:
The aim of this study is to simplify the distal radius and ulna classification for practical use and to test its reliability. This was a prospective single-center study of patients with juvenile and adolescent idiopathic scoliosis. Left-hand radiographs were retrieved for measurements by three examiners. Reliability analysis was carried out by intraclass correlation. 34 females and 16 males were recruited, mean age 12.7 years (±SD 1.7). The grades varied from R4-R11 to U1-U9. There was strong to near-perfect intraclass correlation. This study concludes that the simplified distal radius and ulna classification is a reliable tool for assessment of skeletal maturity.
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