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Epiphyseal clefts.

R B Harrison, T E Keats

    Skeletal Radiology
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Defects in growing bone epiphyses, often seen before puberty, typically affect the great toe but can occur elsewhere. These bone defects usually resolve on their own by late puberty.

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    Area of Science:

    • Orthopedics
    • Pediatric bone development
    • Skeletal abnormalities

    Background:

    • Epiphyseal defects are observed in growing bones, typically appearing before puberty.
    • The basal epiphysis of the great toe is the most frequent location for these defects.
    • Similar epiphyseal defects have been noted in various other skeletal sites.

    Purpose of the Study:

    • To describe the characteristics and common locations of epiphyseal defects.
    • To investigate the potential association of these defects with trauma.
    • To understand the natural history and resolution patterns of these bone abnormalities.

    Main Methods:

    • Observational study analyzing radiographic and clinical data.
    • Review of cases presenting with epiphyseal defects.

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  • Documentation of defect location, appearance, and patient age at presentation.
  • Main Results:

    • Epiphyseal defects are commonly identified just prior to puberty.
    • The proximal phalanx of the great toe is the most common site, though other epiphyses are also affected.
    • Some defects arise spontaneously in otherwise normal epiphyses, without fracture-like symptoms.

    Conclusions:

    • Epiphyseal defects are a recognized finding in growing bones, particularly before puberty.
    • The etiology of these defects remains unclear, with no definitive link to fracture.
    • Spontaneous closure of these epiphyseal defects is expected around late puberty.