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A importância de uma documentação radiográfica como método auxiliar de diagnóstico, planejamento e proservação na reabilitação com prótese total; The importance of radiographic documentation as an auxiliary method of diagnosis, planning and proservation in the rehabilitation with complete dentures

Ramalli, Lílian Tedeschi
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 04/05/2012 PT
Relevância na Pesquisa
85.62%
As modificações provocadas pelo edentulismo no padrão fonético, mastigatório e estético dos pacientes, implicam em alterações do comportamento social, emocional e psicológico. A fim de que a saúde bucal dos pacientes seja preservada, uma adequada reabilitação oral deve ser realizada, respeitando-se os princípios biomecânicos para a confecção das próteses. Para tanto, o cirurgião dentista pode contar com um aparato de imagens radiográficas que podem auxiliar em várias etapas do processo reabilitador. O objetivo do trabalho foi avaliar a contribuição de diferentes técnicas radiográficas no diagnóstico, planejamento e proservação na reabilitação com prótese total, propondo o emprego de uma documentação radiográfica. Foram utilizadas radiografias das articulações têmporo-mandibulares (ATMs), para avaliação dos espaços articulares anterior, posterior e superior, antes e após o tratamento reabilitador; radiografias panorâmicas e carpais, para avaliação de índices radiomorfométricos mentual, goníaco e metacarpal, para a pesquisa da presença de osteoporose; e telerradiografias laterais cefalométricas antes e após a colocação das próteses totais, verificando a presença da proporção áurea nas medidas craniofaciais. Foram feitas análises estatísticas para correlacionar os dados obtidos das análises radiográficas. Para as radiografias das ATMs...

99mTc HMDP bone scanning in generalised nodal osteoarthritis. I. Comparison of the standard radiograph and four hour bone scan image of the hand.

Hutton, C W; Higgs, E R; Jackson, P C; Watt, I; Dieppe, P A
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/1986 EN
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55.36%
The pattern of joint involvement on conventional radiographs and the four hour gammacamera image of 99Tc HMDP bone scans were studied in 33 patients with generalised nodal osteoarthritis. Both techniques showed the predominant involvement of the distal interphalangeal, scaphotrapezial, and first carpometacarpal joints. Some joints were abnormal just on one investigation: either x ray or scan alone. Others showed a marked dissimilarity in the severity of involvement on x ray compared with scan. This discrepancy between x ray and scan suggests that the scan is imaging a different process than the radiograph and offers a different way of assessing change in osteoarthritis.

The Use of Routine Wrist Radiography is Not Useful in the Evaluation of Patients with a Ganglion Cyst of the Wrist

Wong, Andrew S.; Jebson, Peter J.L.; Murray, Peter M.; Trigg, Stephen D.
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.45%
The purpose of this study was to evaluate the cost-effectiveness of routine wrist radiography in the evaluation of patients with a wrist ganglion. In the setting of a University-based hand surgery practice, 103 consecutive patients with a dorsal or volar wrist ganglion underwent posteroanterior, lateral, and oblique radiographs of the involved wrist. There were 24 men and 79 women with an average age of 34 years (range 4–67 years). A retrospective review of the medical records was performed. Abnormalities on plain radiographs were noted in only 13 patients (13%). Findings included six cases of thumb carpometacarpal joint arthritis and one case each of an enchondroma, congenital distal radioulnar joint (DRUJ) anomaly, DRUJ degenerative changes, intraosseous ganglion, carpal boss, radiocarpal arthritis, and thumb metacarpophalangeal joint osteoarthritis. In only one case (1%) did the findings alter the management. At our institution, the professional and technical charge for three views of the wrist is $172. This confers a cost of $17,716 per therapeutically significant finding in our series. We conclude that routinely performing wrist radiography is not cost-effective in the evaluation and treatment decision-making process in patients with a wrist ganglion.

Volar Dislocation of the Fourth and Fifth Carpometacarpal Joints: A Case Report and Review of the Literature

Prokopis, Peter M.; Weiland, Andrew J.
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
65.46%
We report the treatment of a volar dislocation to the fourth and fifth carpometacarpal (CMC) joints. Plain radiographs were used to evaluate this unusual injury before surgery. Open reduction and internal fixation using K-wires restored the normal anatomic relationships of the CMC joints. This very rare injury is often difficult to recognize. A careful neurologic assessment of the patient is a necessity, as well as obtaining proper radiographs of the hand. A review of the literature is presented.

Latex Paint-gun Injuries of the Hand: Are the Outcomes Better?

Lozano-Calderón, Santiago A.; Mudgal, Chaitanya S.; Mudgal, Sharmila; Ring, David
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.45%
This study aims to present the functional outcome in patients who sustained paint-gun injuries to the hand with latex paint and review the current trends, recommendations, and pitfalls of surgical treatment in contemporary literature. Five male patients with an average age of 35 years were treated between 2000 and 2003 after sustaining a paint-gun injury with latex paint. All wounds were located volarly on the digits of the nondominant hand. Preoperative radiographs were obtained in every patient. All patients underwent debridement of the affected digit. Despite delayed presentation, more than 24 h post injury, our patients recovered substantial function at an average follow-up of 12 months. Every patient returned to his previous occupation and there were no amputations. Paint-gun injuries with latex paint appear to be associated with an outcome that is superior to the poor outcome traditionally associated with oil-based paints.

Sarcoidosis Presenting as a Proximal Phalangeal Bony Swelling—a Case and Review of the Literature

Duckworth, Andrew D.; Hill, Adam T.; Beggs, Ian; Patton, James T.; Salter, Donald M.; Porter, Daniel E.
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
55.36%
We report a case of a 27-year-old man who presented with a progressive painful swelling at the base of his left index finger, with radiographs and a computed tomography scan revealing a lytic lesion of the proximal phalanx. Following further investigation, the patient underwent a bone biopsy that revealed a florid noncaseating granulomatous chronic inflammatory infiltrate, compatible with sarcoidosis. Osseous sarcoidosis of the hand is uncommon and, in the absence of significant systemic disease, is rarely the primary presenting feature. Early diagnosis and treatment of such undetermined bone pathology, via referral to a regional musculoskeletal tumor service, can prevent significant future complications.

Standard bone-age of infants and children in Korea.

Yeon, K. M.
Fonte: Korean Academy of Medical Sciences Publicador: Korean Academy of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em /02/1997 EN
Relevância na Pesquisa
55.57%
To evaluate the developmental status of children and adolescents, a bone-age chart based on the radiograph of hand and wrist has been used in many countries. Bone-age reflects not only the functional status of various hormones but also the influence of chronic disease and it has been used more widely than other indices such as the height-weight-age table. As a standard bone-age chart has not been established in Korea, a foreign bone-age chart has been used in clinics. To make a Korean standard bone-age chart, we took the radiographs of the left hand of about 5,400 children covering the whole country, and 3,407 radiographs of 1,830 boys and 1,577 girls ranging from two months to 16 years of age were selected and analyzed for bone maturity scores by the TW2-20 method. The range of ages were divided into 27 groups, and the radiographs of 50th percentile score were chosen as the standard bone-ages for the median age of each group. The youngest and oldest chronological age which had the same TW2-20 score of the standard bone-age were decided as the range of variation from the median age. We hope that a Korean standard bone-age chart can be used as the radiological index in the evaluation of the developmental status in Korean children and adolescents.

Establishing the level of digitization for wrist and hand radiographs for the third National Health and Nutrition Examination Survey

Ostchega, Yechiam; Rodney Long, L.; Goh, Gin-Hua; Hirsch, Rosemarie; Ma, Loralie D.; Scott, William W.; Johnson, Wayne; Thoma, George R.
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
Publicado em /08/1998 EN
Relevância na Pesquisa
55.62%
In the third National Health and Nutrition Examination Survey (NHANES III) conducted by the National Center for Health Statistics, Centers for Disease Control and Prevention, radiographs of the hands and knees were taken of participants 60 years and older as part of the study of arthritis and musculoskeletal conditions. The purpose of the study was to decide the digitizing resolution to be used for these radiographs. A set of wrist and hand radiographs (N=49) was graded by two radiologists for degree of bone erosions and served as a “gold standard.” The radiographs were then digitized at three resolution levels; low-resolution 150μm (2001×1634×12 bit matrix); intermediate-resolution 100 μm (3000×2400×12 bit matrix); and high-resolution 50 μm (4900×3000×12 bit matrix). A comparison of the digital images versus the gold standard reading was made at the three resolutions by two radiologists. Kappa statistics suggested fair (K>.4) to excellent (K>.75) agreement between the gold standard and the images at all levels. Intraclass correlation coefficient suggested high agreement between readers (ICC>.5), with minimal individual reader effect. Variance component estimates showed that the major contribution (78–83%) to scoring came from variability in the images themselves...

Isolated radial volar dislocation of the fifth carpometacarpal joint :a rare injury

El Kadi, Khalid Ibn; Sbiyaa, Mohcine; Alami, Badr; Rabhi, Ilyass; Marzouki, Amine; Lahrach, Kamal; Boutayeb, Fawzi
Fonte: The African Field Epidemiology Network Publicador: The African Field Epidemiology Network
Tipo: Artigo de Revista Científica
Publicado em 10/11/2013 EN
Relevância na Pesquisa
75.36%
Isolated palmar dislocation of the fifth carpometacarpal joint is an uncommon injury and classified as radio-palmar or ulno-palmar according to the direction of displacement of the fifth metacarpal base. This very rare injury is often difficult to recognize. A careful neurologic assessment of the patient is a necessity, as well as obtaining proper radiographs of the hand. The purpose of this report is to present a patient with a pure isolated volar dislocation of the fifth carpometacarpal joint that was satisfactorily treated with closed reduction and casting. A review of the literature is presented.

Longitudinal Growth of the Short Bones of the Hand in a Girl with Pseudohypoparathyroidism Type Ia

Nagasaki, Keisuke; Asami, Tadashi; Kikuchi, Toru; Uchiyama, Makoto
Fonte: The Japanese Society for Pediatric Endocrinology Publicador: The Japanese Society for Pediatric Endocrinology
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
85.47%
Brachydactyly is a common feature of pseudohypoparathyroidism (PHP) type Ia. We studied the longitudinal growth of the short bones in the hand of a 15-yr-old girl with PHP type Ia who had been followed for congenital hypothyroidism. Radiographs of the hand of the patient, who had been X-rayed every year since 2 yr of age, were studied. She showed cone-shaped epiphyses of the hand at 2 yr of age before showing brachydactyly. At 4 yr of age, she showed brachydactyly and an advanced bone age, and some short bones were prematurely fused at 6 yr of age. The short bones without cone-shaped epiphyses were also short as a result of a disturbance of the longitudinal bone elongation. In conclusion, the brachydactyly of PHP type Ia is thus considered to be caused by both early epiphyseal fusion with cone-shaped epiphyses and a disturbance of the longitudinal bone elongation.

Melorheostosis of the hand affecting the c6 sclerotome and presenting with carpal tunnel syndrome

Abdullah, Shalimar; Nor, Noreen Fazlina Mat; Haflah, Nor Hazla Mohamed
Fonte: Singapore Medical Association Publicador: Singapore Medical Association
Tipo: Artigo de Revista Científica
Publicado em /04/2014 EN
Relevância na Pesquisa
55.42%
Melorheostosis is a rare, progressive bone disease accompanied by hyperostosis and soft tissue fibrosis. While affected adults present with contracture and pain, children present with limb length discrepancy and deformity. We report the case of a 20-year-old woman with melorheostosis since childhood who presented with right hand deformity and numbness. Radiographs showed not only a combination of dense sclerosis and opacities, but also the classic ‘flowing candle wax’ appearance. Radiography can be used to identify melorheostosis, thus preventing unnecessary bone biopsies. Carpal tunnel release revealed the presence of a thickened flexor retinaculum and a degenerated median nerve distal to the retinaculum, but did not show hyperostosis. This case highlights the role of nerve decompression in melorheostosis and the importance of early identification of the disease to prevent unnecessary bone biopsies.

Prevalence and variation of sesamoid bones in the hand: a multi-center radiographic study

Chen, Wei; Cheng, Jiaxiang; Sun, Ran; Zhang, Zekun; Zhu, Yanbin; Ipaktchi, Kyros; Zhang, Yingze
Fonte: e-Century Publishing Corporation Publicador: e-Century Publishing Corporation
Tipo: Artigo de Revista Científica
Publicado em 15/07/2015 EN
Relevância na Pesquisa
55.47%
There is rare studies with regard to sesamoid bone variations of the hand in addition to its prevalence and distribution. This study aims to assess both the prevalence and variation of sesamoid bones of the hand. A retrospective review of posteroanterior (PA) and oblique radiographs of 436 left and 414 right hands of 850 adult patients obtained from four hospitals was performed. All X-ray films were examined independently for existing sesamoid bones. The presence of sesamoid bones was confirmed if oblique views revealed a small oval bone volar to the metacarpophalangeal (MCP) joint or interphalangeal (IP) joint of the thumb or finger. The X-ray films consistently revealed two sesamoid bones at the MCP joint of the thumb, and 30.4% were identified with variation, which can be classified into three distinct types based upon the number of ossification centers and the shape of fusion lines seen on standard PA and oblique films. The prevalence of sesamoid bones was 60.8% for index finger MCP joint and 59.1% for small finger MCP joint. At the thumb IP joints, sesamoid bones were only seen in 15.9% hands. Two sesamoid bones were rarely seen in other joints of the hand except thumb MCP joints.

Ergebnisse der Digitalisierung und Auswertung der Röntgenbilder der Ersten Züricher Longitudinalstudie; Results of the digitalization and analysis of X-ray photographs of the “First Zurich Longitudinal Survey”

Neuhof, Julia
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
DE_DE
Relevância na Pesquisa
55.45%
Grundlagen: Die Bestimmung des Knochenalters ist ein wichtiges Hilfsmittel in der pädiatrischen Entwicklungsdiagnostik, um zwischen normalen und pathologischen Wachstumsvorgängen differenzieren und die biologische Reife eines Kindes beurteilen zu können. Es existiert eine Vielzahl an manuellen und automatischen Methoden zur Knochenalterbestimmung, die jedoch alle voneinander abweichende Ergebnisse liefern. Ziele: 1. Das Ziel dieser Arbeit ist zum einen die Ermittlung der Präzision der vollautomatischen Knochenalterbestimmung durch das neuartige Softwaresystem BoneXpert anhand der Daten und Ergebnisse der Ersten Zürcher Longitudinalstudie. 2. Zum anderen wird versucht, verschiedene Knochenalterbestimmungs-methoden anhand des individuellen Wachstumspotentials eines Kindes zu validieren. Material & Methoden: Die Handröntgenbilder der Kinder aus der Ersten Zürcher Longitudinalstudie wurden digitalisiert und mittels der Software BoneXpert analysiert. Verwendet wurden 3374 Bilder linker und 2752 Bilder rechter Hände. Zur Ermittlung der Präzision BoneXperts wurde ein direkter Vergleich des Knochenalters beider Hände durchgeführt. Dies war möglich, da die Röntgenbilder beider Hände eines Kindes innerhalb von Minuten erstellt wurden. Zur Validierung wurde die Tatsache verwendet...

Hand infections secondary to fish bone injuries.

Hudson, D. A.; de Chalain, T. M.
Fonte: Royal College of Surgeons of England Publicador: Royal College of Surgeons of England
Tipo: Artigo de Revista Científica
Publicado em /03/1994 EN
Relevância na Pesquisa
55.51%
Hand injuries associated with fish bones and fin spines are not common but can cause morbidity out of proportion to the original injury. This is because such injuries often leave residual fragments of foreign organic matter in the tissues, leading to troublesome secondary infections. This report details 1 year's experience with nine hand infections after fish bone injury in a busy regional hand surgery referral centre. There were five males and four females with an average age of 45 years. Radiographs taken on presentation in five patients revealed a radiolucent foreign body in only two patients. Two patients presented with a flexor tendon sheath infection, three with a pulp space infection, one with infection of the hypothenar space, one with a subungual infection, one with cellulitis of the dorsum of the hand and one with an abscess on the dorsum of the hand. Antibiotics were prescribed for six patients and all patients except the one with cellulitis of his hand underwent surgical débridement. A single surgical procedure was adequate in five patients. One patient with a hypothenar space infection only had the foreign body removed during the third surgical débridement. The two patients with flexor tendon sheath infections required ray amputation. Fish bones cause a number of different infections in the hand. A foreign body should always be sought even if not present on the radiograph. Antibiotic selection should be tailored to eradicate the causative organism.

Radiographic characteristics of the hand and cervical spine in fibrodysplasia ossificans progressiva

Mishima, Kenichi; Kitoh, Hiroshi; Haga, Nobuhiko; Nakashima, Yasuharu; Kamizono, Junji; Katagiri, Takenobu; Susami, Takafumi; Matsushita, Masaki; Ishiguro, Naoki
Fonte: International Research and Cooperation Association for Bio & Socio-Sciences Advancement Publicador: International Research and Cooperation Association for Bio & Socio-Sciences Advancement
Tipo: Artigo de Revista Científica
Publicado em /05/2014 EN
Relevância na Pesquisa
75.45%
Fibrodysplasia ossificans progressiva (FOP) is a disabling heritable disorder of connective tissue characterized by progressive heterotopic ossification in various extraskeletal sites. Early correct diagnosis of FOP is important to prevent additional iatrogenic harm or trauma. Congenital malformation of the great toes is a well-known diagnostic clue, but some patients show normal-appearing great toes. The thumb shortening and cervical spine abnormalities are other skeletal features often observed in FOP. This study aimed to address the quantitative assessment of these features in a cohort of patients with FOP, which potentially helps early diagnosis of FOP. Radiographs of the hand and cervical spine were retrospectively analyzed from a total of 18 FOP patients (9 males and 9 females) with an average age of 13.9 years (range 0.7–39.3 years). The elevated ratio of the second metacarpal bone to the distal phalanx of the thumb (> +1SD) was a consistent finding irrespective of the patient's age and gender. Infant FOP patients, in addition, exhibited an extremely high ratio of the second metacarpal bone to the first metacarpal bone (> +3SD). The height/depth ratio of the C5 vertebra increased in patients over 4 years of age (> +2SD). Additionally...

A Comparison of the effectiveness of Mammographic Film-Screen and Standard Film-Screen in the Detection of Small Bone Fractures

Sani, Karim Ghazikhanlou; Jafari, Mahmoodreza; Rostampoor, Nima
Fonte: Shiraz University of Medical Sciences Publicador: Shiraz University of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em /12/2011 EN
Relevância na Pesquisa
55.56%
The use of mammography film-screen is limited in general radiography. The purpose of this study was to compare the effectiveness of mammographic film-screen and standard film-screen systems in the detection of small bone fractures. Radiographs were taken from patients' extremities and neck areas using mammography film-screen and standard film-screen (n=57 each). Fourteen other radiographs were taken from other views (predominantly oblique views), making a total number of 128 radiographs. Paired radiographs, taken from the same areas, were compared by two radiologists in terms of image visual sharpness, presence of bony fractures, and soft tissue injuries. The surface dose received by patients in the two systems was also compared. The radiographs taken by mammography film-screen had a statistically better visual sharpness compared to those taken by the standard film-screen system. However, there was no statistically significant difference between the diagnostic accuracy of the two systems. Mammography film-screen was able to detect only one out of 57 lesions, whereas standard film-screen system did not detec any lesion. The surface dose received by patients in mammography film-screen was higher than that in standard film-screen system. The findings of the present study suggest that mammography film-screen may be recommended as a diagnostic tool for the detection of small fractures of tinny parts of body such as fingers...

The IDEAL classification system: a new method for classifying fractures of the distal extremity of the radius description and reproducibility

Belloti,Joao Carlos; Santos,Joao Baptista Gomes dos; Moraes,Vinicius Ynoe de; Wink,Felipe Vitiello; Tamaoki,Marcel Jun Sugawara; Faloppa,Flavio
Fonte: Associação Paulista de Medicina - APM Publicador: Associação Paulista de Medicina - APM
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
55.55%
CONTEXT AND OBJECTIVE There is no consensus concerning which classification for distal radius fractures is best and the existing methods present poor reproducibility. This study aimed to describe and assess the reproducibility of the new IDEAL classification, and to compare it with widely used systems. DESIGN AND SETTING Reproducibility study, Hand Surgery Section, Universidade Federal de São Paulo. METHODS The IDEAL classification and its evidence-based rationale are presented. Sixty radiographs (posteroanterior and lateral) from patients with distal radius fractures were classified by six examiners: a hand surgery specialist, a hand surgery resident, an orthopedic generalist, an orthopedic resident and two medical students. Each of them independently assessed the radiographs at three different times. We compared the intra and interobserver concordance of the IDEAL, AO, Frykman and Fernandez classifications using Cohen's kappa (κ) (for two observers) and Fleiss's κ (for more than two observers). RESULTS The concordance was high for the IDEAL classification (κ = 0.771) and moderate for Frykman (κ = 0.556), Fernandez (κ = 0.671) and AO (κ = 0.650). The interobserver agreement was moderate for the IDEAL classification (κ = 0.595)...

Comparative analysis of pubertal growth spurt predictors: Martins and Sakima method and Grave and Brown method

Iguma,Karina Emy; Tavano,Orivaldo; Carvalho,Izabel Maria Marchi de
Fonte: Faculdade De Odontologia De Bauru - USP Publicador: Faculdade De Odontologia De Bauru - USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2005 EN
Relevância na Pesquisa
55.55%
The aim of this study was to evaluate whether Martins and Sakima and Grave and Brown methods are useful for the study of pubertal growth spurt in children with cleft lip and palate. A total of 132 hand-wrist radiographs of patients from HRAC/USP aged 7 to 17 years old were analyzed, including girls and boys. Six radiographs of each age and gender were employed. These methods were applied to evaluating the stages of the hand-wrist ossification and epiphyseal formation, by graphic representation. The Martins and Sakima and the Grave and Brown methods revealed that the initial, peak and final stages of pubertal growth spurt occurred between 9 to 10, 12 and 15 years old, respectively, in the female gender. Similarly, in the male gender, both Martins and Sakima and Grave and Brown methods showed similar mean ages: 12, 14 and 16 years old for initial, peak and final stages of pubertal growth spurt, respectively. The Pearson's correlation test showed high and significant correlation (r = 0.99 and p < 0.001) between the methods investigated. In conclusion, the methods appeared to be highly and significantly correlated as regards the analysis of children with cleft lip and palate. Moreover, based on the literature and present results, it is possible to suggest that the two methods have shown similar pattern and may be used with equal efficiency for assessment of the pubertal growth spurt in children with cleft lip and palate.

Skeletal maturation in individuals with Down's syndrome: Comparison between PGS curve, cervical vertebrae and bones of the hand and wrist

Carinhena,Glauber; Siqueira,Danilo Furquim; Sannomiya,Eduardo Kazuo
Fonte: Dental Press International Publicador: Dental Press International
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2014 EN
Relevância na Pesquisa
75.65%
INTRODUCTION: This study was conducted with the aim of adapting the methods developed by Martins and Sakima to assess skeletal maturation by cervical vertebrae in the pubertal growth spurt (PGS) curve. It also aimed to test the reliability and agreement between those methods and the method of hand and wrist radiograph when compared two by two and all together. METHODS: The sample comprised 72 radiographs, with 36 lateral radiographs of the head and 36 hand-wrist radiographs of 36 subjects with Down's syndrome (DS), 13 female and 23 male, aged between 8 years and 6 months and 18 years and 7 months, with an average age of 13 years and 10 months. RESULTS AND CONCLUSIONS: Results revealed that adapting the methods developed by Martins and Sakima to assess skeletal maturation by cervical vertebrae in the curve of PGS is practical and useful in determining the stage of growth and development of individuals. The stages of maturation evaluated by cervical vertebrae and ossification centers observed in radiographs of the hand and wrist were considered reliable, with excellent level of agreement between the methods by Hassel and Farman as well as Baccetti, Franchi and McNamara Jr and Martins and Sakima. Additionally, results revealed an agreement that ranged between reasonable to good for the three methods used to assess the skeletal maturation...

Análise comparativa dos estimadores do surto de crescimento puberal: métodos de Martins e Sakima e Grave e Brown; Comparative analysis of pubertal growth spurt predictors: Martins and Sakima method and Grave and Brown method

Iguma, Karina Emy; Tavano, Orivaldo; Carvalho, Izabel Maria Marchi de
Fonte: Universidade de São Paulo. Faculdade de Odontologia de Bauru Publicador: Universidade de São Paulo. Faculdade de Odontologia de Bauru
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/03/2005 ENG
Relevância na Pesquisa
55.55%
O objetivo deste trabalho foi avaliar se os métodos de Martins e Sakima e Grave e Brown são aplicáveis para o estudo do surto de crescimento puberal (SCP) de crianças com fissuras lábio-palatais. Foram analisadas 132 radiografias carpais de pacientes do HRAC-USP, dos gêneros masculino e feminino, com a faixa etária de 7 a 17 anos, utilizando 6 radiografias de cada idade e gênero. Ambos os métodos estudam os estágios de ossificação dos ossos da mão e punho e os estágios que se encontram as epífises, através de gráficos. Com relação a este estudo, no gênero feminino, tanto para Martins e Sakima quanto para Grave e Brown, o início, pico e final do SCP ocorreram entre 9 e 10 anos, 12 anos e 15 anos, respectivamente. Da mesma forma, para o gênero masculino, Martins e Sakima e Grave e Brown mostraram médias de idade similares: 12, 14 e 16 anos para início, pico e final do SCP, respectivamente. O teste de correlação de Pearson mostrou uma alta e significativa correlação (r = 0,99 e P < 0,001) entre os métodos estudados. Em conclusão, esses dois métodos de avaliação do surto de crescimento e desenvolvimento apresentaram uma alta correlação quando aplicados na avaliação de crianças com fissuras lábio-palatais. Baseando-se na literatura e nos resultados dessa pesquisa...