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Pesquisa : A02.835.232.087.319 [Categoria DeCS]
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[PMID]:29384742
[Au] Autor:Kvaal SI; Haugen M
[Ad] Endereço:Institute of Clinical Dentistry, Faculty of Dentistry, University of Oslo, Norway.
[Ti] Título:Comparisons between skeletal and dental age assessment in unaccompanied asylum seeking children.
[So] Source:J Forensic Odontostomatol;2(35):115-123, 2017 Dec 01.
[Is] ISSN:2219-6749
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: For children with disputed date of birth, age assessments based on skeletal and dental development are recommended. AIM: The aim of this retrospective study was to compare and contrast the results of age assessments from these two methods performed on unaccompanied asylum seeking children in Norway. In addition the aim of the analysis was to see if the skeletal age assessment from hand-wrist was operator sensitive. MATERIALS AND METHODS: Age assessments performed from January 2010 to December 2014 were analysed. Skeletal development of hand-wrist was graded according to Greulich and Pyle (1959). Dental development of the wisdom teeth was scored on orthopantomograms according to Moorrees, Fanning and Hunt (1963) and age assessed from tables published by Liversidge (2008) and Haavikko (1970). In the statistical analysis agreement between the two age assessments was defined according to the asylum seeker's age being assessed to be older or younger than 18 years. The statistical analysis included 3333 boys and 486 girls. RESULTS: The agreement was 83% for boys and 79% for girls. Approximately 70% of the boys and girls were 18 years or older by both methods. It was more common that the skeletal age was assessed older than 18 years and dental age younger than 18 years for both genders. It could be demonstrated that the age assessment based on skeletal maturation was not operator sensitive. CONCLUSION: The analyses demonstrate that there is good agreement between the two age assessments, but a method to combine the results would increase the reliability of the age assessments.
[Mh] Termos MeSH primário: Determinação da Idade pelo Esqueleto/métodos
Determinação da Idade pelos Dentes/métodos
Ossos da Mão/diagnóstico por imagem
Ossos da Mão/crescimento & desenvolvimento
Dente Serotino/diagnóstico por imagem
Dente Serotino/crescimento & desenvolvimento
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Seres Humanos
Masculino
Radiografia Panorâmica
Refugiados
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE


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[PMID]:28853594
[Au] Autor:Morris G; Evans S; Stevenson J; Kotecha A; Parry M; Jeys L; Grimer R
[Ad] Endereço:Royal Orthopaedic Hospital NHS Foundation Trust , UK.
[Ti] Título:Bone metastases of the hand.
[So] Source:Ann R Coll Surg Engl;99(7):563-567, 2017 Sep.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Introduction The aim of this study was to identify patients with malignant hand lesions, establish the proportions of those that were metastases and review their clinical course. Methods A retrospective search of a prospective tumour database was carried out to identify all patients treated at our unit with hand metastases. Patient demographics were recorded including site of primary malignancy, region of the hand involved, management of their metastasis and clinical outcome. Results Overall, 149 patients were identified with a malignant tumour of the hand. Ten had a metastatic lesion. There were 3 women and 7 men with a median age of 68 years (range: 28-91 years) at presentation. All presented with non-mechanical hand pain while four had pain and swelling. The median interval from symptom onset to diagnosis was eight weeks. The minimum follow-up duration was four months. Three patients had no history of malignancy. Of the remaining seven patients, three had other known metastases. Six patients underwent solely palliative radiotherapy. Three patients had amputation. One was treated with surgical excision and radiotherapy. One had an amputation and axillary node clearance. All but one patient had died by the time of the latest follow-up appointment. The median time to death following identification of acrometastases was 18 months. Sites of primary disease were skin (n=4), lung (n=3), kidney (n=2) and neuroendocrine system (n=1). The thumb was the most commonly affected location. Conclusions This study demonstrates that patients presenting with non-mechanical hand pain should be considered to have a malignant process until proved otherwise, particularly in patients with thumb symptoms and a history of prior malignancy.
[Mh] Termos MeSH primário: Neoplasias Ósseas/secundário
Ossos da Mão
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Amputação
Neoplasias Ósseas/diagnóstico por imagem
Neoplasias Ósseas/radioterapia
Neoplasias Ósseas/cirurgia
Feminino
Ossos da Mão/diagnóstico por imagem
Ossos da Mão/cirurgia
Seres Humanos
Masculino
Meia-Idade
Radiografia
Estudos Retrospectivos
Polegar/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0096


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[PMID]:28542729
[Au] Autor:Karakostis FA; Hotz G; Scherf H; Wahl J; Harvati K
[Ad] Endereço:Paleoanthropology, Department of Geosciences, Senckenberg Center for Human Evolution and Paleoenvironment, University of Tübingen, Tübingen, 72070, Germany.
[Ti] Título:Occupational manual activity is reflected on the patterns among hand entheses.
[So] Source:Am J Phys Anthropol;164(1):30-40, 2017 Sep.
[Is] ISSN:1096-8644
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: In anthropological sciences, entheses are widely utilized as occupational stress markers. However, the reaction of entheseal surfaces to mechanical loading is not well understood. Furthermore, previous studies on entheses relied on the individuals' occupation-at-death. Past research by one of us has identified two patterns among hand entheses, proposing that they reflect two synergistic muscle groups. Here, we investigate the association between these patterns and habitual manual activity using an extensively documented skeletal sample and a three-dimensional system of quantification. MATERIALS AND METHODS: The hand bones utilized belong to 45 individuals from mid-19th century Basel. These were male adults (18 to 48 years old) who were not directly related, showed no manual pathological conditions, and whose occupational activities during their lifetime were clearly documented and could be evaluated according to historical sources. The patterns of entheses were explored using principal component analysis on both raw and size-adjusted variables. The influence of age-at-death, body mass, and bone length was assessed through correlation tests. RESULTS: The analysis showed that the previously proposed patterns of entheses are present in our sample. Individuals with the same or comparable occupations presented similar entheseal patterns. These results were not considerably affected by entheseal overall size, age-at-death, body mass, or bone length. DISCUSSION: Individuals involved in intense manual labor during their lifetime presented a distinctive pattern of hand entheses, consistent with the application of high grip force. By contrast, individuals with less strenuous and/or highly mechanized occupations showed an entheseal pattern related to the thumb intrinsic muscles.
[Mh] Termos MeSH primário: Ossos da Mão/patologia
Fenômenos Fisiológicos Musculoesqueléticos
Ocupações/história
[Mh] Termos MeSH secundário: Adolescente
Adulto
Antropologia Física
Feminino
Ossos da Mão/diagnóstico por imagem
História do Século XIX
Seres Humanos
Imagem Tridimensional
Masculino
Meia-Idade
Ocupações/estatística & dados numéricos
Análise de Componente Principal
Suíça
Adulto Jovem
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1002/ajpa.23253


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[PMID]:28504464
[Au] Autor:Elamin F; Abdelazeem N; Elamin A; Saif D; Liversidge HM
[Ad] Endereço:Bart's and The London School of Medicine and Dentistry, Queen Mary University of London, Institute of Dentistry, London, E1 2AT, United Kingdom.
[Ti] Título:Skeletal maturity of the hand in an East African group from Sudan.
[So] Source:Am J Phys Anthropol;163(4):816-823, 2017 Aug.
[Is] ISSN:1096-8644
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Studies of skeletal maturity from Africa indicate a delay, reflected in a negative relative skeletal age (RSA). This study aims to evaluate the influence of age, socioeconomic status (SES) and nutritional status on skeletal maturation in a large sample of children from North Sudan. MATERIALS: The sample consisted 665 males and 1018 females from 3-25 years from Khartoum. Height, weight, age of menarche and, SES were recorded of patients attending for dental treatment. METHODS: Skeletal age was assigned from hand-wrist radiographs using the Greulich-Pyle (GP) atlas (1952). RSA (difference between skeletal and chronological ages) was compared in groups divided by age, sex, height-for-age and body-mass-index z scores, and SES. Spearman's correlation and student t-test was used to compare groups. RESULTS: Delayed skeletal age was noted across all age in boys. In girls, a delay was observed between ages 6-10, while advancement occurred between ages 13-18. Maturity was delayed in low height groups (p < .05) and low SES groups. RSA was negatively associated with HAZ in low SES males (R = -0.0.27, p < .001) and low SES females (R = -0.32, p < .001). CONCLUSIONS: There were statistically significant skeletal delays in North Sudanese males and most pre-menarche females, low height and low SES groups. Post-menarche females were advanced relative to males and GP references. Low SES impacts were statistically correlated to skeletal delay.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano/estatística & dados numéricos
Determinação da Idade pelo Esqueleto/métodos
Pesos e Medidas Corporais/normas
Ossos da Mão/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Desnutrição
Menarca
Modelos Estatísticos
Valores de Referência
Classe Social
Sudão/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170516
[St] Status:MEDLINE
[do] DOI:10.1002/ajpa.23247


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[PMID]:28353415
[Au] Autor:Carruthers KH; O'Reilly O; Skie M; Walters J; Siparsky P
[Ad] Endereço:Department of Orthopaedics, West Virginia University, Morgantown, West Virginia.
[Ti] Título:Casting and Splinting Management for Hand Injuries in the In-Season Contact Sport Athlete.
[So] Source:Sports Health;9(4):364-371, 2017 Jul/Aug.
[Is] ISSN:1941-0921
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Upper extremity injuries are extremely common in contact sports such as football, soccer, and lacrosse. The culture of competitive athletics provides an environment where hand injuries are frequently downplayed in an effort to prevent loss of game time. However, studies have shown that many sport-induced hand injuries do not actually require immediate surgical attention and can be safely treated through immobilization so that the athlete may complete the athletic season. In these cases, appropriate casting and splinting measures should be taken to ensure protection of the injured player and the other competitors without causing loss of game time. EVIDENCE ACQUISITION: Articles published between 1976 and 2015 were reviewed to capture historical and current views on the treatment of hand injuries in the in-season athlete. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 5. RESULTS: Although traditionally many sports-induced traumatic injuries to the hand held the potential to be season-ending injuries, experience has shown that in-season athletes do not necessarily need to lose game time to receive appropriate treatment. A thorough knowledge of converting everyday splints and casts into game day, sport-approved protective immobilization devices is key to safely allowing athletes with select injuries to play while injured. CONCLUSION: Protective techniques allow for maximum functionality during gameplay while safely and effectively protecting the injury from further trauma while bony healing takes place.
[Mh] Termos MeSH primário: Traumatismos em Atletas/terapia
Moldes Cirúrgicos
Fraturas Ósseas/terapia
Ossos da Mão/lesões
Equipamentos de Proteção
Contenções
[Mh] Termos MeSH secundário: Comportamento Competitivo/fisiologia
Seres Humanos
Estações do Ano
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1177/1941738117700133


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[PMID]:28220246
[Au] Autor:Basat NB; Allon R; Nagmi A; Wollstein R
[Ad] Endereço:Department of Orthopedic Surgery, Division of Hand and Upper Extremity Surgery, Technion Israel Institute of Technology School of Medicine, Haifa, Israel.
[Ti] Título:Treatment of open fractures of the hand in the emergency department.
[So] Source:Eur J Orthop Surg Traumatol;27(3):415-419, 2017 Apr.
[Is] ISSN:1633-8065
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Current guidelines suggest early surgical treatment of open fractures. This rule in open hand fractures is not well supported and may be unpractical. Furthermore, desirable debridement and washout can be obtained in the emergency department (ED). The purpose of this study was to evaluate the relationship between the level of contamination, quality of washout in the emergency room, and the development of infection. Sixty-one patients with open fractures of the hand were retrospectively reviewed for demographic and fracture characteristics, and other complications. The infection rate was 14.8%. Contamination was present in 43 patients (70.5%). One thousand milliliters or more were used to obtain a grossly clean wound in 43 patients (70.5%). No significant relationship was found between fracture type, finger involved, hand dominance, comorbidities, and development of infection. The amount of fluid used for washout was significantly related to infection (P = 0.047), whereas wound contamination was not (P = 0.259). Type of oral antibiotic was significantly related to infection (P = 0.039). The level of contamination was not a significant factor in predicting infection, whereas the amount of fluid used for washout and the oral antibiotic type were significant factors in preventing infection. Since administration of intravenous antibiotics and thorough wound cleansing can be performed on open hand fractures in the ED under adequate anesthesia, most open fractures in the hand do not need to be treated early in the operating theater.
[Mh] Termos MeSH primário: Tratamento de Emergência
Fraturas Expostas/microbiologia
Fraturas Expostas/terapia
Ossos da Mão/lesões
Irrigação Terapêutica
Infecção dos Ferimentos/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Antibacterianos/uso terapêutico
Protocolos Clínicos
Desbridamento/normas
Serviço Hospitalar de Emergência
Tratamento de Emergência/normas
Feminino
Fraturas Expostas/complicações
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Infecções dos Tecidos Moles/microbiologia
Infecções dos Tecidos Moles/prevenção & controle
Irrigação Terapêutica/normas
Infecção dos Ferimentos/microbiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-017-1924-x


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[PMID]:28032243
[Au] Autor:Mansour H; Fuhrmann A; Paradowski I; van Well EJ; Püschel K
[Ad] Endereço:Institute of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, 22529, Hamburg, Germany. Hussam.Mansour@uke.de.
[Ti] Título:The role of forensic medicine and forensic dentistry in estimating the chronological age of living individuals in Hamburg, Germany.
[So] Source:Int J Legal Med;131(2):593-601, 2017 Mar.
[Is] ISSN:1437-1596
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Age estimation represents one of the primary responsibilities of forensic medicine and forensic dentistry. It is an integral procedure aiming to estimate the chronological age of an individual, whose age is either unknown or doubtful, by means of assessing the stage of dental, skeletal, and physical development. The present publication reviews the methods and procedures used in estimating the age of young living individuals as well as the experiences of the Institute of Legal Medicine in Hamburg-Eppendorf, Germany, during the last 25 years. From 1990 to 2015, 4223 age estimations were carried out in Hamburg. During this time, forensic age estimation was requested by different concerned authorities including courts, the foreigners' registration office (Zentrale Ausländerbehörde), and the state office of education and consultation (Landesbetrieb Erziehung und Beratung). In the context of judicial proceedings, orthopantomograms, as well as X-ray examinations of both the left hand and the medial clavicular epiphyses were carried out in accordance with AGFAD recommendations. For investigations not associated with judicial proceedings, orthopantomogram examinations play a key role in the process of age estimation, due to their high diagnostic value and low radiation exposure. Since 2009, mainly unaccompanied young refugees were examined for age estimation. Orthopantomograms and clinical-physical examinations have been used as essential steps in this context to determine whether an individual is 18 years or less. Additional X-ray examinations of the left hand and the medial clavicular epiphyses have been used less frequently.
[Mh] Termos MeSH primário: Determinação da Idade pelo Esqueleto
Determinação da Idade pelos Dentes
Refugiados/estatística & dados numéricos
[Mh] Termos MeSH secundário: Clavícula/diagnóstico por imagem
Clavícula/crescimento & desenvolvimento
Epífises/diagnóstico por imagem
Epífises/crescimento & desenvolvimento
Antropologia Forense
Odontologia Legal
Alemanha
Ossos da Mão/diagnóstico por imagem
Ossos da Mão/crescimento & desenvolvimento
Seres Humanos
Radiografia Panorâmica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161230
[St] Status:MEDLINE
[do] DOI:10.1007/s00414-016-1517-y


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[PMID]:27921185
[Au] Autor:Ørnbjerg LM; Østergaard M; Jensen T; Hørslev-Petersen K; Stengaard-Pedersen K; Junker P; Ellingsen T; Ahlquist P; Lindegaard H; Linauskas A; Schlemmer A; Dam MY; Hansen I; Lottenburger T; Ammitzbøll CG; Jørgensen A; Krintel SB; Raun J; Hetland ML; Slot O; Nielsen LK; Skjødt H; Majgaard O; Lorenzen T; Horn HC; Kowalski M; Johansen IL; Pedersen PM; Manilo N; Bliddal H; OPERA Study Group
[Ad] Endereço:Copenhagen Center for Arthritis Research and the DANBIO registry, Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen, Denmark. lykke@oernbjerg.dk.
[Ti] Título:Hand bone loss in early rheumatoid arthritis during a methotrexate-based treat-to-target strategy with or without adalimumab-a substudy of the optimized treatment algorithm in early RA (OPERA) trial.
[So] Source:Clin Rheumatol;36(4):781-789, 2017 Apr.
[Is] ISSN:1434-9949
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:This study aims to investigate 1-year hand bone loss (HBL ) in early rheumatoid arthritis (RA) patients treated with a methotrexate (MTX) and intra-articular triamcinolone treat-to-target strategy +/- adalimumab and to determine if HBL is associated with radiographic progression after 2 years. In a clinical trial (OPERA) of 180 treatment-naive early RA patients, bone mineral density (BMD) was estimated from hand radiographs with digital X-ray radiogrammetry (DXR) at baseline, after 6 (n = 90) and 12 months (n = 70) of follow-up. Baseline and 2-year radiographs were scored according to the Sharp/van der Heijde method. Baseline characteristics and HBL (0-6 months changes in DXR-BMD) were investigated as predictors of structural damage by univariate linear (∆ total Sharp/van der Heijde score (TSS) as dependent variable) and logistic (+/-radiographic progression (∆TSS >0) as dependent variable) regression analyses. Variables with p < 0.10 were included in multivariable models. In 70 patients with available HBL data, HBL was median (interquartile range (IQR)) -1.9 (-3.3; -0.26 mg/cm ) in the MTX + placebo group and -1.8 (-3.6; 0.06) mg/cm in the MTX + adalimumab group, p = 0.98, Wilcoxon signed-rank. Increased HBL (compared to general population reference values) was found in 26/37 and 23/33 patients in the MTX + placebo and MTX + adalimumab groups, chi-squared = 0.99. In 90 patients with HBL data and 2-year radiographic data, HBL was independently associated with ∆TSS after 2 years (ß = -0.086 (95% confidence interval = -0.15; -0.025) TSS unit/mg/cm increase, p = 0.006) but not with presence of radiographic progression (∆TSS >0) (OR 0.96 (0.92-1.0), p = 0.10). In early RA patients treated with a methotrexate-based treat-to-target strategy, the majority of patients had increased HBL , irrespective of adalimumab; HBL was independently associated with ∆TSS after 2 years.
[Mh] Termos MeSH primário: Adalimumab/administração & dosagem
Antirreumáticos/administração & dosagem
Artrite Reumatoide/complicações
Artrite Reumatoide/tratamento farmacológico
Doenças Ósseas Metabólicas/diagnóstico
Ossos da Mão/diagnóstico por imagem
Metotrexato/administração & dosagem
[Mh] Termos MeSH secundário: Absorciometria de Fóton
Adalimumab/efeitos adversos
Adulto
Algoritmos
Antirreumáticos/efeitos adversos
Densidade Óssea
Doenças Ósseas Metabólicas/induzido quimicamente
Dinamarca
Progressão da Doença
Método Duplo-Cego
Quimioterapia Combinada
Feminino
Seres Humanos
Modelos Lineares
Masculino
Metotrexato/efeitos adversos
Meia-Idade
Análise Multivariada
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Antirheumatic Agents); FYS6T7F842 (Adalimumab); YL5FZ2Y5U1 (Methotrexate)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161207
[St] Status:MEDLINE
[do] DOI:10.1007/s10067-016-3489-1


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[PMID]:27757577
[Au] Autor:Thodberg HH; van Rijn RR; Jenni OG; Martin DD
[Ad] Endereço:Visiana, Søllerødvej 57C, 2840, Holte, Denmark. thodberg@visiana.com.
[Ti] Título:Automated determination of bone age from hand X-rays at the end of puberty and its applicability for age estimation.
[So] Source:Int J Legal Med;131(3):771-780, 2017 May.
[Is] ISSN:1437-1596
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The BoneXpert method for automated determination of bone age from hand X-rays was introduced in 2009, covering the Greulich-Pyle bone age ranges up to 17 years for boys and 15 years for girls. This paper presents an extension of the method up to bone age 19 years for boys and 18 years for girls. The extension was developed based on images from the First Zurich Longitudinal Study of 231 healthy children born in 1954-1956 and followed with annual X-rays of both hands until adulthood. The method was validated on two cross-sectional studies of healthy children from Rotterdam and Los Angeles. We found root mean square deviations from manual rating of 0.69 and 0.45 years in these two studies for boys in the bone age range 17-19 years. For girls, the deviations were 0.75 and 0.59 years, respectively, in the bone age range 15-18 years. It is shown how the automated bone age method can be applied to infer the age probability distribution for healthy Caucasian European males. Considering a population with age 15.0-21.0 years, the method can be used to decide whether the subject is above 18 years with a false positive rate (children classified as adults) of 10 % (95% confidence interval = 7-13%) and a false negative rate of 30 % (adults classified as children). To apply this method in other ethnicities will require a study of the average of "bone age - age" at the end of puberty, i.e. how much this population is shifted relative to the Greulich-Pyle standard.
[Mh] Termos MeSH primário: Determinação da Idade pelo Esqueleto/métodos
Ossos da Mão/diagnóstico por imagem
Rádio (Anatomia)/diagnóstico por imagem
Ulna/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adolescente
Feminino
Antropologia Forense
Ossos da Mão/crescimento & desenvolvimento
Seres Humanos
Masculino
Puberdade
Rádio (Anatomia)/crescimento & desenvolvimento
Ulna/crescimento & desenvolvimento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE
[do] DOI:10.1007/s00414-016-1471-8


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[PMID]:27373476
[Au] Autor:Wu FS; Tian W; Zhao JH; Ma W; Guo Y; Yin YB
[Ad] Endereço:Department of Orthopedics, Beijing Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, China.
[Ti] Título:[Developmental characteristics of various types of hand bones of Poland's syndrome].
[So] Source:Zhonghua Wai Ke Za Zhi;54(7):508-12, 2016 Jul 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To explore development status in different types of the hand bone and its developmental characteristics with Poland syndrome. METHODS: There were 32 cases with Poland's syndrome who accepted bilateral hand X-ray examination in Department of Hand Surgery, Beijing Jishuitan Hospital from February 2013 to August 2014.There were 24 male and 8 female patients aged from 1.0 to 15.0 years with median age of 2.4 years. Right hand deformity was 23 cases and left hand deformity was 9 cases. According to Tanner-Whitehouse skeletal age scoring system, 20 bones (radius and ulna, 7 carpal bones, 11 metacarpal and phalangeal bones) selected from the affected and contralateral limb respectively, were evaluated. Besides, hand deformity of the cases was classified into 5 types based on relevant literature. Each bone was given an individual age using the references of Greulich-Pyle chart. The average of all individual ages was taken as gross bone age, the average of individual ages of radius and ulna was taken as bone age of long bones, the average of individual ages of carpal bone was taken as bone age of carpal bones, and the average of individual age of metacarpal and phalangeal bones was taken as bone age of short bones.The delay of bone age was evaluated by correlation test, while the curve of cubic equation was used for analyzing the variance of skeletal development with age. RESULTS: The delay of long bone age of patients with Poland's syndrome in this study were 0-1.9 years ((0.5±0.5) years), 0-2.2 years ((0.7±0.5)years) for carpal bone, 0.5-2.0 years((0.6±0.4) years)for short bone and 0.1-1.7 years((0.6±0.4)years) for gross bone.Twelve cases in type â…¡ hand deformity, 15 cases in type â…¢ and 5 cases in type â…£. The delay of bone ages, including long bone age, carpal bone age, short bone age and gross bone age, was not related with gender and side(all P>0.05), but related with degree of deformity(F=3.663-12.971, P=0.000-0.038). CONCLUSION: Compared with normal upper limb, the bone age in the affected limb in Poland's syndrome is delayed and it is correlated with gender, age and the extent of hand deformity and negative with side.
[Mh] Termos MeSH primário: Ossos da Mão
Síndrome de Poland
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Osteocondrodisplasias
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170331
[Lr] Data última revisão:
170331
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160705
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2016.07.007



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