J Korean Orthop Assoc.  1974 Sep;9(3):278-283. 10.4055/jkoa.1974.9.3.278.

A Study on the Skeletal Development of Korean Children, Part II: The Knee

• Yang YS
• Lee DY

• KMID: 2471482
• DOI: http://doi.org/10.4055/jkoa.1974.9.3.278

Abstract

The authors surveyed the skeletal maturity of the knees of 1.134 Korean children from 7 to 19 years of age. The assessment was made by using the standard knee atlas of Pyle and Hoerr. Following observations are made: 1. The median values of the ages of the completion of epiphyseal fusion in the knee are shown - in Table 1. and the mean skeletal ages are shown in Table 2. 2. The correlations between the chronological ages and the skeletal ages of these children are presented in Figures 2 and 3. 3. As compared with the standard children of Pyle and Hoerr, the completion of epiphyseal fusion in Korean children was almost the same or slightly delayed. 4. There were no significant differences between the both knees in skelatal maturation. 5. The authors have concluded that, for all practical purposes, "A Radiographic Standard of Reference for the Growing Knee" prepared by Pyle and Hoers (1969) is a reasonably accurate standard equally applicable for Korean children and recommend its use in this country.

MeSH Terms

Child*
Humans
Knee*

Reference

2. Anderson M., Green W.T., Messner M.B.Growth and Predictions of Growth in the Lower Extremities. J. B. J. S. 45-A:1. 1963.

3. Anderson M., Messner M.B., Green W.T.Distribution of Lengths of the Normal Femur and Tibia in Children from One to Eighteen Years of Age. J. B. J. S. 46-A:1197. 1964.

4. Buehl C.C., Pyle S.I.The Use of Age at First Appearance of Three Ossification Centers in Determining the Skeletal Status of Children. J. Pediatrics. 21:335. 1942.

5. Flecker H.Time of Appearance and Fusion of Centers by Roentgenographic Methods. Amer. J. Roentgenol. 47:97. 1942.

6. Green W.T., Anderson M.Skeletal Age and the Control of Bone Growth. Instructional Course Lectures. Vol. XVII:199. 1960.

7. Greulich W.W., Pyle S.I.Radiographic Atlas of Skeletal Development of Hand and Wrist. 1959. 2nd Edition. Stan ford University Stanford;California:

8. Hansman C.F.Appearance and Fusion of Ossification Centers in the Human Skeleton. Amer, J. Roentgenol. 88(No. 3):1962.

9. Hoerr N.L., Pyle S.I., Francis C.C.Radiographic Atlas of Skeltal Development of the Foot and Ankle. 1952. Springfield, Illinois: Thomas.

10. Jaffe H.L.Metabolic, Degenerative, and Inflammatory Diseases of Bones and Joints. 1972. Lea & Febiger;Philadelphia:

11. Mainland D.Evaluation of the Skeletal Age Method of Estimating Children's Development. I. Systemic Errors in the Assessment of Roentgenograms. Pediatrics. 12:114. 1953.

12. Mainland D.Evaluation of the Skelelal Age Method of Estimating Children's Development. II. Variable Errors in the Assessment of Roentgenograms. Pediatrics. 13:165. 1954.

13. Mainland D.Evaluation of the Skeletal Age: Method of Estimating Children's Development. III. Comparison of Measurement and Inspection in the Assessment of Roentgenograms. Pediatrics. 20:979. 1957.

14. Mellman W.T., Bongiovanni A.M., Hope J. W.The Diagnostic Usefulness of Skeletal Maturation in an Endocrine Clinic. Pediatrics. 23:530. 1959.

15. Pyle S.I., Sontag L.W.Variability in Onset of Ossification in Epiphyses and Short Bones of the Extremities. Amer. J. Roentgenol. 49:795. 1943.

16. Pyle S.I., Mann A.W., et al. A Substitute for Skeletal Age (Todd) for Clinical Use; The Red Graph Method. J. Pediatrics. 32:125. 1948.

17. Pyle S.I., Hoerr N.L.Radiographic Atlas of Skeletal Development of the Knee. Thomas, Springfield, Illinois. 1955.

18. Pyle S.I., Hoerr N.L.A Radiographic Standard of Reference for the Growing Knee. Thomas, Springfield, Illinois;1969.

19. Simmons K., Greulich W.W.Menarcheal Age and the Height, Weight and Skeletal Age of Girls Age 7 to 17 Years. J. Pediatrics. 22:518. 1943.

20. Sontag L.W., Lipford J.The Effect of Illness and Other Factors on the Appearance Pattern of Skeletal Epiphyses. J. Pediatrics. 23:391. 1943.

21. Stuart H.C., Pyle S.I., Cornoni J., Reed R.B.Onsets, Completions and Spans of Ossification in the 29 Bone Growth Centers of the Hand and Wrist. Pediatrics. 29:237. 1962.

22. Tupman G.S.A Study of Bone Growth in Normal Children and its Relationship to Skeletal Maturation. J. B. J. S. 44-B:42. 1962.

23. U.S. National Center for Health Statistics. A Radiographic Standard of Reference for the Growing Hand and Wrist. 1971; The Press of Case Western Reserve University;Cleveland, Ohio: