Delayed puberty x ray: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Eiman (talk | contribs)
nocaptcha, Administrators
3,082 edits
No edit summary
Eiman (talk | contribs)
nocaptcha, Administrators
3,082 edits
No edit summary
Line 12: Line 12:
* Studies have shown that there is strong association between bone age and the initiation of puberty in boys involved in developmental disorders.<ref name="pmid14715856">{{cite journal |vauthors=Flor-Cisneros A, Leschek EW, Merke DP, Barnes KM, Coco M, Cutler GB, Baron J |title=In boys with abnormal developmental tempo, maturation of the skeleton and the hypothalamic-pituitary-gonadal axis remains synchronous |journal=J. Clin. Endocrinol. Metab. |volume=89 |issue=1 |pages=236–41 |year=2004 |pmid=14715856 |doi=10.1210/jc.2002-021954 |url=}}</ref><ref name="pmid16837127">{{cite journal| author=Flor-Cisneros A, Roemmich JN, Rogol AD, Baron J| title=Bone age and onset of puberty in normal boys. | journal=Mol Cell Endocrinol | year= 2006 | volume= 254-255 | issue=  | pages= 202-6 | pmid=16837127 | doi=10.1016/j.mce.2006.04.008 | pmc=1586226 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16837127  }}</ref>  
* Studies have shown that there is strong association between bone age and the initiation of puberty in boys involved in developmental disorders.<ref name="pmid14715856">{{cite journal |vauthors=Flor-Cisneros A, Leschek EW, Merke DP, Barnes KM, Coco M, Cutler GB, Baron J |title=In boys with abnormal developmental tempo, maturation of the skeleton and the hypothalamic-pituitary-gonadal axis remains synchronous |journal=J. Clin. Endocrinol. Metab. |volume=89 |issue=1 |pages=236–41 |year=2004 |pmid=14715856 |doi=10.1210/jc.2002-021954 |url=}}</ref><ref name="pmid16837127">{{cite journal| author=Flor-Cisneros A, Roemmich JN, Rogol AD, Baron J| title=Bone age and onset of puberty in normal boys. | journal=Mol Cell Endocrinol | year= 2006 | volume= 254-255 | issue=  | pages= 202-6 | pmid=16837127 | doi=10.1016/j.mce.2006.04.008 | pmc=1586226 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16837127  }}</ref>  
* The researches suggested that skeletal maturation and hypothalamus-pituitary-gonadal axis maturation rates are relevant to each other. Delayed puberty is related to the skeletal maturation delay, that can be caused by various diseases, such as chronic diseases<ref name="pmid7113957">{{cite journal |vauthors=Kulin HE, Bwibo N, Mutie D, Santner SJ |title=The effect of chronic childhood malnutrition on pubertal growth and development |journal=Am. J. Clin. Nutr. |volume=36 |issue=3 |pages=527–36 |year=1982 |pmid=7113957 |doi= |url=}}</ref>, malnutrition<ref name="pmid3083790">{{cite journal |vauthors=Alvear J, Artaza C, Vial M, Guerrero S, Muzzo S |title=Physical growth and bone age of survivors of protein energy malnutrition |journal=Arch. Dis. Child. |volume=61 |issue=3 |pages=257–62 |year=1986 |pmid=3083790 |pmc=1777696 |doi= |url=}}</ref>, hypothyroidism<ref name="pmid1863095">{{cite journal |vauthors=Pantsiouou S, Stanhope R, Uruena M, Preece MA, Grant DB |title=Growth prognosis and growth after menarche in primary hypothyroidism |journal=Arch. Dis. Child. |volume=66 |issue=7 |pages=838–40 |year=1991 |pmid=1863095 |pmc=1793266 |doi= |url=}}</ref>, constitutional delay of growth<ref name="pmid11932291">{{cite journal |vauthors=Sedlmeyer IL, Palmert MR |title=Delayed puberty: analysis of a large case series from an academic center |journal=J. Clin. Endocrinol. Metab. |volume=87 |issue=4 |pages=1613–20 |year=2002 |pmid=11932291 |doi=10.1210/jcem.87.4.8395 |url=}}</ref>, and growth hormone (GH) deficiency<ref name="pmid170299">{{cite journal |vauthors=Tanner JM, Whitehouse RH |title=A note on the bone age at which patients with true isolated growth hormone deficiency enter puberty |journal=J. Clin. Endocrinol. Metab. |volume=41 |issue=4 |pages=788–90 |year=1975 |pmid=170299 |doi=10.1210/jcem-41-4-788 |url=}}</ref>.
* The researches suggested that skeletal maturation and hypothalamus-pituitary-gonadal axis maturation rates are relevant to each other. Delayed puberty is related to the skeletal maturation delay, that can be caused by various diseases, such as chronic diseases<ref name="pmid7113957">{{cite journal |vauthors=Kulin HE, Bwibo N, Mutie D, Santner SJ |title=The effect of chronic childhood malnutrition on pubertal growth and development |journal=Am. J. Clin. Nutr. |volume=36 |issue=3 |pages=527–36 |year=1982 |pmid=7113957 |doi= |url=}}</ref>, malnutrition<ref name="pmid3083790">{{cite journal |vauthors=Alvear J, Artaza C, Vial M, Guerrero S, Muzzo S |title=Physical growth and bone age of survivors of protein energy malnutrition |journal=Arch. Dis. Child. |volume=61 |issue=3 |pages=257–62 |year=1986 |pmid=3083790 |pmc=1777696 |doi= |url=}}</ref>, hypothyroidism<ref name="pmid1863095">{{cite journal |vauthors=Pantsiouou S, Stanhope R, Uruena M, Preece MA, Grant DB |title=Growth prognosis and growth after menarche in primary hypothyroidism |journal=Arch. Dis. Child. |volume=66 |issue=7 |pages=838–40 |year=1991 |pmid=1863095 |pmc=1793266 |doi= |url=}}</ref>, constitutional delay of growth<ref name="pmid11932291">{{cite journal |vauthors=Sedlmeyer IL, Palmert MR |title=Delayed puberty: analysis of a large case series from an academic center |journal=J. Clin. Endocrinol. Metab. |volume=87 |issue=4 |pages=1613–20 |year=2002 |pmid=11932291 |doi=10.1210/jcem.87.4.8395 |url=}}</ref>, and growth hormone (GH) deficiency<ref name="pmid170299">{{cite journal |vauthors=Tanner JM, Whitehouse RH |title=A note on the bone age at which patients with true isolated growth hormone deficiency enter puberty |journal=J. Clin. Endocrinol. Metab. |volume=41 |issue=4 |pages=788–90 |year=1975 |pmid=170299 |doi=10.1210/jcem-41-4-788 |url=}}</ref>.
* For measuring bone age by means of X-ray, the left hand and wrist have to be studied. Greulich and Pyle Atlas may be used to interpret the findings.<ref name="PalmertDunkel2012">{{cite journal|last1=Palmert|first1=Mark R.|last2=Dunkel|first2=Leo|title=Delayed Puberty|journal=New England Journal of Medicine|volume=366|issue=5|year=2012|pages=443–453|issn=0028-4793|doi=10.1056/NEJMcp1109290}}</ref>
* For measuring bone age by means of X-ray, the left hand and wrist have to be studied. Greulich and Pyle Atlas may be used to interpret the findings.<ref name="PalmertDunkel2012">{{cite journal|last1=Palmert|first1=Mark R.|last2=Dunkel|first2=Leo|title=Delayed Puberty|journal=New England Journal of Medicine|volume=366|issue=5|year=2012|pages=443–453|issn=0028-4793|doi=10.1056/NEJMcp1109290}}</ref><ref name="pmid24772153">{{cite journal| author=Manzoor Mughal A, Hassan N, Ahmed A| title=The applicability of the Greulich & Pyle Atlas for bone age assessment in primary school-going children of Karachi, Pakistan. | journal=Pak J Med Sci | year= 2014 | volume= 30 | issue= 2 | pages= 409-11 | pmid=24772153 | doi= | pmc=3999020 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24772153  }}</ref>
* <ref name="pmid24772153">{{cite journal| author=Manzoor Mughal A, Hassan N, Ahmed A| title=The applicability of the Greulich & Pyle Atlas for bone age assessment in primary school-going children of Karachi, Pakistan. | journal=Pak J Med Sci | year= 2014 | volume= 30 | issue= 2 | pages= 409-11 | pmid=24772153 | doi= | pmc=3999020 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24772153  }}</ref>
* If the difference between measured bone age and chronological age is more than 2 years, it will strongly diagnostic of constitutional delay of growth and puberty (CDGP).  
* If the difference between measured bone age and chronological age is more than 2 years, it will strongly diagnostic of constitutional delay of growth and puberty (CDGP).  
* If the bone age shows the 4 years delay, it may reflect a 8 cm more final adult height in patient. Final adult height can be concluded through Bayley-Pinneau tables.<ref name="pmid11836292">{{cite journal |vauthors=Wit JM, Rekers-Mombarg LT |title=Final height gain by GH therapy in children with idiopathic short stature is dose dependent |journal=J. Clin. Endocrinol. Metab. |volume=87 |issue=2 |pages=604–11 |year=2002 |pmid=11836292 |doi=10.1210/jcem.87.2.8225 |url=}}</ref>
* If the bone age shows the 4 years delay, it may reflect a 8 cm more final adult height in patient. Final adult height can be concluded through Bayley-Pinneau tables.<ref name="pmid11836292">{{cite journal |vauthors=Wit JM, Rekers-Mombarg LT |title=Final height gain by GH therapy in children with idiopathic short stature is dose dependent |journal=J. Clin. Endocrinol. Metab. |volume=87 |issue=2 |pages=604–11 |year=2002 |pmid=11836292 |doi=10.1210/jcem.87.2.8225 |url=}}</ref>

Revision as of 14:34, 11 September 2017

Delayed puberty Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Delayed puberty from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Delayed puberty x ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Delayed puberty x ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Delayed puberty x ray

CDC on Delayed puberty x ray

Delayed puberty x ray in the news

Blogs on Delayed puberty x ray

Directions to Hospitals Treating Delayed puberty

Risk calculators and risk factors for Delayed puberty x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

X-ray

An X-ray may be helpful in the diagnosis of delayed puberty. Findings on an x-ray are specific to measuring bone age. Bone age may be used to predict the children final adult height.


Bone age

  • Studies have shown that there is strong association between bone age and the initiation of puberty in boys involved in developmental disorders.[1][2]
  • The researches suggested that skeletal maturation and hypothalamus-pituitary-gonadal axis maturation rates are relevant to each other. Delayed puberty is related to the skeletal maturation delay, that can be caused by various diseases, such as chronic diseases[3], malnutrition[4], hypothyroidism[5], constitutional delay of growth[6], and growth hormone (GH) deficiency[7].
  • For measuring bone age by means of X-ray, the left hand and wrist have to be studied. Greulich and Pyle Atlas may be used to interpret the findings.[8][9]
  • If the difference between measured bone age and chronological age is more than 2 years, it will strongly diagnostic of constitutional delay of growth and puberty (CDGP).
  • If the bone age shows the 4 years delay, it may reflect a 8 cm more final adult height in patient. Final adult height can be concluded through Bayley-Pinneau tables.[10]

References

  1. ↑ Flor-Cisneros A, Leschek EW, Merke DP, Barnes KM, Coco M, Cutler GB, Baron J (2004). "In boys with abnormal developmental tempo, maturation of the skeleton and the hypothalamic-pituitary-gonadal axis remains synchronous". J. Clin. Endocrinol. Metab. 89 (1): 236–41. doi:10.1210/jc.2002-021954. PMID 14715856.
  2. ↑ Flor-Cisneros A, Roemmich JN, Rogol AD, Baron J (2006). "Bone age and onset of puberty in normal boys". Mol Cell Endocrinol. 254-255: 202–6. doi:10.1016/j.mce.2006.04.008. PMC 1586226. PMID 16837127.
  3. ↑ Kulin HE, Bwibo N, Mutie D, Santner SJ (1982). "The effect of chronic childhood malnutrition on pubertal growth and development". Am. J. Clin. Nutr. 36 (3): 527–36. PMID 7113957.
  4. ↑ Alvear J, Artaza C, Vial M, Guerrero S, Muzzo S (1986). "Physical growth and bone age of survivors of protein energy malnutrition". Arch. Dis. Child. 61 (3): 257–62. PMC 1777696. PMID 3083790.
  5. ↑ Pantsiouou S, Stanhope R, Uruena M, Preece MA, Grant DB (1991). "Growth prognosis and growth after menarche in primary hypothyroidism". Arch. Dis. Child. 66 (7): 838–40. PMC 1793266. PMID 1863095.
  6. ↑ Sedlmeyer IL, Palmert MR (2002). "Delayed puberty: analysis of a large case series from an academic center". J. Clin. Endocrinol. Metab. 87 (4): 1613–20. doi:10.1210/jcem.87.4.8395. PMID 11932291.
  7. ↑ Tanner JM, Whitehouse RH (1975). "A note on the bone age at which patients with true isolated growth hormone deficiency enter puberty". J. Clin. Endocrinol. Metab. 41 (4): 788–90. doi:10.1210/jcem-41-4-788. PMID 170299.
  8. ↑ Palmert, Mark R.; Dunkel, Leo (2012). "Delayed Puberty". New England Journal of Medicine. 366 (5): 443–453. doi:10.1056/NEJMcp1109290. ISSN 0028-4793.
  9. ↑ Manzoor Mughal A, Hassan N, Ahmed A (2014). "The applicability of the Greulich & Pyle Atlas for bone age assessment in primary school-going children of Karachi, Pakistan". Pak J Med Sci. 30 (2): 409–11. PMC 3999020. PMID 24772153.
  10. ↑ Wit JM, Rekers-Mombarg LT (2002). "Final height gain by GH therapy in children with idiopathic short stature is dose dependent". J. Clin. Endocrinol. Metab. 87 (2): 604–11. doi:10.1210/jcem.87.2.8225. PMID 11836292.

Template:WS Template:WH

Retrieved from "https://www.wikidoc.org/index.php?title=Delayed_puberty_x_ray&oldid=1350363"