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UNUNITED ANOMALOUS EPIPHYSES OF THE INFERIOR ARTICULAR PROCESSES OF THE LUMBAR VERTEBRAE
B. H. NICHOLS; E. L. SHIFLETT
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The Cleveland Clinic Foundation
The Journal of Bone & Joint Surgery.  1933; 15:591-600 
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Abstract

An unexplained incomplete union of the inferior articular processes of the lumbar vertebrae is presented. This has the typical roentgenographic appearance of an ununited epiphysis. Separate epiphyses for the articular processes are not described in the present texts of embryology or anatomy or in the available literature. This condition has been illustrated and described in detail, because it may assume medicolegal significance when misinterpreted as fracture. When one becomes familiar with the typical roentgenographic appearance, the condition offers no diagnostic difficulties. We believe this is an ununited epiphysis, probably anomalous, of the inferior articular process of the lumbar vertebrae. As stated before, embryological confirmation is lacking. It seems logical to assume that the anomaly is not responsible for the symptoms present in the cases described.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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