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CONGENITAL MALFORMATIONS INDUCED IN RATS BY MATERNAL NUTRITIONAL DEFICIENCY III. The Malformations of the Extremities
Josef Warkany; Rose C. Nelson; Elizabeth Schraffenberger
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The Children's Hospital Research Foundation and the Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati
1943 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1943; 25:261-270 
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Abstract

Congenital malformations, induced in rats by maternal nutritional deficiency, date back to the cartilaginous or precartilaginous stage of the structures affected. The defects of ossification are secondary results, caused by the faulty development of the precursors of the bones.

Many cartilaginous structures show a lack of division in the longitudinal and transverse direction; this leads to a reduction in the number of the skeletal elements, and to syndactylism and brachydactylism in the paws.

The radius, ulna, tibia, and fibula are frequently shortened in the cartilaginous stage. Ossification is delayed and faulty, and eccentric centers of ossification lead to an abnormal arrangement of the bone trabeculae.

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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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