0
Journal Contents   |    
THE EFFECT OF ROENTGEN IRRADIATION ON EPIPHYSEAL GROWTH II. Experimental Studies upon the Dog
JOHN A. REIDY; JAMES R. LINGLEY; EDWARD A. GALL; JOSEPH S. BARR
View Disclosures and Other Information
Departments of Orthopaedic Surgery, Roentgenology, and Pathology and Bacteriology, Massachusetts General Hospital, Boston
1947 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1947; 29:853-873 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. Roentgen dosages of from 800 to 1,200 r were directed over selected joints of sixweek-old dogs. The treated area included the joint, epiphysis, and adjacent metaphysis.

2. The epiphyseal cartilage was profoundly affected, and retardation of growth occurred.

3. The articular cartilage of the treated joints showed frank microscopic evidence of degenerative changes, and was not so thick as in the controls. These changes were not sufficient to interfere with joint function during the period of the experiment, and were not apparent on gross examination.

4. There was no evidence of significant abnormality in the adjacent cortical or cancellous bone, synovial membrane, joint capsule, skin, or pariarticular soft tissues.

5. Mild bowing of the treated fore limb occurred in eight of twelve animals. No such deformity occurred in the hind limbs.

6. Although shortening of the treated bone occurred in each instance, there was evidence of stimulation of growth at the untreated epiphysis of the treated long bone. The cause of this stimulating effect is not apparent.

7. The clinical use of roentgen irradiation of growing epiphyses to control longitudinal growth inequalities in children must he considered as experimental, and fraught with some potential dangers. Whether the danger is greater than is incurred in surgical procedures, such as lengthening or shortening of the lower extremity and epiphyseodesis, must await further investigations.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    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.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center