0
Journal Contents   |    
The Prenatal Development of the Skeleton and Joints of the Human Foot
Ernest Gardner; Ronan O'Rahilly; D. J. Gray
View Disclosures and Other Information
Departments of Anatomy, Wayne State University College of Medicine, Detroit Stanford University School of Medicine, Stanford
1959 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1959; 41:847-876 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

One hundred and eighty-four human embryos and foetuses were studied. They ranged from seven to 460 millimeters in length.

The skeleton of the foot was blastemal by Stage 17, and the various elements began to chondrify between Stages 18 and 23, that is, from approximately five and a half to seven weeks after ovulation. Chondrification occurred in a definite sequence.

Cartilage canals were first seen at forty-three millimeters; they were found in all skeletal elements, including sesamoids. Their first appearance occurred in a definite sequence.

Ossification was first noted in the metatarsals and distal phalanges early in the fetal period, and later in the proximal and middle phalanges. Some middle phalanges had not begun to ossify at term. Periosteal ossification was first noted in the calcaneus at ninety-three millimeters, and endochondral ossification at 150 millimeters (about five months). Endochondral ossification was first noted in the talus at 253 millimeters (about eight months). In two specimens at term, endochondral ossification was beginning in the cuboid. Cartilaginous sesamoids were first noted at thirty millimeters; their distribution and frequeney during the fetal period roughly corresponded to those reported for the adult.

Fusions were noted as follows: talocalcanean, calcaneonavicular, cuneometatarsal, and interphalangeal. Fusion of the middle and distal phalanges of the little toe was common. Accessory ossicles. that were noted included os paracuneiforme, os intermetatarsale, and a separate cartilage in the tendon of the tibialis posterior.

Homogeneous interzones were present in the joints of the foot by Stages 20 to 21. Cavitation began in a few joints during the embryonic period, but the formation of three-layered interzones, followed by cavitation, began in most joints during the early fetal period.

Capsules and ligaments were present as cellular condensations before cavities and, in sonme cases, before three-layered interzones appeared.

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
    Images in clinical medicine. Polydactyly.
    The New England journal of medicine: Issue date- 2011 Dec 1
    Valgus deformity of the great toe interphalangeal joint treated by reversed sliding osteotomy of the proximal phalanx: a case report.
    Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society: Issue date- 2011 Apr
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    Virginia - Charleston Area Medical Center