Development of the long bones in the hands and feet of children: radiographic and MR imaging correlation

Pediatr Radiol. 2016 Apr;46(4):551-61; quiz 548-50. doi: 10.1007/s00247-015-3513-7. Epub 2016 Jan 21.

Abstract

The long bones of the hands and feet in children have an epiphyseal end with a secondary center of ossification and an adjacent transverse physis. In contrast to other long bones in the body, the opposite end in the hands and feet, termed the non-epiphyseal end, is characterized by direct metaphyseal extension of bone to complete terminal ossification. The purpose of this pictorial essay is to illustrate the developmental stages of each end of the long bones of the hands and feet with radiographic and MR imaging to provide a foundation from which to differentiate normal from abnormal growth.

Keywords: Bone growth; Epiphysis; Foot; Hand; Magnetic resonance imaging; Metacarpal; Metatarsal; Pseudoepiphysis; Radiography.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Aging / physiology*
  • Child
  • Child, Preschool
  • Epiphyses / diagnostic imaging
  • Epiphyses / growth & development
  • Female
  • Foot Bones / diagnostic imaging*
  • Foot Bones / growth & development*
  • Hand Bones / diagnostic imaging*
  • Hand Bones / growth & development*
  • Humans
  • Infant
  • Magnetic Resonance Imaging / methods*
  • Male
  • Radiography / methods