Skeletal maturation

骨骼成熟
  • 文章类型: English Abstract
    评估骨骼年龄是正畸计划中预测生长变化的重要因素,分析手部和腕部的X光片显示骨骼程度和面部生长潜力。目的是评估青少年手和腕部骨骼成熟与中腭缝合(MPS)骨化之间的关系。
    在四个数据库中进行了搜索,例如Pubmed,Scopus,ScienceDirect和Embase进行了审查,直到2022年12月13日。纳入的研究是关于7至18岁患者的手和手腕骨骼成熟以及中腭缝合骨化的描述性和比较性文章。两名研究人员仔细挑选了文章,对与该主题相关的不同关键主题进行了评估和分析。
    本研究包括四篇文章;根据研究,发现骨成熟程度越高,SMP的近似值就越高,尤其是在后期阶段,具有高度正相关;此外,与Hagg和Taranger和Björk方法相比,Fishman分析方法的评估结果更大。在SMI7-9中的关键极限阶段,发现了与D-E阶段兼容的更大的SMP封闭方法。女性的成熟完成比男性早2年。
    使用腕骨分析的诊断评估方法可用于SMP成熟期的预测性评估;但是,结果并非在所有情况下都是绝对的,因此不能一概而论。
    UNASSIGNED: The evaluation of skeletal age is an important factor in orthodontic planning to anticipate changes in growth, with the analysis of hand and wrist radiographs showing the degree of bone and facial growth potential. The objective was to evaluate the relationship between skeletal maturation of the hand and wrist and ossification of the midpalatal suture (MPS) in adolescents.
    UNASSIGNED: A search was carried out in four databases such as Pubmed, Scopus, Science Direct and Embase were reviewed until December 13, 2022. The included studies were descriptive and comparative articles on the skeletal maturation of the hand and wrist and ossification of the midpalatal suture of patients aged 7 to 18 years. Two researchers carefully selected the articles evaluated and analyzed the different key topics related to the topic.
    UNASSIGNED: Four articles were included in this study; According to the studies, it was found that the greater the degree of bone maturation there is an increase in the approximation of the SMP, especially in late stages, with high and positive correlations; Furthermore, there were greater evaluation results with the Fishman analysis method as opposed to the Hagg and Taranger and Björk methods. The critical limit stages in SMI7-9, a greater approach to the closure of SMP compatible with stage D-E was found. The completion of maturation in women occurs up to 2 years earlier than in men.
    UNASSIGNED: Diagnostic evaluation methods using carpal analysis can be used for predictive evaluations of the maturation stage of SMP; However, the results were not absolute in all cases so they cannot be generalized.
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  • 文章类型: Journal Article
    本系统综述的目的是评估唇裂和/或腭裂(CL/P)患者骨骼成熟的证据,并调查这些患者骨骼成熟是否延迟。
    系统评价。
    在4个数据库(MEDLINE,Embase,科克伦图书馆,和WebofScience)。将CL/P患者的骨骼成熟度与无CL/P儿童的骨骼成熟度进行比较的队列研究符合纳入条件。使用纽卡斯尔-渥太华量表评估纳入队列研究的质量。
    任何性别和种族的CL/P患者和无CL/P的儿童纳入本系统评价。
    有CL/P的患者和无CL/P的患者之间骨骼成熟的差异
    本系统综述包括13项回顾性队列研究。10项研究被认为是高质量的,3项被认为是一般质量的。纳入的比较CL/P患者和无CL/P儿童骨骼成熟的研究结果是异质的。
    骨骼成熟评估方法的异质性,实际年龄,性别,裂隙类型,和种族可能会影响临床研究对CL/P患者骨骼成熟的最终结果。总的来说,与正常儿童相比,确定CL/P患者的骨骼成熟水平是否延迟的证据有限.需要进一步的研究来确定CL/P患者的骨骼成熟模式。
    UNASSIGNED: The objective of this systematic review was to evaluate the evidence regarding skeletal maturation in patients with cleft lip and/or palate (CL/P) and to investigate whether the skeletal maturation is delayed in these patients.
    UNASSIGNED: Systematic review.
    UNASSIGNED: Electronic and manual searches of scientific literature were conducted in 4 databases (MEDLINE, Embase, Cochrane Library, and Web of Science). Cohort studies that compared the skeletal maturation of patients with CL/P with that of children without CL/P were eligible for inclusion. The quality of included cohort studies was assessed using the Newcastle-Ottawa Scale.
    UNASSIGNED: Patients of any sex and ethnicity with CL/P and children without CL/P were included in this systematic review.
    UNASSIGNED: Difference in skeletal maturation between patients with CL/P and patients without CL/P.
    UNASSIGNED: Thirteen retrospective cohort studies were included in this systematic review. Ten studies were considered of high quality and 3 were considered of general quality. The results of the included studies comparing skeletal maturation of patients with CL/P and children without CL/P were heterogeneous.
    UNASSIGNED: Heterogeneity of skeletal maturation assessment methods, chronological age, sex, cleft type, and race may influence the final results of clinical studies on skeletal maturation in patients with CL/P. Overall, there is limited evidence to determine whether the skeletal maturation level of patients with CL/P is delayed compared to that of normal children. Further studies are needed to determine the skeletal maturation patterns in patients with CL/P.
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  • 文章类型: Journal Article
    Age estimation of living individuals has become a crucial part of the forensic practice, especially due to the global increase in cross-border migration. The low rate of birth registration in many countries, hence of identification documents of migrants, especially in Africa and Asia, highlights the importance of reliable methods for age estimation of living individuals. Despite the fact that a number of skeletal and dental methods for age estimation have been developed, their main limitation is that they are based on specific reference samples and there is still no consensus among researchers on whether these methods can be applied to all populations. Though this issue remains still unsolved, population information at a glance could be useful for forensic practitioners dealing with such issues. This study aims at presenting a scoping review and mapping of the current situation concerning population data for skeletal (hand-wrist and clavicle) and dental methods (teeth eruption and third molar formation) for age estimation in the living. Two hundred studies on the rate of skeletal maturation and four hundred thirty-nine on the rate of dental maturation were found, covering the period from 1952 and 2020 for a total of ninety-eight countries. For most of the western and central African countries there are currently no data on the rate of skeletal and dental maturation. The same applies to the countries of the Middle East, as well as the eastern European countries, especially as regard the skeletal development.
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  • 文章类型: Journal Article
    目的:通过荟萃分析进行系统评价,以回答以下问题:颈椎成熟指数(CVMI)是否可有效替代腕部X线片(金标准)来确定青春期生长突增骨生长患者?
    方法:在三个数据库中进行搜索,其中选择了比较颈椎两种主要评估方法之一的研究(HasselB,法曼公司.使用颈椎评估骨骼成熟度。AmJ正位牙面矫形器1995;107:58-66,或BaccettiT,FranchiL,McNamaraJAJr。用于评估下颌骨生长的颈椎成熟(CVM)方法的改进版本。角度正交2002;72:316-23)的腕骨评估方法。收集了每个文本的主要方法学数据,然后将其制成表格。稍后,对获得的相关系数进行荟萃分析.
    结果:从最初收集的206篇文章中选择了19篇文章。不管使用哪种方法,荟萃分析的结果表明,所选择的每一篇文章都显示颈椎和腕骨方法进行的骨骼成熟度评估之间呈正相关,性别之间的值差异表明女性(0.925;0.878)的相关性高于男性(0.879;0.842)。当评估是在没有性别分离的情况下进行的,相关性是显着的(0.592;0.688),但在性别分离的情况下较低。
    结论:根据本荟萃分析的结果,可以肯定的是,本研究中使用的两种CVMI都是可靠的,可以替代腕部X光片预测青春期生长突增,考虑到女性样本中的最高值,尤其是Hassel和Farman的方法.
    OBJECTIVE: To perform a systematic review with meta-analysis to answer the question: is the cervical vertebrae maturation index (CVMI) effective to replace hand-wrist radiograph (gold standard) in determining the pubertal growth spurt in patients undergoing bone growth?
    METHODS: A search in three databases was performed, in which studies were selected that compared one of the two main assessment methods for cervical vertebrae (Hassel B, Farman AG. Skeletal maturation evaluation using cervical vertebrae. Am J Orthod Dentofacial Orthop 1995; 107: 58-66, or Baccetti T, Franchi L, McNamara JA Jr. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod 2002; 72: 316-23) to a carpal assessment method. The main methodological data from each of the texts were collected and tabulated after. Later, the meta-analysis of the correlation coefficients obtained was performed.
    RESULTS: 19 articles were selected from an initial 206 articles collected. Regardless of the method used, the results of the meta-analysis showed that every article selected presented a positive correlation between skeletal maturation assessment performed by cervical vertebrae and carpal methods, with discrepancy of values between genders indicating higher correlation for the female gender (0.925; 0.878) than for the male (0.879; 0.842). When the assessment was performed without gender separation, correlation was significant (0.592; 0.688) but lower in the cases when genders were separated.
    CONCLUSIONS: With the results of this meta-analysis, it is safe to affirm that both CVMIs used in the present study are reliable to replace the hand-wrist radiograph in predicting the pubertal growth spurt, considering that the highest values were found in female samples, especially in the method by Hassel and Farman.
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