Analysis of physeal growth in dogs, using biplanar radiography

Michael G. Conzemius From the Department of Clinical Studies, School of Veterinary Medicine (Conzemius, Smith, Gregor) and the Mckay Laboratory of Orthopedic Surgery Research, School of Medicine (Brighton, Marion), University of Pennsylvania, Philadelphia, PA 19104-6010.

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Gail K. Smith From the Department of Clinical Studies, School of Veterinary Medicine (Conzemius, Smith, Gregor) and the Mckay Laboratory of Orthopedic Surgery Research, School of Medicine (Brighton, Marion), University of Pennsylvania, Philadelphia, PA 19104-6010.

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Carl T. Brighton From the Department of Clinical Studies, School of Veterinary Medicine (Conzemius, Smith, Gregor) and the Mckay Laboratory of Orthopedic Surgery Research, School of Medicine (Brighton, Marion), University of Pennsylvania, Philadelphia, PA 19104-6010.

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Michael J. Marion From the Department of Clinical Studies, School of Veterinary Medicine (Conzemius, Smith, Gregor) and the Mckay Laboratory of Orthopedic Surgery Research, School of Medicine (Brighton, Marion), University of Pennsylvania, Philadelphia, PA 19104-6010.

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Thomas P. Gregor From the Department of Clinical Studies, School of Veterinary Medicine (Conzemius, Smith, Gregor) and the Mckay Laboratory of Orthopedic Surgery Research, School of Medicine (Brighton, Marion), University of Pennsylvania, Philadelphia, PA 19104-6010.

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Summary

Biplanar radiography was used to study normal growth of the left and right radius in 5 Beagles and growth of the left radius alone in 15 additional Beagles. We explored the applicability of this radiographic method in veterinary medicine by measuring the contribution to total radius length from each growth plate. Spherical tantalum markers (0.5 mm) were embedded in the proximal epiphysis, diaphysis, and distal epiphysis of each dog's radius at 10 weeks of age. Simultaneous biplanar radiographic views were obtained every 4 weeks until skeletal maturity was documented. A three-dimensional coordinate system was constructed allowing for measurement of growth (in millimeters). Resolution of the measuring system was 0.074 mm. Mean ± sem length of the skeletally mature Beagle's radius, as measured from proximal epiphyseal bead to distal epiphyseal bead, was 95.33 ± 1.07 mm. The percentage of contribution to the total radius length from the proximal and distal growth plates was 36.76 and 64.73%, respectively, with 95% confidence interval of 2.29%. The percentage of contribution to radius length from the distal radial growth plate increased for each consecutive time segment, with the distal radial physis contributing 61.75% from 10 to 14 weeks of age and increasing to 70.22% from 22 to 26 weeks of age. Significant growth was not observed after 26 weeks of age. The period of most rapid growth was between 10 and 14 weeks of age.

Biplanar radiography was accurate and precise in quantifying the relative contribution of the proximal and distal growth plate to radius length in Beagles. The method is applicable in veterinary research or clinical medicine for monitoring of axial and angular growth: physiologic, iatrogenic, or pathologic.

Summary

Biplanar radiography was used to study normal growth of the left and right radius in 5 Beagles and growth of the left radius alone in 15 additional Beagles. We explored the applicability of this radiographic method in veterinary medicine by measuring the contribution to total radius length from each growth plate. Spherical tantalum markers (0.5 mm) were embedded in the proximal epiphysis, diaphysis, and distal epiphysis of each dog's radius at 10 weeks of age. Simultaneous biplanar radiographic views were obtained every 4 weeks until skeletal maturity was documented. A three-dimensional coordinate system was constructed allowing for measurement of growth (in millimeters). Resolution of the measuring system was 0.074 mm. Mean ± sem length of the skeletally mature Beagle's radius, as measured from proximal epiphyseal bead to distal epiphyseal bead, was 95.33 ± 1.07 mm. The percentage of contribution to the total radius length from the proximal and distal growth plates was 36.76 and 64.73%, respectively, with 95% confidence interval of 2.29%. The percentage of contribution to radius length from the distal radial growth plate increased for each consecutive time segment, with the distal radial physis contributing 61.75% from 10 to 14 weeks of age and increasing to 70.22% from 22 to 26 weeks of age. Significant growth was not observed after 26 weeks of age. The period of most rapid growth was between 10 and 14 weeks of age.

Biplanar radiography was accurate and precise in quantifying the relative contribution of the proximal and distal growth plate to radius length in Beagles. The method is applicable in veterinary research or clinical medicine for monitoring of axial and angular growth: physiologic, iatrogenic, or pathologic.

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