Pediatric Orthopedic Deformities, Volume 1 by Frederic Shapiro

Author:Frederic Shapiro
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

1. Deficient calcification

• of cartilage in longitudinal septae of hypertrophic zone

• of osteoid in zone of provisional calcification

• of cortical and trabecular osteoid

2. Physeal thickening

• initially of hypertrophic zone

• also of proliferating zone (not converted to hypertrophic zone)

• diminished to absent vascular invasion from metaphysis

3. Compression of central lower physeal tissues

• physeal thickening concentrated in central 4/5th of physis

• compression of lower physeal zone chondrocytes and matrix (mechanical)

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