T. Futami et al., Magnetic resonance imaging of growth plate injuries: the efficacy and indications for surgical procedures, ARCH ORTHOP, 120(7-8), 2000, pp. 390-396
In 23 patients with growth plate injuries, magnetic resonance imaging (MRI)
studies were performed a total of 31 times to evaluate the physis which sh
owed plain radiographic evidence of possible damage. Fourteen patients clin
ically showed growth arrest, and 10 patients required a Langenskiold operat
ion. In 3 patients who underwent this operation, subsequent premature total
fusion of the physis adversely affected the postoperative results. We prop
ose that the merging shape of the arrest line with calcification of the pro
visional zone of the metaphysis shown by MRI indicates poor viability of th
e physis. MRI provided useful information on the appearance of the growth p
late and changes in the metaphysis, both of which affected the prognosis an
d the results: of the surgical procedures.