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Presence of Pseudoepiphyses in All the Metacarpal and Metatarsal Bones of a 9 Year-Old Girl: An Extremely Rare Case
American Journal of Pediatrics
Volume 3, Issue 4, July 2017, Pages: 18-22
Received: Jul. 16, 2017; Accepted: Jul. 31, 2017; Published: Aug. 24, 2017
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Juan Garces Garces, Image Department, Hospital Metropolitano, Quito, Ecuador
Maria Emilia Arteaga, Genetics Department, GyneMedic Institute, Mexico City, Mexico
Diana Granda Gonzalez, Pediatrics Department, Hospital Metropolitano, Quito, Ecuador
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Presentation of a 9 year-old girl case. An X-ray of her left hand, requested by her paediatrician to evaluate her bone age, revealed pseudoepiphyses in the non-epiphyseal ends of the five metacarpal bones. For this reason, X-rays were taken of the opposing hand and of the feet, which revealed that they had the same pseudo-epiphyseal pattern. X-rays of the rest of her skeleton did not reveal any other pathology. A clinical evaluation performed by a Geneticist did not show any syndromic association. The conclusion is that this is an extremely rare case of an isolated bone variant.
Pseudoepiphyses, Physeal Notches, Supernumerary Epiphyses
To cite this article
Juan Garces Garces, Maria Emilia Arteaga, Diana Granda Gonzalez, Presence of Pseudoepiphyses in All the Metacarpal and Metatarsal Bones of a 9 Year-Old Girl: An Extremely Rare Case, American Journal of Pediatrics. Vol. 3, No. 4, 2017, pp. 18-22. doi: 10.11648/j.ajp.20170304.11
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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