American Journal of Pediatrics

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Presence of Pseudoepiphyses in All the Metacarpal and Metatarsal Bones of a 9 Year-Old Girl: An Extremely Rare Case

Received: 16 July 2017    Accepted: 31 July 2017    Published: 24 August 2017
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Abstract

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.

DOI 10.11648/j.ajp.20170304.11
Published in American Journal of Pediatrics (Volume 3, Issue 4, July 2017)
Page(s) 18-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pseudoepiphyses, Physeal Notches, Supernumerary Epiphyses

References
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[2] M. C. Lee and S. M. Garn, “Pseudoepiphyses or notches in the non-epiphyseal end of the metacarpal bones in healthy children”, Anat Rec, 1967, vol. 159, pp. 263-272.
[3] T. R. de Jong, W. B. W. H. Melenhorst and P. Houpt, “Complete PseudoepiphysesWith Associated Enhanced Growth In Hands and Feet: A Report of 2 Siblings. Case Report”, J Hand Surg Am, 2014, vol. 39 (3), pp. 488-492.
[4] D. Limb and P. R. Loughenburg, “The prevalence of the pseudoepiphyses in the metacarpal of the growing hand”, The Journal of Hand Surgery, 2012, vol. 37 (7), pp. 678-381.
[5] R. W. Haines, “The pseudoepiphyses of the first metacarpal of man”, J Anat, 1974, vol. 117 (1), pp. 145-158.
[6] J. A. Ogden, T. M. Ganey, T. R. Light, R. J. Belsole and T. L. Greene, “Ossification and pseudoepiphyses formation in the ‘non-epiphyseal’ end of the bones of the hands and feet”, Skeletal Radiology, 1944, vol. 23, pp. 3-13.
[7] V. E. Wood, J. D. Hannah and W. Stilson, “What happens to the double epiphyses end of the metacarpal bones in the hand”, J Hand Surg Am, 1994, vol. 19 (3), pp. 353-360.
[8] E. Lachman, “Pseudo-epiphyses in hand and foot”, Am J Roentgenol, 1953, vol. 70, pp. 149-151.
[9] E. Levine, “Notches in the non-epiphyseal ends of the metacarpals and phalanges in children of South African population”, Am J Phys Anthropol, 1972, vol. 36, p. 407.
[10] R. Wagner, “Non-Endocrine Dwarfism and pseudoepiphyses”, Am J Dis Child, 1956, vol. 91, pp. 6-13.
[11] G. Moses, C. Howard, J. Bar-Ziv, S. Dekeland M. Nyska, “’Epiphyseal Digenesis’ in Laurence-Moon-Biedl-Bardet Syndrome”, J PediatrOrthop, 1998, vol. 7, pp. 193-198.
[12] G. Beluffi and S. Savasta, “Wolf-Hirschhorn syndrome: diagnosis using hand radiograph performed for bone age”, PediatrRadiol, 2010, vol. 40, p. 1580.
[13] J. Pizones, A. Gomez-Rice, J. Pareja and J. Fernandez, “Proximal epiphyses of the second metatarsal: Normal Trail, Possible contribution to growth, and clinical implication”, Orthopedics, 2011, vol. 34 (11), pp. 741-747.
[14] D. Resnick and G. Niwayama, “Diagnosis of bone and joint disorders”, 2nd ed., Saunders, Philadelphia.
[15] K. Posener, E. Walker and G. Wedell, “Radiographic studies of metacarpal bones in children”, J Anat, 1939, vol. 74, pp. 76-79.
[16] T. Nakashima and H. Furukawa, “A rare case of complete proximal epiphyses (so-called pseudoepiphyses) of metacarpal and metatarsal bones in the human”, Ann Anat, 1997, vol. 179 (6), pp. 549-551.
[17] W. W. Greulich and S. I. Pyle, “Skeletal development of the hand and wrist”, 2nd ed., Stanford University Press. Stanford, Carolina, 1959.
Author Information
  • Image Department, Hospital Metropolitano, Quito, Ecuador

  • Genetics Department, GyneMedic Institute, Mexico City, Mexico

  • Pediatrics Department, Hospital Metropolitano, Quito, Ecuador

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  • APA Style

    Juan Garces Garces, Maria Emilia Arteaga, Diana Granda Gonzalez. (2017). Presence of Pseudoepiphyses in All the Metacarpal and Metatarsal Bones of a 9 Year-Old Girl: An Extremely Rare Case. American Journal of Pediatrics, 3(4), 18-22. https://doi.org/10.11648/j.ajp.20170304.11

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    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. Am. J. Pediatr. 2017, 3(4), 18-22. doi: 10.11648/j.ajp.20170304.11

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    AMA Style

    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. Am J Pediatr. 2017;3(4):18-22. doi: 10.11648/j.ajp.20170304.11

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  • @article{10.11648/j.ajp.20170304.11,
      author = {Juan Garces Garces and Maria Emilia Arteaga and Diana Granda Gonzalez},
      title = {Presence of Pseudoepiphyses in All the Metacarpal and Metatarsal Bones of a 9 Year-Old Girl: An Extremely Rare Case},
      journal = {American Journal of Pediatrics},
      volume = {3},
      number = {4},
      pages = {18-22},
      doi = {10.11648/j.ajp.20170304.11},
      url = {https://doi.org/10.11648/j.ajp.20170304.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajp.20170304.11},
      abstract = {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.},
     year = {2017}
    }
    

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    AB  - 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.
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