The calcaneus ossifies from the posterior aspect. Several patterns or stages of ossification are noticed. A six stage or scoring system has been proposed by ref.
Can be characterized as six different stages:
Stage 0: No ossification
Stage 1: 50% ossification
Stage 2: >50% ossification without full plantar coverage
Stage 3: >50% ossification with full plantar coverage
Stage 4: Partial fusion
Stage 5: Complete fusion
Sign of skeletal maturity.
Correlation:
– peak height velocity
– slipped capital femoral epiphysis
– Severs disease
http://journals.lww.com/pedorthopaedics/Abstract/publishahead/Calcaneal_Scoring_as_an_Adjunct_to_Modified_Oxford.99522.aspx
jbjs.org/content/97/2/147.full
http://www.abstractsonline.com/plan/ViewAbstract.aspx?mID=3595&sKey=84aa6d08-0ea0-4ea4-a652-0b377e88cb28&cKey=750045f3-0edd-4143-88a2-d57e0f2e06b9&mKey=31eb97e9-7ed4-4166-acfc-dbe541be7d75
Related Topics:
Severs Disease | Calcaneal Apophysitis | Slipped capital femoral epiphysis
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