Kashin-Beck disease in children: radiographic findings in the wrist

Skeletal Radiology
W YuK Genant

Abstract

To characterize the features and prevalence of radiographic abnormalities of the wrist in children with Kashin-Beck disease (KBD) and to determine whether the presence of radiographic abnormalities in the wrist correlates with the severity of KBD. Two hundred and eight posteroanterior radiographs of the right hand (including wrist) in children with KBD, ranging in age from 4 to 11 years (mean age 7.7 years), from endemic areas of China were reviewed. Carpal bony margins were evaluated for blurring, thinning, irregularity with and without sclerosis, interruption, depression or destruction. The radiocarpal, intercarpal and carpometacarpal joints were assessed for widening or narrowing. The severity of the disease was graded using the hand criteria from the Chinese Radiographic Criteria of KBD Diagnosis, which classifies the following five types according to the location of the hand involved: I, metaphysis; II, diaphysis; III, I+II; IV, metaphysis and epiphysis; V, II+IV. Of the 208 children, 95 had abnormalities in the hand but not in the wrist; 108 had both hand and wrist abnormalities; only five had abnormal wrist findings without any hand abnormalities. Of the 108 cases with wrist abnormalities, all the carpal bones were invol...Continue Reading

Citations

Aug 14, 2010·International Journal of Rheumatic Diseases·Denglu YanFu-Xing Pei
Jan 5, 2011·International Journal of Rheumatic Diseases·Denglu YanFuxing Pei
Feb 10, 2011·International Journal of Rheumatic Diseases·Denglu YanFuxing Pei
Jun 3, 2014·Journal of Orthopaedic Surgery and Research·Denglu YanFuxing Pei
May 25, 2010·Hospital Topics·Milisa ManojlovichDavid L Ronis
Mar 7, 2021·Clinical Rheumatology·Hu LiJianhao Lin

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