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Effects of Mechanical Vibration on Bone Tissue
Published in Redha Taiar, Christiano Bittencourt Machado, Xavier Chiementin, Mario Bernardo-Filho, Whole Body Vibrations, 2019
Christiano Bittencourt Machado, Borja Sañudo, Christina Stark, Eckhard Schoenau
Long bones pass through a very specialized process of growth, as briefly explained in Figure 10.3. A region at each end of the bone called epiphyseal plate is formed by hyaline cartilage, and endochondral ossification takes place for the initial bone development. These plates are no longer necessary in adults, being totally ossified.
Musculoskeletal system
Published in David A Lisle, Imaging for Students, 2012
Salter–Harris types 1 and 5 are the most difficult to diagnose as the bones are intact and radiographic changes are often extremely subtle. Diagnosis of growth plate fractures is vital, as untreated disruption of the epiphyseal plate may lead to problems with growth of the bone.
Pediatric Imaging in General Radiography
Published in Christopher M. Hayre, William A. S. Cox, General Radiography, 2020
Allen Corrall, Joanna Fairhurst
Zones 2 and 3 are where bone growth occurs. As the bone reaches maturity the epiphyseal plate gets narrower and the epiphysis and diaphysis eventually fuse. If all the zones are damaged in a child, growth can be stunted.
Overuse wrist injuries in adolescent platform and springboard divers
Published in Research in Sports Medicine, 2023
Cici Zhang, Si Shen, Lin Qiu, Liqin Wang, Xuwen Zeng, Quan Zhou
Epiphyseal plate injury is the most serious type of injury in divers. The epiphyseal plate is a hyaline cartilage tissue that plays a vital role in longitudinal bone growth. During adolescent growth spurts, the epiphyseal plate is involved in active skeletal growth; however, it also becomes more susceptible to injury as it is much weaker (2–5 times) than the adjacent ligaments and bone (Heck et al., 2008). Distal radial epiphyseal plate injury is common in sports, such as gymnastics, tumbling, vaulting, and back walkover, in which the wrist is the main weight-bearing area (Keller, 2009; Mautner & Blazuk, 2015; Soder et al., 2012); however, it has not been reported for platform and springboard divers. It is recognized that distal radial epiphyseal plate injury is a tape of chronic stress-related injury with wrist pain, and the frequency of wrist pain is directly related to the degree of radiographic injury in gymnasts (DiFiori et al., 2002). In this study, it was observed that there was a high prevalence of distal radial epiphyseal plate injury in symptomatic wrists compared with asymptomatic wrists. Epiphyseal plate injury may result in growth disturbance (Zhang et al., 2019). A positive ulnar variance in athletes was associated with distal radial epiphyseal plate injury. It has been hypothesized that a positive ulnar variance may be attributed to a disturbance in distal radial growth and/or stimulated ulnar growth (Jurimae et al., 2018). Therefore, an early diagnosis of epiphyseal plate injury with timely treatment and rehabilitation training is crucial to ensure the bone growth and development of adolescent divers. In our study, distal radial epiphyseal plate injury (42.86%) was more common than distal ulnar epiphyseal plate injury in the symptomatic group (4.76%); this finding might be explained by the use of the radius as the main the weight-bearing bone. In the wrist, 80% of the load is distributed to the radius, with 20% to the ulna (Huang & Hanel, 2012).