Cone epiphysis

The Zapfenepiphyse ( English cone-shaped epiphysis ) is in the X-ray image recognizable particular form of joint end (epiphysis), which under certain circumstances, with a reduction of one or more finger or toe members associated. The epiphysis bulges centrally into the arched, inwardly indented metaphysis (adjacent section of bone).

According to Andres Giedion (1925–2013), 38 different types with different shapes and sizes can be distinguished.

causes

Cone epiphyses, especially on the feet, occur as a standard variant . In these cases the growth plate is not affected.

One or individual cone epiphyses is due to a local disruption of the growth plate following trauma , osteomyelitis , an infraction in scurvy , a heart attack in sickle cell anemia or a deficient blood supply.

Central closure of the growth plate can lead to reduced growth and shortening of the phalanx.

A special form is the most symmetrical Zapfenepiphyse distally on the femur with massive overdose of vitamin A is.

In the context of syndromes

Cone epiphyses are found as one of several symptoms in a number of syndromes and skeletal dysplasias :

literature

A. Giedion: cone epiphyses. Natural history and diagnostic significance of an endochondral growth disorder. In: R. Glaumer, A. Rüttiman, P. Thurn, E. Vogler (editor): Results of medical radiology. 1968, Thieme Verlag, Stuttgart, pp. 59–124, habilitation thesis

Individual evidence

^ A. Giedion: Cone-shaped epiphyses of the hands and their diagnostic value. The tricho-rhino-phalangeal syndrome. In: Annales de radiologie. Vol. 10, No. 3, 1967, pp. 322-329, ISSN 0003-4185 . PMID 6051973 .
↑ ^a ^b ^c K. Ebel, E. Willich, E. Richter (eds.): Differential diagnostics in pediatric radiology. Thieme 1995, ISBN 3-13-128101-4
↑ HH THIEMANN: Cone epiphyses in combination with partial symptoms of Marchesani syndrome. In: Advances in X-Ray and Nuclear Medicine. Vol. 93, September 1960, pp. 367-370, ISSN 0015-8151 . PMID 13776330 .
^ E. Morscher: Post-traumatic cone epiphysis. In: Archives for Orthopedic and Trauma Surgery. Vol. 61, No. 2, 1967, pp. 128-136, ISSN 0003-9330 . PMID 5593430 .
↑ T. Vizkelety, HW Wouters: Die Zapfenepiphysse A manifestation of the enchondral ossification disorders. In: Archives for Orthopedic and Trauma Surgery. Vol. 75, No. 3, April 1973, pp. 212-225, ISSN 0003-9330 . PMID 4634207 .
↑ W. Schuster, D. Färber (editor): Children's radiology. Imaging diagnostics. Springer 1996, Vol. I, ISBN 3-540-60224-0 .

[1] A. Giedion: Cone-shaped epiphyses of the hands and their diagnostic value. The tricho-rhino-phalangeal syndrome. In: Annales de radiologie. Vol. 10, No. 3, 1967, pp. 322-329, ISSN 0003-4185 . PMID 6051973 .

[Ebel-2] K. Ebel, E. Willich, E. Richter (eds.): Differential diagnostics in pediatric radiology. Thieme 1995, ISBN 3-13-128101-4

[3] HH THIEMANN: Cone epiphyses in combination with partial symptoms of Marchesani syndrome. In: Advances in X-Ray and Nuclear Medicine. Vol. 93, September 1960, pp. 367-370, ISSN 0015-8151 . PMID 13776330 .

[4] E. Morscher: Post-traumatic cone epiphysis. In: Archives for Orthopedic and Trauma Surgery. Vol. 61, No. 2, 1967, pp. 128-136, ISSN 0003-9330 . PMID 5593430 .

[5] T. Vizkelety, HW Wouters: Die Zapfenepiphysse A manifestation of the enchondral ossification disorders. In: Archives for Orthopedic and Trauma Surgery. Vol. 75, No. 3, April 1973, pp. 212-225, ISSN 0003-9330 . PMID 4634207 .

[6] W. Schuster, D. Färber (editor): Children's radiology. Imaging diagnostics. Springer 1996, Vol. I, ISBN 3-540-60224-0 .