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Bone Age Determination and Hand Radiographic Findings in Children With Russell-Silver Syndrome.

Journal of the Korean Pediatric Society 1989;32(6):823-833.
Published online June 30, 1989.
Bone Age Determination and Hand Radiographic Findings in Children With Russell-Silver Syndrome.
Hun Kyu Lim, Sei Won Yang, Hyung Ro Moon
Department of Pediatrics, College of Medicine, Seoul National University, Seoul, Korea
Russell-Silver 증후군 환아들의 골연령 및 수장골의 방사선학적 소견
임헌규, 양세원, 문형로
서울대학교 의과대학 소아과학교실
Received: 26 November 1988   • Accepted: 13 December 1988
Abstract
Russell.Silver syndrome is a disease of unknown etiology characterized by prenatal onset dwarfism irrespective of full term gestation, growth retardation, body asymmetry, craniofacial dysproportion with a triangular face, short and incurved little finger, etc. Forty.two children were diagnosed as Russell.Silver syndrome by Silver’s criteria at SNU Children' s Hospital from Apr. 1981 till Aug. 1988, and we reviewed clinical data and hand radiographs of the patients Mean birth weight was 2,300 g with term gestation in 38 (91 %). Mean body weight and height were below the 3rd percentile of normal children but growth velocity of the patients was similar to those of the 3rd percentile of normal children (p< 0.05). Bone age was delayed in 39 (95%) of 41 children and normal in 2 (5%), and it could be a good indicator in predicting the body weight and height of children with Russell.Silver syndrome. In hand radiographs, hypoplasia of little finger was noted in 93% of 41 children, ivory epiphysis in 39%, and pseudoepiphysis in 34%.
Key Words: Russell.Silver Syndrome, Growth Velocity, Bone Age, Hypoplasia of little Finger, Ivory Epiphysis, Pseudoepiphysis


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