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May 1948

VALUE OF ROUTINE ROENTGENOGRAMS OF THE WRIST IN A PEDIATRIC SERVICE

Am J Dis Child. 1948;75(5):671-687. doi:10.1001/archpedi.1948.02030020688003
Abstract

ROENTGENOGRAMS of the wrists of children taken casually during the past few years, in private practice, have revealed such a large number of unsuspected conditions that the procedure has now been established as routine. There are a number of pathologic entities in children the existence of which can frequently be readily detected or suggested by roentgenograms of the wrists. Of these, some may be discovered at their incipience, while in others, which are in advanced or clinically obscure stages, focus may be brought for the first time on the underlying cause by the use of this procedure. The distal ends of the ulna and radius are the optimal sites for the demonstration of the earliest rachitic lesions by roentgenogram. All of the metaphysial changes of scurvy appear earliest and are most marked at the sites of most rapid growth and most active endochondral bone formation, among which are the distal

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