June 1935


Arch Surg. 1935;30(6):991-996. doi:10.1001/archsurg.1935.01180120085007

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For a number of years physicians have recognized the existence in adolescent youths of a disturbance in the epiphyseal rings of the vertebral bodies due to nutritional inadequacy and rapid growth. The condition has been designated, for convenience, vertebral epiphysitis; its clinical appearance and the roentgenographic evidence of pathologic changes are similar to the syndrome occurring in other epiphyses, notably in the head of the femur, the tibial tubercle, the tarsal scaphoid and other similar structures. Vertebral epiphysitis, described by Scheuerman, Buchman and others, has a clinical syndrome which is readily recognized. In brief, the patient, a boy or girl in the early teens, usually without any apparent cause or at times after a seemingly minor trauma, experiences pain in the middorsal area of the back and tires easily. Objectively he presents an abnormal degree of rounding of the back and tenderness to pressure over the dorsal portion of the

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