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February 10, 1945

THE CLINICAL DIAGNOSIS, TREATMENT AND PROGNOSIS OF EPIPHYSIAL DISTURBANCES IN CHILDHOOD

JAMA. 1945;127(6):318-321. doi:10.1001/jama.1945.02860060016005
Abstract

The etiology of epiphysial lesions is not clearly understood, and it is impossible with our present knowledge to classify these disturbances except on an anatomic basis, although there are some who feel that an endocrine dysfunction underlies most, if not all, of the group under consideration. However, a discussion of the etiology does not come within the scopeof this paper. The name osteochondrosis has been applied, in the Standard Nomenclature of Disease, to most of the conditions involving growth centers the etiology of which is obscure or at least on which there is no unified opinion as to the cause, and our older and more familiar terms must be sidetracked for purposes of classification and filing if not otherwise.

The epiphyses throughout the body have, of course, a very regular and constant anatomic position, and their ossification is also constant for any particular location. Some, a very few, show centers

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