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Am J Orthod Dentofacial Orthop. 2014 Sep;146(3):294-8. doi: 10.1016/j.ajodo.2014.05.023.

Measuring agreement between cervical vertebrae and hand-wrist maturation in determining skeletal age: reassessing the theory in patients with short stature.

Author information

1
Professor, Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
2
Assisstant professor, Department of Orthodontics, School of Dentistry, Semnan University of Medical Sciences, Semnan, Iran.
3
Resident, Student Research Committee, Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: sadra.sardarian@yahoo.com.
4
Associate professor, Biomaterial Research Center, Department of Radiology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
5
Professor, Department of Pediatric Medicine, Endocrinology Division, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
6
Assistant professor, Department of Community Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
7
Student Research Committee, Shiraz University of Medical Sciences, School of Dentistry, Shiraz, Iran.

Abstract

INTRODUCTION:

The objective of this study was to determine the degree of agreement between hand-wrist radiography and cervical vertebral maturation analysis in patients diagnosed with short stature.

METHODS:

A cross-sectional study was designed; 178 patients (90 girls, 88 boys) diagnosed with short stature and seeking treatment were selected. The patients were divided into 2 groups (76 with familial short stature, 102 with nonfamilial short stature). Hand-wrist and lateral cephalometric radiographs were obtained from the patients. The hand-wrist radiographs were analyzed using the Fishman method, and the lateral cephalometric views were categorized according to the method of Hassel and Farman. The degree of agreement between the 2 methods of predicting skeletal maturation was measured by calculating the contingency coefficient and the weighted kappa statistic.

RESULTS:

A high degree of agreement was observed between the 2 methods of analyzing skeletal maturation. It was also observed that agreement was higher in girls in the familial short-stature group, whereas boys had higher agreement in the nonfamilial short-stature group.

CONCLUSIONS:

Cervical vertebral maturation can be a valuable substitute for hand-wrist radiography in patients with short stature.

PMID:
25172251
DOI:
10.1016/j.ajodo.2014.05.023
[Indexed for MEDLINE]

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