Shahla Momeni Danaei1, Amirali Karamifar2, Ahmadreza Sardarian3, Shoaleh Shahidi4, Hamdollah Karamifar5, Abbas Alipour6, Sahar Ghodsi Boushehri7. 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.
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.
Authors: Amanda C Cunha; Lucia Hs Cevidanes; Eduardo F Sant'Anna; Fabio R Guedes; Ronir R Luiz; James A McNamara; Lorenzo Franchi; Antonio Carlos O Ruellas Journal: Dentomaxillofac Radiol Date: 2018-03-12 Impact factor: 2.419