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PROGRESS IN PEDIATRICS |

EPIPHYSES:  THEIR GROWTH, DEVELOPMENT, INJURIES AND DISEASES

PHILIP LEWIN, M.D.
Am J Dis Child. 1929;37(1):141-178. doi:10.1001/archpedi.1929.01930010150012.
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To the pediatrician, orthopedic surgeon and roentgenologist, the study of the epiphyses should be one of the most interesting branches of medicine and surgery. Their importance in the correct interpretation of certain conditions found in infancy and during childhood and adolescence should be emphasized. The importance in relation to general health and especially posture and scoliosis is not fully realized.

If this were an address before orthopedic surgeons, one would emphasize traumatic lesions such as "slipped epiphyses" and separation of the epiphyses, but in talking to pediatricians one does not choose to discuss at length that important phase of the subject. This paper deals primarily with epiphysitis and osteochondritis such as seen in Legg-Calvé-Perthes' disease, Osgood-Schlatter's disease, apophysitis of the os calcis, Köhler's tarsal scaphoiditis, Freiberg's infraction of the metatarsal head, Scheuermann's kyphosis dorsalis juvenilis, Calvé's vertebral epiphysitis, osteochondritis deformans juvenilis of the shoulder, of the lower end of the

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