Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/46747
Type: Journal article
Title: Left-right upper arm length asymmetry associated with apical vertebral rotation in subjects with thoracic scoliosis: anomaly of bilateral symmetry affecting vertebral costal and upper arm physes?
Author: Burwell, R.
Freeman, B.
Dangerfield, P.
Aujla, R.
Cole, A.
Kirby, A.
Pratt, R.
Webb, J.
Moulton, A.
Citation: Studies in Health Technology and Informatics, 2006; 123:66-71
Publisher: IOS Press
Issue Date: 2006
ISSN: 0926-9630
1879-8365
Statement of
Responsibility: 
Burwell RG, Freeman BJ, Dangerfield PH, Aujla RK, Cole AA, Kirby AS, Pratt RK, Webb JK, Moulton A.
Abstract: Left-right skeletal length asymmetries in upper limbs related to curve side and severity have been detected with adolescent idiopathic scoliosis (AIS). This paper reports upper arm length asymmetry in thoracic scoliosis related significantly to apical vertebral rotation in school screening referrals. The reason(s) for the association of upper arm length asymmetry with apical vertebral rotation is unknown and three factors are considered: (1) neuromuscular mechanisms from primary or secondary causes, (2) relative concave neurocentral synchondrosis overgrowth, and (3) relative concave periapical rib length overgrowth, A putative anomaly of growth plates (physes) of ribs, neurocentral synchondroses and upper arms, would account for the findings. A solution to this dilemma may emerge from the results of surgery should concave periapical rib resections become evaluated further for right thoracic AIS in girls.
Keywords: Arm; Thoracic Vertebrae; Humans; Scoliosis; Rotation; Adolescent; Child; Female; Male; United Kingdom
RMID: 0020081157
Appears in Collections:Orthopaedics and Trauma publications

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