By Yong Whee Bahk MD, PhD, Professor (auth.)
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A In an infant under the age of 18 months small arteries penetrate the growth cartilage to reach the epiphysis. B After 18 months, with the involution of the physeal vessels, the vascular supply in the epiphysis derives from the epiphyseal arteries and becomes separated from that in the metaphysis by the cartilaginous barrier. C Following the physeal fusion the nutrient arterial branches joined by the epiphyseal brachnes distribute throughout the whole bone end. The blood supply in the cortex derives from the periosteal artery in the outer zone and from the nutrient artery in the inner zone.
Anterior pinhole scintigram of the dorsally inclined pubis shows drastic change in appearance. The same effect can be created by caudally tilting the long axis of pinhole collimator. Typically, tracer uptake in the pubic bone is uniform joints in adults are blurred due to the overlapping of the tracers accumulated in both the now fully formed femoral head and deepened acetabular fossa. The pubic bone about the symphysis pubis accumulates tracer very intensely, especially in women of child-bearing age.
R. " • . " A A B Fig. 33A, B. Lateral view of the elbow. A Lateral pinhole scintigram of the elbow portrays the coronoid fossa (cf), head of the radius (rh), epicondyles (e), and olecranon process (op). B Mediolateral radiogram identifies the coronoid fossa (cf), head of the radius (rh), epicondyles (e) , and the olecranon process (op) Fig. 34A-C. Dorsal and ventral views of the wrist. I> A. Dorsal pinhole scintigram of the right wrist portrays minimally increased tracer uptake in the distal ends of the radius (r) and ulna (u) and the four proximal carpal bones: the navicular (n), lunate (I), triquetral (t), and pisiform (p).