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The interosseous tuberosities of the forearm exist from 1-year-old: a pediatric radiological study describing the ages of appearance of the different forearm reliefs

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Abstract

Purpose

Interosseous tuberosities have been described in adults on the radial and ulnar sides. However, their presence at birth and their development during growth is still unknown. The objective of this work is to establish the age of onset of this tuberosity among a cohort of children aged 1-year-old or older.

Methods

All anterior–posterior and lateral radiographs performed in our hospital during a consecutive period of 6 months were retrospectively analyzed. Exclusion criteria were: presence of a fracture, a tumor, an age higher than 16 years, radiograph not performed strictly from the front with supination or from the side. On the anterior–posterior radiograph, the presence of the following structures was sought: radial interosseous tuberosity and determination of its length and width; the appearance of the epiphyseal nucleus of the radial head, of the bicipital tuberosity, and of the distal epiphysis. On the lateral views, the presence of the following structures was sought: ulnar interosseous tuberosity and determination of its length and width; the appearance of the olecranon epiphyseal nucleus, and the distal epiphysis.

Results

Over the review period, anterior–posterior and lateral radiographs were performed on 368 consecutive children. Finally, 179 patients were included in the radiographic analysis. The radial and ulnar interosseous tuberosities and bicipital tuberosity were present in all cases, from 1-year-old. Only the distal radial epiphysis began to appear at the age of one year, the others ossifying progressively during growth.

Conclusion

Tuberositas interossea ulnarii and radii exists, are present from 1-year-old and continue to develop during growth.

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Data availability

Upon justified request, the data can be deposited in a data repository.

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Authors and Affiliations

  1. Department of Orthopaedic and Reparative Surgery for Children, Sorbonne University, Armand Trousseau Hospital, AP-HP, Paris, France

    Nicolas Mainard, Raphaël Vialle & Gregoire Rougereau

  2. Department of Pediatric Orthopedic, Hospital Jeanne de Flandre, CHU LILLE, Lille, France

    Nicolas Mainard

  3. Department of Pediatric Orthopedic and Reconstructive Surgery, Children’s Hospital, Purpan, University of Toulouse, Toulouse, France

    Tristan Langlais

  4. Department of Orthopedics and Traumatology, Clinique Saint Jean L’Ermitage, 272 Avenue Marc Jacquet, 77000, Melun, France

    Marc Soubeyrand

  5. The MAMUTH Hospital University Department for Innovative Therapies in Musculoskeletal Disease Sorbonne University, Paris, France

    Raphaël Vialle

  6. Department of Radiology, Bicêtre Hospital and Paris Sud University, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France

    Maud Creze

  7. Department of Orthopedics and Traumatology, Pitié-Salpêtrière Hospital, Sorbonne University, 47-83 Boulevard de L’Hôpital, 75013, Paris, France

    Gregoire Rougereau

Authors
  1. Nicolas Mainard
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  2. Tristan Langlais
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  3. Marc Soubeyrand
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  4. Raphaël Vialle
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  5. Maud Creze
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  6. Gregoire Rougereau
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Contributions

NM: data collection, data analysis. TL: data analysis, manuscript validation. MS: project development, manuscript validation. RV: project development, manuscript validation. MC: radiological assessment protocol validation, manuscript validation. GR: data collection, data analysis, manuscript writing.

Corresponding author

Correspondence to Gregoire Rougereau.

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Conflict of interest

RV is occasional consultant for Nuvasive, Eos imaging and Stryker, outside the scope of this work. Other authors do not have competing interests.

Ethical approval

The study was registered with the Commission Nationale de l’Informatique et des Libertés (CNIL—no. 2227470 version 0). The review of the data was conducted in accordance with the ethical standards of the 1964 Declaration of Helsinki and the reference methodology MR-003.

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Mainard, N., Langlais, T., Soubeyrand, M. et al. The interosseous tuberosities of the forearm exist from 1-year-old: a pediatric radiological study describing the ages of appearance of the different forearm reliefs. Surg Radiol Anat 45, 593–602 (2023). https://doi.org/10.1007/s00276-023-03119-6

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  • DOI: https://doi.org/10.1007/s00276-023-03119-6

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