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Journal of Pediatric Orthopaedics:
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The Risser Sign: A Critical Analysis.

Little, David G. M.B.B.S.; Sussman, Michael D. M.D.

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Abstract

Summary: Orthopedic surgeons commonly use the Risser sign to estimate skeletal maturity; however, the data presented in the orthopedic literature supporting the accuracy of the Risser sign in estimating skeletal maturity do not stand up to critical statistical analysis. The Risser sign is less accurate than chronologic age as a predictor of skeletal age and should not be used as a substitute for a hand and wrist radiograph in most cases. The Risser sign is also no better a predictor of scoliosis progression than is chronologic age.

(C) Lippincott-Raven Publishers.

The Pediatric Orthopaedic Society of North America (POSNA)
is a group of healthcare professionals, primarily pediatric orthopaedic surgeons, dedicated to advancing musculoskeletal care of children and adolescents. JPO is our official member journal. 
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