Doctor insights on:
Do Babies With Fused Bones In Their Skull Need Surgery
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Two reasons...: During a vaginal delivery, the unfused skull bones can shift as necessary, making the head more malleable for passage through the birth canal. The unfused bones also allow room for the baby's brain to grow during early life. The bones in the skull will fuse after about 12 to 18 months. ...Read moreSee 1 more doctor answer
Do bones close normally for Marfans pts or do they remain open longer even causing added growth in 30somethings? Can Marfans develop late in life(30s)
Do muscles, soft tissues, nerves also "grow" along with the bones (like it grows in an growing child), in patients undergoing limb lengthening surgery?
After the long bones growth plates fuse, could the spinal growth plates be open still? and if not, can the the spine discs increase in thickness?
Yes & no: Growth plates may remain open but the disk spaces will not increase. ...Read more
I have osteoarthritis and bone spurs in my cervical spine and bulging discs in c-3 through c-6. Will this require surgery to fix?
Depends: The finding you listed are very common. Mris are very sensitive and pick up many abnormalities. Just remember that we treat patients, not mris. The main question is symptoms. The main indication for surgery on the neck is weakness or neurologic deficit. Pain is not the best indication for surgery and this may lead to dissatisfaction with the surgical outcomes. ...Read moreSee 1 more doctor answer
If my epiphyseal lines of the metacarpals and phalanges are already closed does the bone plates may other parts of my body will allow for furthergrow?
Yes: The distal femur is usually the last to close at 17 you could be at the end of growth but it certainly can continue for longer esp in a male. ...Read more
As to nerve sheath tumors in thecal sac at l-4, in your experience do they typically grow or do they usually remain stable in size?
Is there any truth in people who have open growth plates don't have spine compression that makes them shorter throughout the day?
Gravity.: Everyone gets a bit shorter at the end of the standing day related to the compressive effects of gravity. The effect is small and in someone who is actively growing that shrinking might be non detectable. ...Read more
If all growth plates in long bones are closed, can your spine still grow? Will testosterone lengthen the spine if it can grow?
Bone marrow donation: We collect the immature young stem cells from the donor's peripheral blood circulation with a special machine that is able to separate different type of cells. We do not collect the stem cells by performing serial/multiple bone marrow aspirations. No bone marrow biopsy is needed to be done so no holes in the bone. Discuss further with your doctor, . ...Read more
Variable: Females are usually approximately 2-3 years more advanced than males. Most male growth plates fuse between 16-18 years. Most females between 13-15 years. These times are quite variable. There are outliers.Usually when growth plates fuse growth stops.Secondary ring apophyses appear in spine at puberty and fuse about 25 years of age. ...Read moreSee 1 more doctor answer
His bone age is 17 yrs. All of the epiphyses are closed the exception of the distal radius and ulna. His knee plates are closing. Any way to grow?
Growth in the spine: in the vertebral bodies or vertebrae still occur even after the hands and feet and limbs have closed growth plates and it often does. there are 24 pre sacral vertebrae, of each one adds only 1mm then that is an inch. Growth occurs in the spine until about age 20, but slows compared to the rates shown in adolescence ...Read moreSee 3 more doctor answers
The child's palatine processes have not fused. How can you tell if his palatine bones have fused normally?
Palpation,inspection: The palate is formed by ridges that grows inward to meet in the midline. If it does not you may have a visable cleft palate, a defect you can feel under the skin called a sub-mucous cleft & that may be reflected in a split of the uvula, that thing that sticks down in the middle.A cleft uvula can sometimes sticks together like wet book pages & be missed on exam. ...Read more
Does Marfans cause someone to grow in height well into adult years (even in 40s)? Or do bones fuse normally like everyone else right after puberty?
In the olympics how do they use growth plates in the long bones of gymnasts prove they are underage?
Look for closure: I'm not an olympic specialist or pediatric endocrinologist but growth plates close in specific order which helps us determine biologic age but this may not always match chronologic age. Lack of closure suggests young biologic age which then suggests young chronologic age. But there's no absolute guarantee. ...Read more
Can a child with microcephaly have surgery to open up the skull and give the brain more room to grow to its normal size?
Won't alter outcome: The skull is composed of many plates of bone separated by growth centers that "push away" from each other to allow the skull volume to increase.If the brain does not enlarge, there is no pressure to expand the skull.By 9-10 yrs the adult head size is reached & growth centers fuse.Skull surgery is done to open prematurely fused areas, it does not make the brain grow more than it would to begin with. ...Read more
Gymnasts: Yes.Get a more detailed answer ›
If bones are fused, can you grow taller by increasing spine height? Is there any procedures to get taller after bones plates are fused.?
Do tendons and ligaments that have been inappropriately stretched (as through injury) return spontaneously to their normal size or is pt needed?
Depends: The question is a bit too ' general' to give a specific answer.Some ligaments that" stretch" beyond their capability will not return to their normal size and this can result in laxity. Some tendons that stretch for a short period of time will return to their prior state.Some tendons that are contracted secondary to the aging process or disease need stretching ! hope that helps... ...Read more
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