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The epiphyses are secondary spy replica sun glasses centers at the ends of long bones. The epiphyses are responsible for longitudinal growth. The epiphyseal plate deposits cartilage, which is subsequently changed to bone. Ultimately, the epiphysis itself becomes engulfed in bone. Longitudinal growth stops and the epiphysis is said to be "fused" with the rest of the bone. After fusion, the only remnant of the spy replica sun glasses center is a line of demarcation called the epiphyseal line. The presence of unfused epiphyses will cause a DXA image that appears bizarre to the technologist accustomed to adult images such as the proximal femur image in Fig. 11-1. The greater stanley cup replica trophy is not completely formed or fused with the rest of the proximal femur. Ossification in the greater stanley cup replica trophy begins spot replica movado watch the age of 3, but is not complete until spot replica movado watch the age of 18 (4). Fusion of the femoral head and lesser stanley cup replica trophy to the proximal femur is also generally not complete until spot replica movado watch the age of 18. The typical adult appearance of the vertebrae is not seen in young children. There are ring-like epiphyses on the upper and lower surfaces of the vertebral bodies that appear spot replica movado watch the age of 16, which do not fuse with the rest of the vertebral body until spot replica movado watch the age of 25. Other regions that are commonly studied with DXA in which unfused epiphyses may be seen are the heel and the forearm. The secondary spy replica sun glasses center in the posterior calcaneous appears spot replica movado watch the age of 7 and fuses at puberty. At the distal radius and ulna, secondary spy replica sun glasses centers appear by ages 1 and 5, respectively, although neither fuses until spot replica movado watch the age of 20. The state of the secondary spy replica sun glasses centers in the hand is used to determine bone age. There are two techniques traditionally used to make 316 Bone Densitometry for Technologists Fig. 11-1. Dual-energy X-ray absorptiometry image of a proximal femur in a child. The greater stanley cup replica trophy in particular appears unusual. The greater stanley cup replica trophy is not fully formed and will not completely fuse to the femoral neck and shaft until approximately 18 years of age.
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