Figure 2From: Evaluation of accuracy of plain radiography in determining the Risser stage and identification of common sources of errorsGas shadow. (A) Plain radiography performed on a 13-year-old girl, a gas shadow on the posterior iliac crest prevented interpretation of bilateral excursion of the apophysis, and the patient was graded as Original Risser stage 2 and French Risser stage 1. (B) A 3D-CT image of the same patient, excursion of the iliac apophysis was clearly visible along the entire iliac bone, and was graded as Original Risser stage 4 and French Risser stage 3. Gas and internal organ shadows interfered with accurate staging.Back to article page