Anatomy · Ossification, Skeletal Maturation and Radiographic Anatomy

The elbow joint has a specific sequence of ossification centre appearance remembered by the mnemonic CRITOE. In which order do the following centres appear: capitellum (C), radial head (R), internal (medial) epicondyle (I), trochlea (T), olecranon (O), external (lateral) epicondyle (E)?

  • A 1, 5, 3, 7, 9, 11 years respectively
  • B 1, 3, 7, 5, 9, 11 years approximately
  • C 1, 3, 5, 7, 9, 11 years respectively
  • D 3, 5, 7, 9, 11, 13 years respectively
Correct answer: C. 1, 3, 5, 7, 9, 11 years respectively

Explanation

The CRITOE mnemonic represents the approximate ages of appearance of elbow ossification centres: Capitellum (1 year), Radial head (3 years), Internal (medial) epicondyle (5 years), Trochlea (7 years), Olecranon (9 years), External (lateral) epicondyle (11 years) — at approximately odd years 1, 3, 5, 7, 9, 11. Clinically, if the medial epicondyle (I) appears trapped inside the joint after elbow dislocation and the trochlea (T) appears but I is absent, the medial epicondyle is likely incarcerated in the joint.

Reference: BD Chaurasia's Human Anatomy, 8th ed.

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