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Skeletal maturity in Pakistani children.

R M Rikhasor1, A M Qureshi, S L Rathi

  • 1Department of Anatomy, Chandka Medical College, Larkano, Pakistan.

Journal of Anatomy
|October 21, 1999
PubMed
Summary

Pakistani children

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Area of Science:

  • Pediatric endocrinology and skeletal development.
  • Anthropometry and growth assessment.

Background:

  • Assessing skeletal maturity is crucial for evaluating growth and development in children.
  • Established skeletal age standards, like the Greulich-Pyle atlas, are widely used but may not universally apply.
  • Environmental and nutritional factors can influence skeletal maturation rates.

Purpose of the Study:

  • To determine skeletal maturity in Pakistani children using the Greulich-Pyle atlas.
  • To compare the skeletal age of Pakistani children with established American standards.
  • To identify potential discrepancies and their possible causes.

Main Methods:

  • Skeletal maturity was assessed in 750 normal Pakistani children (400 males, 350 females) aged 1-18 years.
  • The Greulich-Pyle atlas system was employed for bone age determination.
  • Data were analyzed to compare mean bone ages with American standards across different age groups.

Main Results:

  • Pakistani children initially matured in line with Greulich-Pyle standards during early childhood.
  • After early childhood, mean bone ages were lower than American standards up to age 15 in males and 13 in females.
  • Post-puberty, bone ages were higher than American standards, suggesting accelerated maturation in Pakistani children.

Conclusions:

  • Skeletal maturation patterns in Pakistani children deviate from American standards, particularly during pre-puberty and post-puberty.
  • Factors such as malnutrition, ill health, and environmental influences may contribute to these observed differences.
  • Regional longitudinal studies are essential to establish accurate skeletal age standards for specific populations.

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