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The assessment of skeletal maturation
1Olgahospital, Kinderklinik, Stuttgart, Germany.
Hormone Research
|January 1, 1996
Summary
Assessing skeletal maturity is crucial for growth analysis. The Tanner-Whitehouse (TW2) method is currently preferred for skeletal age determination due to its accuracy over other radiographic assessments.
Area of Science:
- Orthopedics
- Pediatric Endocrinology
- Radiology
Background:
- Skeletal maturity assessment is vital for evaluating growth and identifying growth disorders.
- Radiographic analysis of hand-wrist bones reveals maturity indicators.
- Several methods exist for skeletal age determination.
Purpose of the Study:
- To review current methods for skeletal age assessment.
- To compare the accuracy and applicability of different skeletal maturity measurement techniques.
Main Methods:
- Review of established skeletal age assessment methods, including Greulich and Pyle Atlas, Tanner-Whitehouse (TW2), and FELS.
- Analysis of radiographic changes in hand-wrist bones as maturity indicators.
Main Results:
- The Greulich and Pyle Atlas method demonstrates significant inaccuracies.
- The FELS method has limited documented experience.
- The Tanner-Whitehouse (TW2) method remains the current standard for skeletal age assessment.
Conclusions:
- The Tanner-Whitehouse (TW2) method is the preferred choice for skeletal maturity assessment.
- Future developments in computerized assessment methods may enhance accuracy in determining skeletal maturity.