Purpose
Bone age is an important parameter when children with growth disorders are investigated, and it is the basis for calculation of height prediction. Hand-wrist radiographs have been used for determination of maturation and subsequent evaluation of growth potential during pre-adolescence or adolescence (1). Several methods have been developed for assessment of skeletal age on hand wrist films. For evaluation of skeletal age, the methods of Greulich-Pyle and Tanner-Whitehouse are generally used in clinical practice (2). Greulich-Pyle atlas focuses on a number of maturational indicators, which...
Methods and Materials
One hundred and forty-two subjects underwent left hand and wrist radiography and US examination for bone age assessment during 1 and half year study. Any radiographs indicating a disease process involving the hands were excluded. Also any radiographs of a patient with a disease definitely known to delay or accelerate skeletal maturation were also excluded before the beginning of the study.Radiographs of left hand and wrist were taken according to the instructions of Greulich-Pyle, with a tube-film distance of 91.4 cm and were then, interpreted...
Results
To test intraobserver variability, 10 patients underwent hand and wrist US twice in a period of two weeks. The results were compared with t test and, there was no significant difference (p=0.691). During the first three weeks of the study, average time per patient took 3 minutes and 45( 12) seconds and after this period it took 2 minutes and 12 ( 10) seconds per patient.Estimated bone ages of the two methods (plain radiography and hand and wrist US charts) compared statistically and they were...
Conclusion
Because the bones of human body, undergo changes in shape and function as well as changes in size, roentgenologists and pediatricians have proposed numerous methods for appraising the skeletal change of children (6). The roentgenologist and the pediatrician have used them to determine whether individual children were skeletally advanced or retarded, since appraisal of advancement or retardation is an aid in the diagnosis of endocrine and nutritional disorders (6). Research workers, in the field have been interested because they wished an objective measure of the...
References
REFERENCES.1. Kucukkeles N, Acar A, Biren S, Arun T. J Comparison between cervical vertebrae and hand-wrist maturation for the assessment of skeletal maturity. Clin Pediatr Dent 1999; 24:47-52. 2. Paesano PL, Vigone MC, Siragusa V, Chiumello G, Maschio AD; Mora S Assessment of skeletal maturation in infants: comparison between two methods in hypothyroid patients.1998; Pediatr Radiol 28:622-626.3.Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H 1983 Assessment of skeletal maturity and prediction of adult height (TW method). 2nd ed. Academic Press, London 1983.4.Greulich WW,...
Personal Information
Mirace Yasemin Karadeniz-Bilgili 1, Selda Hizel Bulbul 2, Simay Altan Kara1,Cihat Sanli2, Haydar Hseyin Erdal3 ,Deniz Altinok 11. Asc Prof., Department of Radiology, Kirikkale University, School of Medicine, Sleyman Demirel Hospital,Kirikkale.Turkey.2. Asc Prof, Department of Pediatry, Kirikkale University, School of Medicine, Sleyman Demirel Hospital, Kirikkale.Turkey 3.Research assistant, Department of Radiology, Kirikkale University, School of Medicine, Sleyman Demirel Hospital, Kirikkale.Turkey Mirace Yasemin Karadeniz-Bilgili: e-mail: mykaradeniz@ hotmail.com