BONE AGE DETERMINATION

Application:

There are two main application for evaluation of skeletal maturation:

1. Diagnosis of growth disorder
2. The prediction of final adult height
Intrauterine bone age determination:
Method of bone age
determination(after
birth):

1. Estimation from hand and wrist,

2. Estimation from foot,
3. Estimation from hip,
4. Estmiation from shoulder joint.
Wrist joint:
Wrist:

Carpal Bones Appearance

Male Female
Capitate 06 months 06 months
Hamate 08-14 months 08-14 months
Triquetral 03-04 year 02-03 year
Lunate 05 year 05 year
Trapezium 07 year 05-06 year
Trapezoid 04-07 year 05-06 year
Scaphoid 07-11 year 06 year
Pisiform 12-17 year 09-12 year
Ankle joint:
 Foot:

Tarsal Bones Appearance

Male Female
Calcaneus At birth At birth
Talus At birth At birth
Cuboid At birth At birth
Cuneiform-medial 01-04 year 01-03 year
Cuneiform-middle 02-04 year 01-03 year
Cuneiform-lateral 01-04 year 01-03 year
Humerus
Humerus:

Epiphyses Fusion
Male Female
Humerus- 14-18 year 14-16 year
head
Greater 02-04 year 02-04 year
tubercle
Lateral 11-16 year 10-12 year
epicondyle
Medial 16 year 14 year
epicondyle
Femur:
Femur:

Epiphyses Appearance Fusion

Male Female Male Female
Femoral head 01 year 01 year 16-17 year 14-15 year
Femur distal Before birth Before birth
end
Greater 17 year 14 year
trochanter
Lesser 15-17 year 15-17 year
trochanter
Clavicle:
 Clavicle:

Epiphyses Appearance Fusion

Male Female Male Female
Clavicle 15-19 year 14-16 year 22year 20 year
sternal end
Thank You

Dr. Farhad Hossein

Resident of BSMMU