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16-Dec-2017 02:21

As a child grows the epiphyses become calcified and appear on the x-rays, as do the carpal and tarsal bones of the hands and feet, separated on the x-rays by a layer of invisible cartilage where most of the growth is occurring.

As sex steroid levels rise during puberty, bone maturation accelerates.

Es gibt mehrere Methoden zur Reifebestimmung am heranwachsenden Skelett.

Gemeinsam ist der Bezug auf einen Standard, der aus einer „normalen“, nordamerikanischen oder britischen (weißen) Bevölkerungsgruppe ermittelt wurde.

Im Alter von 14 (Mädchen) beziehungsweise 16 (Jungen) Jahren sind dann bis auf die Epiphysenfugen des distalen Radius und der Ulna alle Wachstumsfugen der Hand geschlossen, das Wachstum also größtenteils abgeschlossen.

Röntgenaufnahme der Hand eines 16-jährigen entwicklungsverzögertem Jungen.

The long bones include the femurs, tibias, and fibulas of the lower limb, the humeri, radii, and ulnas of the upper limb (arm forearm), and the phalanges of the fingers and toes.As a person grows from fetal life through childhood, puberty, and finishes growth as a young adult, the bones of the skeleton change in size and shape. The "bone age" of a child is the average age at which children reach this stage of bone maturation.A child's current height and bone age can be used to predict adult height.For most people, their bone age is the same as their biological age but for some individuals, their bone age is a couple years older or younger.

Those with advanced bone ages typically hit a growth spurt early on but stop growing early sooner while those with delayed bone ages hit their growth spurt later than normal.Ein Rückschluss vom Skelettalter auf das chronologische Alter ist nur sehr begrenzt möglich aus folgenden Gründen: Wichtiger jedoch ist die Festlegung des Zeitraums des zu erwartenden größten Wachstumsschubs, um so unnötige und belastende Therapiemaßnahmen auf den unbedingt erforderlichen Zeitraum zu beschränken.

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