Associations between the rates of maturation and growth in the short bones of the hand.

Abstract

AbstractSerial radiographs of the hand‐wrist were used to analyze the associations within bones between the rates of change in skeletal maturity, diaphyseal and epiphyseal lengths and diaphyseal width. In previous studies of these children, it has been shown that these rates are linear in relation to chronological age. The associations between the rates of change in these parameters were analyzed using the slopes (b values) for regression lines flitted to the data in each child. In individual bones, most of the correlation coefficients were moderate to low; some were negative. For most associations in each sex they were relatively high for metacarpal II. The rates of skeletal maturation and diaphyseal elongation were correlated more highly in the girls than in the boys but the rates of skeletal maturation and epiphyseal elongation were correlated more highly in the boys. When bones were considered in groups, relatively high correlations were noted for the metacarpals and ray II, lower correlations were common for the middle and distal phalanges. There was no evidence of real neighborhood effects but marginal effects were present.