Abstract

Several methods are used to assess the level of maturity attained by child during post natal growth. Children of same age vary in their maturity status a great deal, therefore biologic maturity indicators have been developed to assess the progress towards full maturation of an individual at various times during growth. The bone age of a child indicates his/ her level of biological and structural maturity better than the chronological age calculated from the date of birth. The accurate age assessment is required for applying correct treatment modality in pediatric patient as well as for forensic purpose. The hand wrist radiograph is considered to be the most standardized method of skeletal assessment. In the present review we will discuss about the various methods of hand wrist skeletal maturity assessment. Sources of Data/Study Selection: Recent articles published between years 2004-2015 obtained from online search engines Pubmed and Google Scholar were used in preparation of this review. Key Words: Bone Age Measurement, Hand –wrist radiograph, Chronological age, Gruelich and Pyle atlas

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