STUNTING BONE AGE EXAMINATION IN STUNTING CHILDREN IN THE RADIOLOGY INSTALLATION OF SIJUNJUNG HOSPITAL, WEST SUMATRA

Abstract

Bone age maturity is a key component in evaluating a child's growth. Assessment of bone maturity is determined by measuring "Bone Age", namely an X-ray examination of the left wrist bone. Ossification of trabecular bone occurs in a predictable pattern, so that assessment of bone maturity can be made at several ossification centers and then compared to standard radiographic images for males and females. The results of the radiographs are compared with the individual's chronological age as an indicator of the speed of growth, using the ± SD reference it can be concluded that it is in the late or normal category. Examination of a single X-ray on the representative left hand to assess the center of ossification so as to avoid radiation exposure for radiographic examination of all bones. Assessment of hand radiographic analysis can show a correlation with facial growth during puberty. This research is a qualitative descriptive research method with an observational study, conducted on January 27 2023 at the radiology installation of Sijunjung Hospital with a population of stunted children with a sample of seven stunted children, data collection by examining the left manus anterior posterior projection after that the radiograph results evaluated by a radiologist. The results showed that there were three stunted children who did not experience delays in bone age maturity, namely one boy aged 5 years, one boy aged 11 years and one girl aged 13 years and there were four children who were stunted. delayed bone age maturity, namely one girl aged 10 years, two boys aged 10 years and one boy aged 15 years so that further research needs to be done for the factors causing bone age maturity in stunted children.