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Ann Pediatr Endocrinol Metab > Volume 16(3); 2011 > Article
DOI: https://doi.org/10.6065/jkspe.2011.16.3.135   
Assessment of Bone Age During Pubertal Age.
Duk Hee Kim
Department of Pediatrics, Sowha Children's Hospital, Seoul, Korea. dhkim345@naver.com
Bone age is important to evaluate growth status and remaining growth. The Greulich and Pyle atlas is widely used and is so far the most common assessment method of bone age. However, this technique has some limitations, especially during puberty : (1) 11.5 and 12.5 years of bone age in girls and 14.5 years of bone age in boys are not represented in the atlas ; (2) Hand and wrist radiographs are difficult to assess between 11 and 13 years of bone age in girls and between 13 and 15 years of bone age in boys. Sauvegrain et al. developed a method to assess bone age by using elbow radiographs(AP& lateral projections) during pubertal age. Between 11 and 13 years of bone age in girls and between 13 and 15 years of bone age in boys, the olecranon apophysis is characterized by clear morphological development. This method is a reliable tool to assess bone age during puberty because significant morphological changes in the elbow happened every six months.
Keywords: Bone age;Sauvegrain method;Olecranon apophysis;Puberty


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