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The determination of skeletal maturity (bone age) has an important place in the practice of paediatrics, particularly in relation to endocrinological problems and growth disorders. It is frequently used in diagnosis (eg short children with growth delay) and in monitoring treatment in conditions such as hypothyroidism and congenital adrenal hyperplasia. This is a comprehensive and practical guide to assessing skeletal maturity and predicting adult height in children. It takes the reader through the main scoring systems and illustrates, by way of radiographs, the main stages of bone maturity in both sexes. A free CD-Rom containing a growth height prediction programme is included so that predictions of growth height can be made automatically for each patient. Data can be also stored for comparison as the patient grows.
Chapter 1. The measurement of maturity. Chapter 2. Definition and scoring of the bone stages. Chapter 3. The method in practice: reference values for skeletal maturity and TW3 bone age. Chapter 4. Prediction of adult height. Chapter 5. Hormonal control and clinical applications. References Appendix 1. The rating system Appendix 2. The mathematical basis of the scoring system. Appendix 3. Learning to rate. Subject Index.
