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Address for Correspondence: Dr. Gnanavel A, Assistant Professor, Meenakshi Medical College Hospital & Research Instituite, Kancheepuram, Tamilnadu, India. E-Mail: dragnanavel@gmail.com Background: variety of factors including geography, income, nutrition, home conditions and psychological conditions play important role in skeletal maturity. The present study shows the different grades of Protein energy malnutrition how it delays the appearance of ossification centre. Materials and Methods: The study was conducted in the Paediatric outpatient department and Paediatric ward at Meenakshi medical College & Research institute in different grades of 125 Protein energy malnutrition children in comparison with 125 normal children. Plain X-ray left wrist with hand AP view was taken in all controls as well as PEM children. Results: This study showed the appearance of ossification centers were one year earlier in control group as well as grade I & II PEM children and Grade III & IV PEM the delay was less than the previous studies. Conclusion: This study can be used for comparing the appearance of ossification centers in normal and PEM children, and it will be used as a base line data for further studies.

international journal of anatomy and research

A COMPARATIVE STUDY OF APPEARANCE OF OSSIFICATION CENTERS OF LOWER END OF RADIUS AND ULNA, CARPALS, METACARPALS &amp; PHALANGES IN DIFFERENT GRADES OF PROTEIN ENERGY MALNUTRITION AND WITH NORMAL CHILDREN.