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Single versus serial assessment of skeletal age: Either, both or neither?
Author(s) -
Maresh Marion M.
Publication year - 1971
Publication title -
american journal of physical anthropology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.146
H-Index - 119
eISSN - 1096-8644
pISSN - 0002-9483
DOI - 10.1002/ajpa.1330350316
Subject(s) - menarche , demography , girl , bone age , medicine , age groups , pediatrics , endocrinology , psychology , developmental psychology , sociology
Assessments of skeletal age are a valuable adjunct to the clinical evaluation of physical maturity but are more meaningful when considered in relation to chronological age, especially over time, than as separate entities. Data on 51 girls from the Child Research Council study series gave a correlation coefficient of 0.51 between skeletal age (SA) at menarche and chronological age (CA) at menarche — a value in close agreement with data reported from other studies. With a range in SA of 11.58 to 14.89 years, these data were examined further for changes in SA related to timing of adolescence. SA was greater than CA in each of the nine girls whose menarche occurred between 10.5 and 12 years of age. SA was equal to CA in one girl, greater than CA in eight girls and less than CA in 11 girls with menarche between 12.15 and 13.4 years. Of the 22 girls with menarche after 13.5 years, one had SA = CA at 14.89 years and the other 21 all had SA less than CA. An r of 0.84 was calculated between the values of CA minus SA at menarche and CA at menarche. Similar relationships were found between SA and CA at age of maximum increment in growth in height for these girls and for 53 boys in the study series. Longitudinal data for height, weight and SA for four boys and five girls demonstrate the problems of prediction of the timing of adolescence and of adult size from skeletal ages in the childhood years.