r/growthplates

Is a 2-month-old bone age X-ray still useful?

I’m 17 and had a left wrist X-ray on June 30, one day before my 17th birthday. My pediatric endocrinology appointment is August 31, so the X-ray will be about 2 months old.

It showed that my distal radius and ulna weren’t fully fused.(according to the radiologist)

Is a 2-month-old X-ray still useful for assessing bone age/growth potential, or could significant changes happen in that time at 17?

Would the endocrinologist likely use the existing X-ray or ask for a new one?

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u/Friendly_Succotash59 — 2 days ago

Guess the skeletal age based on a description only

It's not gonna read like a riddle just yet, but that may be the direction I take it down in the future. For now, a simple description.

It will go in random order from BA 0-18Y or 0-19Y, depending on biological sex. All the individual skeletal ages are intended on being covered.

Your only hint is to look for specific keywords that denote the physeal status of certain skeletal age marking points.

Biological sex: male

Carpal ossification centers are well established, with the pisiform ossification center identified, remaining small and ovoid in configuration. The proximal and middle phalangeal epiphyses are well ossified and demonstrate increasing conformity with the adjacent metaphyses, with mild metaphyseal capping. Distal phalangeal epiphyses are broad and relatively rectangular in configuration, with persistent radiolucency of the physes.

The metacarpal epiphyses are well developed, with progressive metaphyseal capping most evident at the third through fifth metacarpals. The distal radial epiphysis is broad and transversely oriented, with a gently undulating articular contour and a clearly patent physis - the radial styloid demonstrates incomplete development. The distal ulnar epiphysis is smaller and more rounded/ovoid horizontally, with persistent physeal separation and a rising process. No focal physeal bridging or osseous fusion is evident.

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u/Automatic-County6151 — 2 days ago

Is this normal

I grew 0.5-0.7 inches in 2-3months but now Im not growing and it’s been 1-2monthes….btw I’m 15 and I had a bone evaluation 3 months ago and it came out as 16 so now it’s a little older….im 15.4 now btw.

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u/Itchy_Plankton_498 — 2 days ago

Estimating BA From Written Reports

Good evening, enthusiasts!

Earlier this year, on January 5th, we officially terminated tailored bone age estimations using the radiographs alone. This was confirmed after I consulted a lawyer to see where the limits shoukf strictly lie. That is still a permanent change; however, I have found a way to make this happen - in a way.

Many of you will be excited, but it is imperative that I address some limitations with that: it is approximate and not definitive. This will not be the same as directly reading an x-ray, and giving a number.

"Will bone age estimations ever return?"

Yes. We can now help with estimating skeletal age from detailed written hand + wrist radiograph reports, even when the original radiograph is not available (do not include the radiographs). If a report describes the maturation of the individual epiphyses, physes, carpal bones, and other relevant structures in sufficient, greater detail, those findings can sometimes be used to arrive at a reasonable approximate BA range, and potentially a narrower numeric estimate.

To do this, we’ll need the complete report, along with the person's sex and chronological age at the time of the x-ray. If the report specifies the BA method used (such as Greulich-Pyle, Tanner-Whitehouse/TW3, or Fels), include that as well. The more detailed the report is about individual skeletal structures, the more useful it will be.

There are important limitations. A written report cannot substitute for actually reviewing the radiograph, because the report may omit features that would be visible on the image. Therefore, we should generally provide an estimated range or approximate numerical BA, rather than claiming that a report proves an exact value such as 13.0 years. Instead, it would be interpreted as "~13Y".

Please also understand that these estimates are educational and approximate, not medical assessments. If the report is too vague, contradictory, or lacks enough developmental detail, the appropriate conclusion may simply be that there isn't enough information to estimate the bone age reliably. This does substantially differentiate from reading a radiograph in a medico-legal context, just for clarity.

If you have a detailed report you'd like to have discussed, post the full unedited text along with the chronological age and sex at the time of imaging. We can then explain which skeletal findings support the estimated range and how strongly each finding contributes to it.

Thank you,

  • Automatic-County6151; lead moderator and foundational owner
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u/Automatic-County6151 — 2 days ago

Can you predict my future height?

Im 15 and 11 month now my height in the years is:

11/132

12/138

13/144

14/151

15/157

15.11/167

17/?

18/?

19/?

20/?

21/?

Father/177 Mother/165 Maternal uncles/185, 182, 177 Paternal uncles/185, 182, 160

The first signs of puberty appeared at age 13 and a half, but my voice and the hair on my legs, arms, and underarms began to change around age 15 months or three, becoming thicker. There is very light facial hair that is barely noticeable. The question is am i late bloomer .My family says my maternal uncle was short at one point and then grew tall, and his brother was short at age 17 and then grew tall in university. Note: I resemble my uncle , who is 185 cm tall, in appearance. And he start puberty at 15 like me) am i late bloomer ??

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u/Flashy_Big_1719 — 3 days ago

My teeth when I was 15 and a months old

My last milk teeth fell of at end 15 maybe 16

Is it normal ? Is it linked to late blooming ? And how hard is the link?

u/sigma-medyax — 4 days ago

Early bloomer with 1.5 years between chronological age and bone age

My son started puberty quite early, some time between 10.5 and 11. At 11, his bone age from xray was 12.5. The doctor didn't seem concerned and said based on physical examination he's about Tanner stage 2 and has lots of growth left. He's always been tall for his age, we just assumed it's genetics because dad is 6'5" and mom is 5'5". He grew 5 inches from 10 to 11 and is 5'5" around 11th birthday. Just wondering if there's anything we should be concerned about or follow up with the doctor on. Obviously we know he'll stop growing much earlier than other kids and that's fine.

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u/Evening_Elk3589 — 3 days ago

Is my bone age normal?

Currently 15 turning 16 in 1 month and i got a bone age assessment (i somehow convinced my do tor to allow me to get one) they found that my BA was roughly 2 years younger than me. So it was at 14. My mom has always been telling me not to worry about my height cause she only had her growth spurt at 15. And fyi i started puberty at 11-12 so i needed hormone checks and they were fine. Is the 2 year gap normal? If you guys ask me no ive never had a growth spurt of 3 inches in a year and im 5’7

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u/Dheerm1 — 3 days ago

Bone age 17 male, chronological age 16 10 months

So I am 16 and 10 mon old with BA 17... Father is like 5 6-7 and mother 4 10.5-11...

I am 5 4 ... My endocrinologist said 2 inches may be possible, how true is that? He saw my X-Roy and told ... I just want to be 5 6....

Also my testosterone is 290 and LH IS 2.05 if it helps .....

And I grew like an 1 inch in the last 2 years ....

Also growing like 1 inch is possible right? Through knee and tibia spine plates?

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u/Consistent_Job5213 — 6 days ago

I’m 5,11 and taller than my father at 21 but my grandfather was 6’1 any chance I get another inch?

I’m not doing the most to contribute towards my growth in general which is something I’m working but any tips are appreciated I also smoke drink and do drugs occasionally.
I have a decent testosterone level but not capable of stopping these bad habits at the moment, are these the main things stopping growth???

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u/New_Living1168 — 6 days ago

Clavicle growht plate injury ( the middle one )

Can a clavicle growht plate injury in late teens 16-19 stop it from lenghting because there is about 5%/10% of growth left at that age ??

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u/Icy_Phase_3157 — 6 days ago

Could someone be given bone age 15.5 even if radius is r7?

Could someone have asynchronous maturation to the point of having an overall bone age of 15.5 even if radius is in r7 stage (peak phv)

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u/Easy_Success_6026 — 6 days ago

How much more can I grow? I’m a 16-year-old male, and how much time do I have left to grow? I’ve been growing quite slowly for the past 1–2 years—I’ve only grown about 2 cm since

u/Less-Contribution736 — 8 days ago

Growth

What can we expect for my son’s growth. Any truth to boys getting their height from maternal grand mother side?

Son 13.3 y/o 5’3
Mom 5’1
Dad 5’6

11 - 4’8
12 - 4’11
13 - 5’3

X-ray of left wrist looks like growth plates are open

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u/Significant_Loss6279 — 7 days ago

What's my final predicted height

Chronical year 17.2

Bone age 16.2

Tanner stage 4

Morning height 177cm

Dad 180-182 idk mom 160cm

Got hgh treatment at 12 for 2 years ba was delayed by 2 years

Delayed puberty confirmed at 12

Next month 8mg erda , 2.5mg letro , 8mg endoxifen

What's my final expected height

u/FeedbackSad1964 — 12 days ago

Bone age estimate no X-ray I’m done growing

I am 20 years olds I have not grown a substantial amount probably none since 17 years old and 8 months out of curiosity what would my bone age of been at that age would it have been 18 and what would of been my bone age at 16 potentially?

All this is out of curiosity, if it helps my feet stopped growing around 14 predict puberty started around 12, also can my feet stopping growing ag 14 potentially indicate my bone age in other parts of my body?

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u/Express-Layer2585 — 9 days ago