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Digital radiographic evaluation of hand-wrist bone maturation and prediction of age in South Indian adolescents

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HAND

Abstract

Background

In the growing years, indicators of the level of maturational development of the individual provide the best means for evaluating biologic age and the associated timing of skeletal growth. The relative stage of maturity of a child may be determined by comparing the child’s hand-wrist radiograph to the known standards of skeletal development.

Aims and Objectives

In this study, we assessed various levels of skeletal maturation and also identified the relationship between chronological age (CA) and maturation stage using the hand-wrist radiographs in adolescents of Indian origin.

Materials and Methods

Three hundred and thirty hand-wrist digital radiographs of individuals aged 8 to 18 years were evaluated for skeletal maturity levels using Fishman’s method. The data was analysed using the SPSS software package (version 12, SPSS Inc., Chicago, IL, USA). Regression analysis was performed for calculating bone age of both males and females. Spearman’s rank-order correlation coefficients were estimated separately for males and females to assess the relation between CA and maturation level.

Results

An association between skeletal maturation indicator stages and CA (r = 0.82) was significant. Interestingly, female subjects were observed to be advanced in skeletal maturity compared to males. Regression equations were derived to calculate bone age in males, females and the whole sample.

Conclusion

The results of this study showed significant association between hand-wrist skeletal maturation levels and CA. Digital radiographic assessment of hand-wrist skeletal maturation can be used as a better choice for predicting average bone age of an individual because of its simplicity, reliability and lesser radiation exposure.

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Conflict of Interest

Dr. Rezwana Begum Mohammed declares no conflicts of interest. Dr. M. Asha Lata Reddy declares no conflicts of interest. Dr. Megha Jain declares no conflicts of interest. Dr. Johar Rajvinder Singh declares no conflicts of interest. Dr. Praveen Sanghvi declares no conflicts of interest. Dr. Anshuj Ajay Rao Thetay declares no conflicts of interest.

Statement of Human and Animal Rights

All procedures followed were in accordance with the ethical standards of the committee of GITAM Dental College and Hospital, Visakhapatnam, India.

Statement of Informed Consent

Informed consent was obtained from all patients who are being included in the study.

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Authors and Affiliations

  1. Department of Oral Medicine and Radiology, GITAM Dental College and Hospital, Rushikonda, Visakhapatnam, Andhra Pradesh, 530045, India

    Rezwana Begum Mohammed

  2. Department of Orthodontics and Dentofacial Orthopaedics, Dental College Azamgarh, Chandeshwar, Azamgarh, Uttar Pradesh, 276138, India

    M. Asha Lata Reddy

  3. Department of Orthodontics and Dentofacial Orthopaedics, Chhattisgarh Dental College and Research Institute, Rajnandgaon, Chhattisgarh, India

    Megha Jain & Johar Rajvinder Singh

  4. Department of Dentistry, MGIMS, Sevagram, Wardha, Maharashtra, 442102, India

    Praveen Sanghvi

  5. Department of Orthodontics and Dentofacial Orthopaedics, Bhabha College of Dental Sciences, Jatkhedi, Bhopal, Madhya Pradesh, 462047, India

    Anshuj Ajay Rao Thetay

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  1. Rezwana Begum Mohammed
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  2. M. Asha Lata Reddy
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Correspondence to Rezwana Begum Mohammed.

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Mohammed, R.B., Reddy, M.A.L., Jain, M. et al. Digital radiographic evaluation of hand-wrist bone maturation and prediction of age in South Indian adolescents. HAND 9, 375–383 (2014). https://doi.org/10.1007/s11552-013-9598-2

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  • DOI: https://doi.org/10.1007/s11552-013-9598-2

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