Applicability of the Greulich and Pyle skeletal age standards to black and white children of today

Randall Loder, D. T. Estle, K. Morrison, D. Eggleston, D. N. Fish, M. L. Greenfield, K. E. Guire

Research output: Contribution to journalArticle

126 Citations (Scopus)

Abstract

Objective. - The Greulich and Pyle skeletal age atlas was derived from white children of upper socioeconomic level during the 1930s. To our knowledge, the Greulich and Pyle standards have not been reassessed for both black and white children; it was the purpose of this study to reassess the applicability of these standards to today's children. Design. - A 'blinded' review of hand roentgenograms taken for the evaluation of trauma was performed. Age of the subjects was evenly distributed between 0 and 18 years. The roentgenograms were scored for bone age by five individuals from different disciplines and levels of training. The difference between the median bone age and the child's chronologic age was calculated for each roentgenogram and stratified into four age groups: early childhood (0 to 4 years), middle childhood (4 to 8 years), late childhood (8 to 13 years), and adolescence (13 to 18 years). Setting. - The roentgenograms were obtained from four hospital emergency rooms in the Lake Erie basin area, the same geographic area from which the Greulich and Pyle standards originated. Patients. - There were 841 children: 452 boys and 389 girls, 461 black and 380 white children. Results. - The bone ages and chronologic ages were similar for white girls of all ages. Black girls were skeletally advanced by 0.4 to 0.7 year (P

Original languageEnglish (US)
Pages (from-to)1329-1333
Number of pages5
JournalAmerican Journal of Diseases of Children
Volume147
Issue number12
StatePublished - 1993
Externally publishedYes

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Bone and Bones
Atlases
Lakes
hydroquinone
Hospital Emergency Service
Hand
Age Groups
Wounds and Injuries

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Loder, R., Estle, D. T., Morrison, K., Eggleston, D., Fish, D. N., Greenfield, M. L., & Guire, K. E. (1993). Applicability of the Greulich and Pyle skeletal age standards to black and white children of today. American Journal of Diseases of Children, 147(12), 1329-1333.

Applicability of the Greulich and Pyle skeletal age standards to black and white children of today. / Loder, Randall; Estle, D. T.; Morrison, K.; Eggleston, D.; Fish, D. N.; Greenfield, M. L.; Guire, K. E.

In: American Journal of Diseases of Children, Vol. 147, No. 12, 1993, p. 1329-1333.

Research output: Contribution to journalArticle

Loder, R, Estle, DT, Morrison, K, Eggleston, D, Fish, DN, Greenfield, ML & Guire, KE 1993, 'Applicability of the Greulich and Pyle skeletal age standards to black and white children of today', American Journal of Diseases of Children, vol. 147, no. 12, pp. 1329-1333.
Loder, Randall ; Estle, D. T. ; Morrison, K. ; Eggleston, D. ; Fish, D. N. ; Greenfield, M. L. ; Guire, K. E. / Applicability of the Greulich and Pyle skeletal age standards to black and white children of today. In: American Journal of Diseases of Children. 1993 ; Vol. 147, No. 12. pp. 1329-1333.
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