Gilli G
Olgahospital, Kinderklinik, Stuttgart, Germany.
Horm Res. 1996;45 Suppl 2:49-52. doi: 10.1159/000184847.
The measurement of skeletal maturity is important for the analysis of growth and growth disorders. Several methods are available for the assessment of skeletal age. They are all based on the recognition of maturity indicators, that is, of changes in the radiographic appearance of hand-wrist bones. The most commonly used methods are the Greulich and Pyle Atlas and the Tanner-Whitehouse (TW2) method. More recently, the FELS method has been described by Roche and coworkers. The assessments made using the Greulich and Pyle Atlas are often very inaccurate, whereas experience with the FELS method is still very limited. At the present time, the TW2 is still the method of choice. It is hoped that the development of a computerized method of assessment will lead to greater accuracy in the determination of skeletal maturity.
骨骼成熟度的测量对于生长及生长障碍的分析很重要。有多种方法可用于评估骨龄。它们均基于对成熟度指标的识别，即手腕部骨骼X线影像外观的变化。最常用的方法是格鲁利希和派尔图谱法以及坦纳 - 怀特豪斯（TW2）法。最近，罗氏及其同事描述了FELS法。使用格鲁利希和派尔图谱法进行的评估往往非常不准确，而FELS法的应用经验仍然非常有限。目前，TW2法仍是首选方法。希望开发一种计算机化评估方法能在骨骼成熟度的测定中带来更高准确性。
