Where to Get Growth Plate Checkups and Height Concerns - Orthopedics

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Growth plate examination


To check the growth plates, you would typically need to visit the pediatric department or an orthopedic clinic.
Once the growth plates are closed, it is generally not possible to increase height further.

Zhen Guo, 10~19 year old female. Ask Date: 2016/04/12

Dr. Li Wenhong reply Orthopedics


Hello: When there are issues related to growth and development, examinations are arranged based on the situation, typically involving orthopedics, metabolism and endocrinology, and rheumatology and immunology.
The closure of the growth plates indicates that the specific bones will no longer grow; this does not necessarily mean that height cannot increase, but significant height gain is unlikely.
Changhua Hospital Orthopedics Dr.
Li Wen-Hong.

Reply Date: 2016/04/12

More Info


To address your question about where to get growth plate checkups and concerns regarding height, you would typically want to consult with a pediatric endocrinologist or an orthopedic specialist. These medical professionals are well-equipped to evaluate growth plate conditions and assess height-related concerns.

Understanding Growth Plates:
Growth plates, also known as epiphyseal plates, are areas of developing cartilage tissue located at the ends of long bones in children and adolescents. They are crucial for bone growth and lengthening. As a child grows, these plates gradually harden and close, which signifies the end of height increase. This process is influenced by various factors, including genetics, nutrition, and hormonal levels.

When to Seek Evaluation:
If you have concerns about your height or growth patterns, it is advisable to seek an evaluation if:
1. You are significantly shorter or taller than your peers.

2. You have experienced a sudden change in growth rate.

3. You have other symptoms, such as delayed puberty or unusual bone pain.

What to Expect During the Evaluation:
During your visit, the specialist will likely perform a physical examination and may order imaging tests, such as X-rays, to assess the growth plates. X-rays can provide valuable information about whether the growth plates are still open or have closed. If the growth plates are still open, there may still be potential for growth. Conversely, if they are closed, it is generally accepted that further height increase is unlikely.

Height Increase After Growth Plate Closure:
Once growth plates close, which typically occurs in late adolescence (around ages 16-18 for girls and 18-21 for boys), it is generally accepted that further height increase is not possible. However, there are rare medical conditions and interventions that can affect height, but these are not common and often involve complex medical procedures.

Additional Considerations:
If you are concerned about your height due to a medical condition or hormonal imbalance, the endocrinologist may conduct tests to evaluate hormone levels, such as growth hormone, thyroid hormones, and sex hormones. Nutritional assessments may also be part of the evaluation, as proper nutrition plays a significant role in growth and development.

In summary, if you are looking to check your growth plates and have concerns about your height, visiting a pediatric endocrinologist or orthopedic specialist is the best course of action. They can provide a thorough evaluation and guide you on the next steps based on your individual circumstances. Remember, height is influenced by a combination of genetic and environmental factors, and early intervention can be beneficial if there are underlying issues affecting growth.

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