Does X-Ray Exposure Reopen Closed Growth Plates? the Risks - Orthopedics

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Growth plate X-ray


Hello Doctor, I would like to ask if taking X-rays of the growth plates will cause the already closed growth plates to reopen.
I have had many X-rays taken due to a previous injury, and I am very concerned about the possibility of developing a condition like gigantism.
I am worried that I might grow taller again.
Thank you, Doctor.

Xiao Yue, 20~29 year old female. Ask Date: 2017/11/07

Dr. Shi Guozheng reply Orthopedics


X-rays cannot reopen the growth plates; once they are closed, no further height increase will occur, so there is no need to worry.

Reply Date: 2017/11/07

More Info


X-ray exposure does not have the capability to reopen closed growth plates. Once growth plates, also known as epiphyseal plates, have fused, they cannot be reopened or stimulated to grow again by any form of radiation, including X-rays. This is a fundamental aspect of human growth and development. Growth plates are areas of developing cartilage tissue located at the ends of long bones, and they are responsible for the lengthening of bones during childhood and adolescence.
Typically, in males, growth plates begin to close around the ages of 16 to 18, while in females, this process usually occurs a bit earlier, around ages 14 to 16. Once these plates are closed, which is confirmed through X-ray imaging, further height increase is not possible. Therefore, if you have undergone multiple X-ray examinations, there is no need to worry about the potential for these closed growth plates to reopen and cause excessive growth or conditions such as gigantism.
It is understandable to be concerned about the effects of radiation exposure from X-rays, especially if you have had numerous imaging studies. However, the amount of radiation from a standard X-ray is relatively low, and the risk of developing significant health issues from such exposure is minimal. The concern for conditions like gigantism is unfounded in this context, as gigantism is primarily caused by an excess of growth hormone, often due to a pituitary gland tumor, rather than by external factors like X-ray exposure.

In terms of medical imaging, X-rays are a valuable diagnostic tool that allows healthcare providers to assess bone health and growth plate status. If you have concerns about your height and growth potential, it may be beneficial to discuss these with a healthcare provider who can evaluate your growth history, family background, and any other relevant factors. They may also consider assessing your bone age through X-ray imaging, which can provide insight into your growth potential based on the status of your growth plates.

In summary, X-rays cannot reopen closed growth plates, and there is no evidence to suggest that they can cause conditions like gigantism. If you have concerns about your health or growth, it is always best to consult with a medical professional who can provide personalized advice and reassurance based on your specific situation.

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