Can X-rays of Hand Growth Plates Help Determine Height Potential? - Orthopedics

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Growth plate issues


Hello doctor, I would like to ask if X-rays of the growth plates in the hands can be taken to assess height potential, or if it is only possible to take X-rays of the feet?

Xiao Yang, 20~29 year old female. Ask Date: 2020/05/02

Dr. Wang Shouji reply Orthopedics


Hello, the knee joint and pelvis are more accurate.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2020/05/02

More Info


X-rays of the hand growth plates can indeed provide valuable insights into a person's potential for height increase, but they are not the only method used to assess growth potential. The growth plates, or epiphyseal plates, are areas of developing cartilage tissue located at the ends of long bones. These plates are responsible for the lengthening of bones during childhood and adolescence, and their closure signifies the end of growth in height.

When it comes to evaluating growth potential, the hand is often the preferred site for X-ray imaging. This is primarily due to the fact that the hand contains multiple growth plates that can be assessed simultaneously, providing a comprehensive view of skeletal maturity. The Greulich and Pyle method, a widely used standard for assessing skeletal maturity, utilizes X-rays of the left hand and wrist to determine the stage of development of the growth plates. This method has been validated through extensive research and is a reliable indicator of growth potential.

However, while hand X-rays are useful, they are not the only option. X-rays of the knee and pelvis can also be informative. The knee joint, particularly the distal femur and proximal tibia, contains growth plates that typically close later than those in the hand. Therefore, X-rays of the knee can sometimes provide a clearer picture of remaining growth potential, especially in individuals who may be late bloomers in terms of growth.

In your case, if you are considering X-rays to assess your growth potential, it may be beneficial to have both hand and knee X-rays taken. This can provide a more comprehensive understanding of your skeletal maturity and potential for further height increase. If the growth plates in your hand have already fused, it may indicate limited potential for height increase, but if the knee growth plates are still open, there may still be some opportunity for growth.

It is also important to consider other factors that can influence growth, such as genetics, nutrition, and overall health. For example, individuals with a family history of late growth spurts may experience continued growth into their late teens or even early twenties. Additionally, proper nutrition, including adequate intake of calcium, vitamin D, and protein, plays a crucial role in supporting bone health and growth.

In conclusion, while X-rays of the hand growth plates are a valuable tool for assessing growth potential, they should be considered alongside other factors and imaging methods. Consulting with a healthcare professional who specializes in growth and development can provide personalized insights and recommendations based on your specific situation. If you have concerns about your growth or development, it is advisable to discuss them with a qualified medical professional who can guide you through the appropriate assessments and potential interventions.

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As early as 1929, Professor Todd and others in the United States began research in this area. He had taken X-rays of children's left shoulder, left elbow, left hand, left hip, left knee, and left foot. After twenty-one years of effort by scientists, in 1950, Professors Greul...

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Dr. Shi Guozheng reply Orthopedics
The closure time of the growth plates in the wrist is similar to that of other bones in the lower limbs. If a 15-year-old male has already closed his growth plates, he is unlikely to grow taller.

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Engaging in regular exercise, consuming nutritious foods, and ensuring adequate sleep may help you grow a little taller without the need for additional X-rays.

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Can X-Ray of Hand Bones Predict My Final Height?

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