How to Check Growth Plate Healing: X-Ray and Cost Insights - Orthopedics

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Regarding the examination of whether the growth plates have fused?


Hello, doctor.
I would like to ask how to check if the growth plates have fused.
Should I get an X-ray or is there another method? I am considering visiting an orthopedic specialist for an evaluation and would like to understand the costs involved.
Thank you.

Xiao Zong, 10~19 year old female. Ask Date: 2004/05/04

Dr. Shi Qiming reply Orthopedics


Dear Sir/Madam:
To determine whether the growth plates have matured and closed, the best method is to take an X-ray of the growth plates around the knee joint.
Please visit our pediatric orthopedic outpatient clinic.
If you have health insurance, the cost is not high, approximately around 500 NTD.
Hsinchu Hospital Orthopedics.

Reply Date: 2004/05/04

More Info


To check the healing status of growth plates, the most common and effective method is through X-ray imaging. Growth plates, also known as epiphyseal plates, are areas of developing cartilage tissue located at the ends of long bones in children and adolescents. As a person matures, these plates gradually harden and close, marking the end of bone growth.
When you suspect that your growth plates may still be open or are inquiring about their healing status, an X-ray is typically the first step. This imaging technique allows healthcare professionals to visualize the growth plates and assess whether they have fused or remain open. In most cases, a simple X-ray of the relevant bones (such as the wrist, hand, or knee) will suffice to evaluate the growth plates.

In terms of where to get this X-ray done, you can visit a hospital or a medical imaging center that offers radiology services. Many general medical clinics and orthopedic offices also have the capability to perform X-rays. The cost for an X-ray can vary depending on the facility and your location, but generally, you can expect to pay around $400 for a single X-ray in Taiwan, as mentioned in previous responses. It's important to note that this cost is usually out-of-pocket unless you have specific insurance coverage that includes imaging services.

Regarding your concerns about growth potential, it is essential to understand that growth plate closure typically occurs between the ages of 18 and 25, depending on various factors such as genetics, nutrition, and overall health. If you are already 22 years old, it is likely that your growth plates have closed, and further height increase may be limited. However, if there are still visible growth plate lines on the X-ray, there may be a slight chance for additional growth, although this is often minimal.

In terms of promoting growth, while genetics play a significant role in determining height, there are lifestyle factors that can influence growth potential, especially during the years when growth plates are still open. Adequate nutrition, particularly sufficient calcium and vitamin D intake, is crucial for bone health. Regular physical activity and maintaining a healthy sleep schedule are also important. Sleep is particularly vital during the growth years, as growth hormone is primarily secreted during deep sleep. Aim for a consistent sleep schedule, ideally going to bed early and waking up at a similar time each day.

If you are considering any medical interventions to increase height, such as growth plate stimulation or limb lengthening surgeries, these procedures are typically reserved for individuals with specific medical conditions and are not recommended for healthy individuals. Such surgeries carry risks and require thorough evaluation by a qualified orthopedic specialist.

In summary, to check the healing status of your growth plates, an X-ray is the most effective method. You can get this done at a hospital or imaging center, with costs typically around $400. While there may be slight growth potential if the growth plates are still open, significant height increases are unlikely at your age. Focus on maintaining a balanced diet, regular exercise, and good sleep hygiene to support your overall health. If you have further questions or concerns, consulting with an orthopedic specialist would be beneficial.

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