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

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Doctor, may I ask, I am 16 years old, with a height of only 164 cm and a weight of 53 kg.
My parents, as well as my grandparents, are not tall, and none of my uncles or male relatives on my father's side are taller than me.
Does this mean my height will likely remain about the same? Can skeletal age be determined from the bones to estimate potential height? Is it possible to see this through an X-ray of the hand? If so, I would like to send you an X-ray of my hand for your assessment.
From elementary school to the first year of high school, I have always been among the shortest in my class.

Buding Gou, 10~19 year old female. Ask Date: 2005/01/14

Dr. Shi Qiming reply Orthopedics


Hello: For questions regarding this matter, please consult a pediatric metabolic specialist for assistance.

Reply Date: 2005/01/14

More Info


When it comes to predicting final height, X-rays of the hand bones can provide some insights, but they are not definitive. The process of growth in height is primarily determined by the growth plates, also known as epiphyseal plates, which are areas of developing cartilage tissue near the ends of long bones. In adolescents, these growth plates gradually close as they mature, signaling the end of height increase.

At 16 years old, you are at a critical age for growth. For boys, growth typically continues until around 18-20 years of age, but this can vary significantly based on individual genetics and other factors. The fact that your hand growth plates have closed could indicate that your height may not increase significantly from this point forward. However, if your knee growth plates are still open, there is still a possibility for some additional growth, as the knees are one of the last areas to mature.

X-rays of the hand can be used to assess skeletal maturity by examining the development of the bones and the status of the growth plates. Medical professionals often use a method called the Greulich and Pyle method, which compares the X-ray of a child's hand to a standard set of images to estimate skeletal age. This skeletal age can then be correlated with potential height predictions, but it is important to note that this is not an exact science.
Genetics plays a significant role in determining height, and if your family members are generally shorter, it is likely that you may not reach a height significantly above your current stature. However, environmental factors such as nutrition and overall health during your growing years also contribute to your final height.

If you are concerned about your height and growth potential, it would be beneficial to consult with a pediatric endocrinologist or a specialist in growth disorders. They can provide a more comprehensive evaluation, including hormonal assessments if necessary, and offer guidance based on your individual circumstances.

In summary, while X-rays of the hand can provide some information about skeletal maturity and potential height, they are not a definitive predictor of your final height. The interplay of genetics, growth plate status, and overall health will ultimately determine your growth trajectory. If you have further questions or concerns, seeking professional medical advice is the best course of action.

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