FELS, Greulich-Pyle, and Tanner-Whitehouse bone age assessments in a group of Italian children and adolescents

American Journal of Human Biology : the Official Journal of the Human Biology Council
M VignoloG Aicardi

Abstract

Assessments of skeletal maturity are usually made from handwrist radiographs, using either the method of Greulich-Pyle (GP) or Tanner-Whitehouse (TW). Recently the FELS method has been developed, and it represents a potentially valuable approach to skeletal age assessment. The present study evaluates the accuracy and precision of FELS skeletal age assessments compared with ratings by the GP and TW methods in a group of Italian children and adolescents. The hand-wrist radiographs of subjects (171 males and 156 females 1 to 17 years) referred to the "Istituto di Puericultura e Medicina Neonatale" of the University of Genoa in Italy between 1985 and 1990 were assessed according to each method. Two independent observers rated the radiographs and one observer reassessed them after 6 months or more. GP estimates rather closely match chronological age; TW ratings tend to overestimate chronological age by 7-9 months around puberty, mainly in boys; and the FELS method tends to overestimate chronological age by amounts that increase with chronological age. The degree of precision of skeletal age assessments is within the usually accepted limits. Higher levels of repeatability and reproducibility are apparent for the FELS estimates than f...Continue Reading

References

Mar 1, 1976·Archives of Disease in Childhood·J M Tanner, R H Whitehouse
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Mar 1, 1984·Annals of Human Biology·A WenzelB Melsen
Sep 1, 1959·American Journal of Surgery·C E BADGLEY, J T HAYES
Dec 1, 1961·American Journal of Physical Anthropology·K KoskiM Lappalainen

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Citations

Jan 1, 1995·American Journal of Human Biology : the Official Journal of the Human Biology Council·Teoman Onat
Dec 13, 2003·The Journal of Clinical Endocrinology and Metabolism·Antonio BalsamoEmanuele Cacciari
May 7, 2008·International Journal of Legal Medicine·Sven SchmidtAndreas Schmeling
Dec 24, 1997·Acta Paediatrica. Supplement·L BensoS Milani
Jun 16, 2015·Annals of Human Biology·Catriona DaviesSue Black
Feb 10, 2021·Forensic Science International : Synergy·Marco CummaudoCristina Cattaneo
Mar 23, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Diogo V MartinhoRobert M Malina

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