The FELS method of assessing the skeletal maturity of the hand-wrist

American Journal of Human Biology : the Official Journal of the Human Biology Council
Wm Cameron ChumelaDavid Thissen

Abstract

The FELS method of assessing the skeletal maturity of the hand-wrist differs from the Greulich-Pyle and Tanner-Whitehouse methods in the observations made, the provision of a range of shapes to which maturity indicator grades can be assigned and in the statistical methods used to construct the scale of skeletal maturity. The FELS method for the hand-wrist was developed using 13,823 serial radiographs of the left hand-wrist of boys and girls in the Fels Longitudinal Study. One hundred-thirty possible indicators were originally identified. Eighty-five graded and 13 metric indicators were selected on the basis of an indicator's ability to discriminate between children at the same chronological age, its universal appearance, reliability, validity, and completeness. The subset of FEELS maturity indicators assessed at a chronological age are analyzed with a microcomputer program that provides the skeletal age and the standard error of the estimate for that skeletal age. Comparison among hand-wrist skeletal age assessments for children in the Fels Longitudinal Study by the FELS, Greulich-Pyle, and Tanner-Whitehouse methods indicate that the FELS method is the more appropriate method for the present population of United States children.

References

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Citations

Jun 13, 2017·Pediatric Exercise Science·Job FransenMatthieu Lenoir
Nov 23, 2017·Journal of Pediatric Orthopedics·Samuel Q LiRaymond W Liu
Mar 9, 2018·International Journal of Legal Medicine·Roberto CameriereLuigi Ferrante
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Apr 30, 2009·The Journal of Clinical Endocrinology and Metabolism·Hans Henrik Thodberg
Feb 24, 2006·Pediatric Annals·Daniellle A Katz
Jun 9, 2020·American Journal of Human Biology : the Official Journal of the Human Biology Council·Steph M BergerSophia C Dent
Aug 24, 2007·Blood·Sharyne M DonfieldUNKNOWN Hemophilia Growth and Development Study Group
Jan 4, 2013·American Journal of Physical Anthropology·Ramzi W NahhasDana L Duren
Sep 3, 2013·Annals of Human Biology·Ramzi W NahhasDana L Duren
Mar 23, 2021·American Journal of Human Biology : the Official Journal of the Human Biology Council·Diogo V MartinhoRobert M Malina
Mar 30, 2021·Frontiers in Pediatrics·Federica CavalloCosimo Giannini
Jul 22, 2006·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Anna-Barbara MoscickiXu Jiahong

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