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      Tanner-Whitehouse Method of Assessing Skeletal Maturity: Problems and Common Errors

      Hormone Research in Paediatrics

      S. Karger AG

      KIGS, Skeletal maturity, Assessment, Errors

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          The Tanner-Whitehouse method of assessing skeletal maturity has been in use for more than three decades. Problems in assigning bone ages arise from many sources. The most significant sources of error are poor positioning of the hand when the radiograph is taken, which alters the radiographic appearance of the epiphysis and makes interpretation unnecessarily difficult, and the lack of consistency in repeat ratings of the same film by one or more observers (intra- and inter-observer error). In addition, use of the system outside the limits of its design is a common error seen in clinical practice. Computer systems are now being developed with the aim of reducing many of the inconsistencies associated with radiographic investigations of normal children.

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          Author and article information

          Horm Res Paediatr
          Hormone Research in Paediatrics
          S. Karger AG
          09 December 2008
          : 45
          : Suppl 2
          : 53-55
          Medical Unit, Institute of Child Health, London, UK
          184848 Horm Res 1996;45:53–55
          © 1996 S. Karger AG, Basel

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          Page count
          Pages: 3
          Bone Maturation


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