Title: Radiographic Atlas of Skeletal Development of the hand and wrist
1Radiographic Atlas of Skeletal Development of the
hand and wrist
- Greulich and Pyle 2nd edition
- Prepared by Robert L Lorenzo, MD
2Male Newborn
3Male 3 months
4Male 6 months
5Male 9 months
6Male 1 year
7Male 1 year and 3 months
8Male 1 year and 6 months
9Male 2 years
10Male 2 years and 8 months
11Male 3 years
12Male 3 years and 6 months
Epiphyses of distal phalanges 2-5 clearly visible
13Male 4 years
14Male 4 years and 6 months
Middle phalangeal epiphyses of 3rd, 4th fingers
now slightly more than 1/2 as wide as their shafts
15Male 5 years
Epiphysis of the first metacarpal is now more
than half as wide as its metaphysis The epiphysis
of the distal phalanx of the fifth finger is now
about 2/3s as wide as its shaft
16Male 6 years
The base of the second metacarpal is now
distinctly indented in the region which will
later articulate with the trapezoid
17Male 7 years
The epiphysis of the middle phalanx of the fifth
finger is now slightly more than half as wide as
its shaft.
18Male 8 years
The epiphyses of the distal phalanges of the
second, third, fourth, and fifth fingers are now
as wide as their shafts.
19Male 9 years
The distal ends of the shafts of the second and
third proximal phalanges have become slightly
concave as their trochlear surfaces begin to
differentiate.
20Male 10 years
The epiphyses for the distal phalanges of the
second to fifth fingers are all wider than their
shafts.
21Male 11 years
The epiphysis of the proximal phalanx of the
second finger is now as wide as its shaft.
22Male 11 years and 6 months
The capitate surface of the scaphoid now slightly
overlaps the adjacent portion of the capitate.
23Male 12 years and 6 months
The epiphysis of the proximal phalanges of the
3rd, 4th and 5th fingers and of the middle
phalanges of the 2nd and 3rd fingers are now as
wide as their shafts.
24Male 13 years
The epiphysis of the middle phalanx of the fifth
finger is now as wide as its shaft.
25Male 13 years and 6 months
All of the proximal epiphyses have begun to cap
their shafts.
26Male 14 years
27Male 15 years
28Male 15 years and 6 months
29Male 16 years
30Male 17 years
31Male 18 years
32Male 19 years
33Female Newborn
34Female 3 months
35Female 6 months
36Female 9 months
37Female 1 year
The epiphyses of the second and third metacarpals
and the epiphyses of the proximal phalanges of
the second, third, and fourth fingers now contain
small, recently formed ossification centers
38Female 1 year and 3 months
39Female 1 year and 6 months
40Female 2 years
41Female 2 years and 6 months
42Female 3 years
The epiphyses of the middle phalanges of the
second, third, and fourth fingers are now
slightly more than half as wide as their shafts.
43Female 3 years and 6 months
44Female 4 years and 2 months
45Female 5 years
The distal phalangeal epiphyses of the third,
fourth, and fifth fingers are now as wide as
their shafts
46Female 5 years and 9 months
47Female 6 years and 10 months
The base of the second metacarpal adjacent to the
trapezoid is now slightly concave.
48Female 7 years and 10 months
The epiphysis of the proximal phalanx of the
thumb now extends farther medially (I.e., toward
the volar surface) than does the corresponding
border of its shaft it has now reached the
dorsal marginthe epiphyses of the distal
phalanges of the 2nd-5th fingers are shaping to
the trochlear surfaces of the middle phalanges.
49Female 8 years and 10 months
The epiphyses of the proximal and middle
phalanges of the second, third, and fourth
fingers are now as wide as their shafts.
50Female 10 years
The epiphyses of the proximal and middle
phalanges of the fifth finger are now as wide as
their shafts.
51Female 11 years
The epiphyses of the proximal and middle
phalanges of the 2nd-5th fingers and those of the
distal phalanges of the thumb and 2nd, 4th and
5th fingers now cap their shafts.
52Female 12 years
The radial epiphysis caps its shaft and its ulnar
articular surface has flattened.
53Female 13 years
The epiphysis of the distal phalanx of the thumb
has begun to fuse with its shaft.
54Female 13 years and 6 months
55Female 14 years
56Female 15 years
57Female 16 years
58Female 17 years
59Female 18 years
60Female 28 years
61Female 50 years
62Standard Deviation for Boys
63Standard Deviation for Girls
64Table IIA Average Boys
65Table IIB Average Boys
66Table IIC Accelerated Boys
67Table IID Accelerated Boys
68Table IIE Retarded Boys
69Table IIIA Average Girls
70Table IIIB Average Girls
71Table IIIC Accelerated Girls
72Table IIID Accelerated Girls
73Table IIIE Retarded Girls
74Table IIIF Retarded Girls
75Table I Percent of mature height