Doctor insights on:
Advanced Bone Age
Can't turn back: With a bone age of 16, there is less than 5 cm left of growth potential. Adding experimental treatment in the form of aromatase inhibition may delay the progress, but limited studies have not published data when bone age is so advanced. No real knowledge about long term side effects although there are concerns about how treatment might affect fertility and vertebral bone. ...Read more
Bone is a living growing tissue made mostly of collagen (protein that provides soft framework) & the mineral calcium phosphate that adds strength & hardens the framework. Two types of bone are found in the body; cortical (dense compact outer layer) & trabecular (makes up inner layer, ...Read more
Do obese children have advanced bone ages, which lead to lower adult heights? If so, can that be corrected with weight loss?
Yes/maybe: Particularly in girls, obesity can advance bone age because of increases in adrenal androgens and increased aromatization of androgens to Estrogens through increased fatty tissue. That said, earlier puberty often ensues which further advances bone age and can limit final height potential. Losing weight may help to slow things down, at least not to further accelerate the maturation process. ...Read moreSee 1 more doctor answer
Fairly: Like any other diagnostic test there are degrees of variability associated with the results. If the bone age is within 6 months of the chronological age then we are doing well. Some medical conditions will alter the bone age as will ethnic differences. ...Read more
Is there a more reliable calculation of predicted height involving both chronological age and bone age?
A 13years old boy with a bone age of 16, can still grow? If yes how much, and a good diet could improve that height gain?
Depends : If his growth plates are closed, he's unlikely to grow more. Of his growth plates are open, he will grow more. The x-ray will determine this. ...Read more
No: Longitudinal growth is done in girls by bone age of 16 and nearly done in boys with the same bone age. Hgh would not be used for the purpose of growth in a child with a bone age of 16. In patients with persistent gh deficiency who are done growing, we will consider reinitiating hgh at adult doses for the metabolic benefits. ...Read moreSee 2 more doctor answers
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