By Vicente Gilsanz, Osman Ratib
In the previous, choice of bone adulthood depended on visible review of skeletal improvement within the hand and wrist, most ordinarily utilizing the Greulich and Pyle atlas. The Gilsanz and Ratib electronic atlas takes good thing about electronic imaging and offers a more desirable and target method of overview of skeletal adulthood. The atlas integrates the foremost morphological positive factors of ossification within the bones of the hand and wrist and offers idealized, intercourse- and age-specific pictures of skeletal improvement New to this revised moment variation is an outline and person handbook for Bone Age for iPad®, iPhone® and iPod touch®, which might be bought and used individually from this booklet. The App could be simply hired to calculate the deviation of the patient’s age from the traditional variety and to foretell a potential progress hold up. This easy-to-use atlas and the comparable App could be worthy for radiologists, endocrinologists, and pediatricians and likewise proper to forensic physicians.
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Additional resources for Hand Bone Age: A Digital Atlas of Skeletal Maturity
On the right side of the screen you will find a vertical scale of ages. The age corresponding to the image displayed is highlighted with a grey ellipse. A yellow triangle shows the selected chronological age of the patient you are examining. You can move both cursors independently. Using the program: To estimate a patient’s bone maturity from a hand radiograph proceed as follows: 1. First, you must visually locate the image that best matches the hand and wrist radiograph to be interpreted. Browsing through images can be done either by moving the grey cursor along the age scale or by swiping the screen right and left.
You can also get help from the program by taping on the (i) button at the lower right corner of the screen. A short description of the specific findings to look for in the maturity range that is being explored will be displayed together with some explanatory illustrations. Adjusting image display: you can zoom and pan each image using the standard “multi-touch” user interface of the iPhone or iPad. With two fingers you can zoom in and out of the image by pinching your fingers open and closed. With one finger you can move the image around the screen to locate a specific region of the hand.
5-year-old boy 43 44 Fig. A13 4-year-old boy 6 Reference Images 6 Reference Images Fig. 5-year-old boy 45 46 Fig. A15 5-year-old boy 6 Reference Images 6 Reference Images Fig. 5-year-old boy 47 48 Fig. A17 6-year-old boy 6 Reference Images 6 Reference Images Fig. A18 7-year-old boy 49 50 Fig. A19 8-year-old boy 6 Reference Images 6 Reference Images Fig. A20 9-year-old boy 51 52 Fig. A21 10-year-old boy 6 Reference Images 6 Reference Images Fig. A22 11-year-old boy 53 54 Fig. A23 12-year-old boy 6 Reference Images 6 Reference Images Fig.