ABSTRACT

Background: As accurate birth data is not available, especially in rural population, bone age assessment is required. Bone age estimation is also required in criminal and civil law suits, childhood marriages and competitive sports.

Objective: To detect variation in the appearance of epiphyseal centers of iliac crest and ischealtubersosity in evaluation of bone age in children of Southern Punjab, having chronological age between13--15 years and results are compared with various previous studies.

Study Design: Prospective study.

Setting: Radiology Department, Sheikh Zayed Medical College Rahim Yar Khan.

Duration of Study: Jan 2019 to May 2020

Results: Out of 100 patients, 50 were males and 50 were females. Epiphysis of iliac crest and ischeal tuberosity are found to be appeared in majority of children, especially at the age of 14 and 15-year of age.

Conclusion: In Southern Punjab, epiphyseal centers of iliac crest and ischeal tuberosity appear early in children of 14 and 15 years. Bone age calculation by using Pareech’s table significantly underestimates chronological age in Pakistani children between the ages of 14 and 15 years.

Key Words: X-Rays, Bone age assessment, Epiphyseal center, Iliac crest, Ischeal Tuberosity