Skeletal Development of the Hand and Wrist

Bone age assessment, a crucial part of the diagnosis and management of
pediatric growth disorders as well as the timing of certain pediatric
orthopedic procedures, has for decades depended on the meticulous
examination of plain radiographs. Examining the subtle changes present
within the maturing human hand often proves to be challenging and
time-consuming.

Building on the popular Greulich and Pyle atlas,
this book modernizes the method for pediatric skeletal maturity
determination. It offers a wealth of images, carefully mined from
thousands of digital radiographs from University of Virginia\'s Picture
Archiving and Communication System (PACS), edited to best demonstrate
important developmental bone features, and organized by age and sex for
rapid reference. To expedite learning and clinical image analysis,
images come in pairs: annotated and unannotated, for easy comparison.
Succinct annotations on the images replace lengthy text to provide a
quicker and clearer understanding of the skeletal age. These annotations
highlight important and subtle features to help distinguish images that
otherwise look superficially alike. The result is an atlas of
exceptionally high quality skeletal radiographic standards that capture
both the major and finer details of the accepted standards of Greulich
and Pyle.

The user-friendly format of this book enables a
faster, more accurate, and more educational approach to determining
skeletal maturity. The Digital Bone Age Companion packaged with the book
is a computer program that facilitates viewing of the atlas images in
digital format. Users can easily zoom in on radiographic features, set
image level and width to their preference, and compare two or three
reference standards side-by-side for difficult cases. Most importantly,
the program expedites evaluation, optimizes workflow, and minimizes
user-introduced errors with the reliable bone age calculator and
built-in report generator. The digital format may also be available for
integration with your Radiology Information System (RIS) for further
workflow enhancement.

Given the broad application of pediatric bone aging, Skeletal Development of the Hand and Wrist
is not only intended for practicing and training radiologists, but for
all of those who employ bone age studies as part of their practice.