Radiographic Atlas of Skeletal Development of the Hand and Wrist

9 mo Age of Individual appear articular surface articulate assessment Atlas base become begins begun Bones Distal End boys Capitate Hamate Triquetral cartilaginous centers child chronological age closely compared completed contour corresponding determine developmental status differences Distal Phalanx Distal Phalanx IV dorsal End of Radius End of Ulna epiphysis fifth fingers further fused fusion girls Hamate Triquetral Lunate hand and wrist hand-films Individual Bones Distal later Male Standards Female margins are smooth MATURITY INDICATORS Metacarpal III Metacarpal Middle Phalanx Middle Phalanx III months Navicular Greater Multangular normal occasionally occurred period Phalanx IV Distal Phalanx V Pisiform Pisiform Adductor Sesamoid portion Proximal Phalanx Proximal Phalanx IV Radius Distal End rounded seen Sesamoid of Thumb shaft shape skeletal age skeletal development stage of development Standards 14 Standards Female Standards successive third Thumb Flexor Sesamoid Ulna Capitate Hamate ulnar usually visible volar wide