Relación entre la maduración esquelética y el estado nutricional de pacientes pediátricos de la universidad Santo Tomás

Abstract

The development of an individual should not be assessed chronologically, but by physiological parameters, such as the speed of growth in height, the change of voice in boys, menarche in girls, dental development and skeletal ossification, as Moore and cabbage. in 1990 (3). In practice, four indices can be distinguished to assess human development based on the following criteria: somatic maturation, skeletal or bone maturation, dentition or dental age maturation and sexual maturation (1). Skeletal maturation refers to the degree of ossification of a bone. The size and maturation may vary, independently of one another, skeletal maturation is closely related to sexual maturity. Regarding the assessment of the degree of bone development, various methods are used based on the radiographic analysis of specific anatomical regions such as the articulation of the femur with the iliac bone, the elbow and the bones of the hand, the latter He is the most employed (3). In general, bone age is assessed with an x-ray of the hand, which is considered the biological clock. Bone maturity is determined until the ninth year of life by the degree of mineralization of the bones of the wrist (carpus) and subsequently, by the development of metacarpal bones and phalanges (4).