15. Appendices
Green Smart User Manual 175
ENGLISH
Skeletal Maturity Indicators (SMI)
A system of skeletal maturation assessment based on four stages of bone maturation at
six anatomical sites in the hand wrist.
[Fig2. Radiographic identification of skeletal maturity indicators]
A. The width of epiphysis as wide as diaphysis
1. Third finger – Proximal phalanx
2. Third finger – middle phalanx
3. Fifth finger – middle phalanx
B. Ossification
1. Adductor sesamoid of thumb
C. Capping of epiphysis
1. Third finger –distal phalanx
2. Third finger –middle phalanx
3. Fifth finger – middle phalanx
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