Skeletal age:

Pelvis (X-Ray AP view)

Age of appearance Fusion

Iliac crest 14 years 20 to 21 years
Tri radiate cartilage (acetabular cup) Nil 13 to 15 years
Ischio pubic ramus Nil 06 years
Ischial tuberosity 16 years 20 to24 years
Head of Femur 1 year 17 to 18 years
Greater trochanter 4 years 17 to 18 years
Lesser trochanter 12 to 14 years 17 to 18 years

Shoulder joint (X-Ray AP view)

Age of appearance Fusion

Head of Humerus 01 year Centres unite at 06 years & forms
Greater tuberosity 03 years conjoined epiphysis, which fuses
Lesser tuberosity 05 years with humeral shaft at 18 to 19
years
Tip of coracoids process 11 years 16 years
Acromion process 14-15 years 17 to18 years

Elbow Joint (X-ray AP & Lateral view)

Age of appearance Fusion

Capitulum 01 year Centres of Capitulum, Medical
Trochlea 9-11 years epicondyle and Trochlea unite at
14 years & form conjoined
Lateral epicondyle 11 years epiphysis, which unites with
Humerus shaft at 14-16 years
Medial epicondyle 6-7 years 16 years
Head of radius 05 years 16 to17 years
Upper end of ulna/Olecranon 9 years 16 to17 years

Wrist Joint (X-Ray AP view)

Age of appearance Fusion

Lower end of radius 02 years 18 to 19 years
Lower end of ulna 5 to 6 years 17 to 18 years
Base of I Metacarpal 03 years 15 to 17 years
Heads of other metacarpals 2 to 3 years 15 to 19 years
Base of Phalanges 2 to 4 years 15 to 18 years
Capitate 02 months of life Nil
Hamate 03 months of life Nil
Triquetral 03 years Nil
Lunate 4 years Nil
Trapezoid, Scaphoid 05 years Nil
Trapezium 06 years Nil
Pisiform 11 to 12 years Nil
 Knee & Ankle Joint (X-ray AP view & Lateral view)

Age of appearance Fusion

Lower end of femur 09 months of I.U.L. 18 to 19 years
Upper end of tibia 01 year 18 to 19 years
Upper end of fibula 04 years 18 to 19 years
Patella 14 years (single bone)
Lower end of tibia 01 year 16 to 17 years
Lower end of fibula 01 year 16 to 17 years
Secondary Calcaneum 06 to 08 years 14 to 16 years
Calcaneum 5 IU
Talus 7 IU
Cuboid 9 IU
Lateral cuneiform 1 year
Medial Cuneiform 2 years
Middle cuneiform 3 years
Base of first metatarsal 3 years
Heads of other metatarsals 3-4 years 17-20 years
Base of the phalanges 3-6 years - fusion 18 years