The following pictures focus on the above highlighted area of a hand.
Radius (grade 10) and ulna (grade 8) growth plates nearly fused. This patient is almost completely mature and will not grow further.
“Spike” or “capping” over medial radius but not lateral (grade 7) suggests this patient is still near the growth spurt and should be observed closely.
No capping seen (Radius grade 6 and ulna grade 5) suggesting this patient is skeletally immature and is at the growth spurt.
The epiphysis is not as wide as the metaphysis of both radius (grade 5) and ulna (grade 4) indicating a skeletally immature patient who is likely not at the peak growth spurt yet.