© 2012

Hand Bone Age

A Digital Atlas of Skeletal Maturity

  • Easy-to-use digital atlas

  • Gold standard for bone age assessment

  • Idealized, sex- and age-specific images of skeletal development

  • iPhone/iPad App available for separate purchase and use under


Table of contents

  1. Front Matter
    Pages i-vii
  2. Vicente Gilsanz, Osman Ratib
    Pages 1-1
  3. Vicente Gilsanz, Osman Ratib
    Pages 3-9
  4. Vicente Gilsanz, Osman Ratib
    Pages 11-19
  5. Vicente Gilsanz, Osman Ratib
    Pages 21-25
  6. Vicente Gilsanz, Osman Ratib
    Pages 27-29
  7. Vicente Gilsanz, Osman Ratib
    Pages 31-89
  8. Vicente Gilsanz, Osman Ratib
    Pages 91-93
  9. Back Matter
    Pages 95-96

About this book


In the past, determination of bone maturity relied on visual evaluation of skeletal development in the hand and wrist, most commonly using the Greulich and Pyle atlas. The Gilsanz and Ratib digital atlas takes advantage of digital imaging and provides a more effective and objective approach to assessment of skeletal maturity. The atlas integrates the key morphological features of ossification in the bones of the hand and wrist and provides idealized, sex- and age-specific images of skeletal development.

New to this revised second edition is a description and user manual for Bone Age for iPad®, iPhone® and iPod touch®, which can be purchased and used separately from this book. Bone Age enables users to rapidly browse through the set of idealized atlas images and select the one that best matches the image being interpreted. The calculated deviation of the patient's age from the normal range is immediately presented to help predict possible growth delays.

This easy-to-use atlas and the related App will be invaluable for radiologists, endocrinologists, and pediatricians and also relevant to forensic physicians.


Bone Maturity Morphological Features Radiology Skeletal Development Hand Bone Age

Authors and affiliations

  1. 1.Childrens Hospital Los AngelesLos AngelesUSA
  2. 2., Nuclear Medicine DivisionUniversity Hospital of GenevaGenevaSwitzerland

About the authors

Vicente Gilsanz is a Professor of Radiology, Pediatrics and Orthopaedic Surgery at the University of Southern California Keck School of Medicine and Director of the Imaging Research Program at Children’s Hospital Los Angeles.

Dr. Gilsanz received his medical degree and his Ph.D. from Universidad Complutense, Madrid, Spain. He was trained in Internal Medicine (Mayo Clinic, Rochester, Minnesota), Radiology (Mount Sinai School of Medicine, New York), and Pediatric Radiology (Children’s Hospital of Boston, Massachusetts). As Director of Imaging Research, Dr. Gilsanz oversees investigators and assists in their research relating to the advancement of the use of imaging technology and the development of imaging markers related to pediatric disease risk. He’s especially interested in the identification of pediatric antecedents of common adult diseases, such as osteoporosis. He has conducted many novel investigations on the determinants and regulators of bone accrual during childhood and puberty.

Osman Ratib is a Professor in Medicine, Chairman of the Department of Medical Imaging and Head of the Division of Nuclear Medicine at the University Hospital of Geneva.

Dr. Ratib is board certified in Cardiology and Nuclear Medicine who obtained his medical degrees at the University of Geneva and a Ph.D. in Medical Imaging from University of California Los Angeles in 1989. He was appointed as Professor and Vice Chairman of the Department of Radiology at UCLA from 1998 to 2005 when he returned to Geneva to be appointed as chair of the department of medical imaging and head of the division of Nuclear medicine. In his current position he is responsible of six clinical divisions including radiology, neuroradiology, radio-oncology, nuclear medicine and medical informatics as well as a cyclotron and pre-clinical imaging unit. He has pioneered several innovative projects including advanced cardiovascular PET-CT program and the first whole-body PET-MRI unit in Europe. He is also founding member and president of the OsiriX foundation, a non-profit organization for the promotion of Open-Source software in medicine.

Bibliographic information

  • Book Title Hand Bone Age
  • Book Subtitle A Digital Atlas of Skeletal Maturity
  • Authors Vicente Gilsanz
    Osman Ratib
  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 2012
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Medicine Medicine (R0)
  • Softcover ISBN 978-3-642-23761-4
  • eBook ISBN 978-3-642-23762-1
  • Edition Number 2
  • Number of Pages VII, 95
  • Number of Illustrations 77 b/w illustrations, 0 illustrations in colour
  • Topics Imaging / Radiology
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals


From the reviews of the second edition:

“The book is well organized and easy to read. … This book is well suited to the medical personnel of this generation, who are more sophisticated users of electronic media. … This book reviews the principles of the technique and the current literature as well as the future directions of skeletal maturity determination. … Hand Bone Age: A Digital Atlas of Skeletal Maturity is an essential text for all radiologists who are interested in this exciting new technology.” (Khalid Khashoggi, Radiology, Vol. 264 (2), August, 2012)