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Chronological Order of Appearance and Fusion of Epiphyses
{|
 
| colspan="3"|<center>'''Chronological Order of Appearance and Fusion of Epiphyses'''</center>
Before birth: Both sexes Appearance Female ”
|-bgcolor="CEDFF2"
 
| colspan="3"|Before birth:  
During first year:
|-
 
| Both sexes &nbsp;&nbsp;
Both sexes Appearance Female ” Male ”
| Appearance &nbsp;&nbsp;&nbsp;
 
| Head of humerus, distal femur, proximal tibia, calcaneum, talus
During second year:
|-
 
| Female &nbsp;
Both sexes Appearance Female
| Appearance &nbsp;
 
| Cuboid
Male At age of 2: Both sexes Appearance
|-bgcolor="CEDFF2"
 
| colspan="3"|During first year:
|-
 
| Both sexes &nbsp;
Female ” Male ”
| Appearance &nbsp;
 
| Hamate, capitate, head of femur, third cuneiform
At age of 3: Female Appearance Male Appearance
|-
 
| Female &nbsp;
At the age of 4: Both sexes Appearance Female » Fusion
| Appearance &nbsp;
 
| Capitulum, distal radius, distal tibia, distal fibula
Male Appearance
|-
 
| Male &nbsp;
At the age of 5: Both sexes Appearance
| Appearance &nbsp;
 
| Cuboid
Female ” Male ” Fusion At the age of 6: Male Appearance At the age of 7: Female Appearance Fusion
|-bgcolor="CEDFF2"
 
| colspan="3"|During second year:
At the age of 8: Both sexes Appearance
|-
 
| Both sexes &nbsp;
Female ” At the age of 9: Female Appearance Male Fusion At the age of 10: Male Appearance At the age of 11: Female Appearance
| Appearance &nbsp;
 
| Proximal phalanges of inner four fingers
Male ”»
|-
 
| Female &nbsp;
FUSION OF EPIPHYSES
| Appearance &nbsp;
 
| First metacarpal, distal phalanges of thumb, middle and ring fingers,
Head of humerus, distal femur, proximal tibia, calcaneum, talus Cuboid
tarsal navicular, first and second cuneiforms
 
|-
Hamate, capitate, head of femur, third cuneiform Capitulum, distal radius, distal tibia, distal fibula Cuboid
| Male &nbsp;
 
| Appearance &nbsp;
Proximal phalanges of inner four fingers
| Capitulum, distal epiphysis of radius, distal fibula
 
|-bgcolor="CEDFF2"
First metacarpal, distal phalanges of thumb, middle and ring fingers, tarsal navicular, first and second cuneiforms
| colspan="3"|At age of 2:
 
|-
Capitulum, distal epiphysis of radius, distal fibula
| Both sexes &nbsp;
 
| Appearance &nbsp;
Inner four metacarpals, first metatarsal, proximal phalanges of toes, distal phalanx of hallux
| Innerfourmetacarpals,firstmetatarsal,proximalphalangesoftoes, distal phalanx of hallux
 
|-
Proximal phalanx of thumb, middle row of phalanges of fingers
| Female &nbsp;
 
| Appearance &nbsp;
First metacarpal, distal phalanx of thumb, and distal phalanx of index, first cuneiform
| Proximal phalanx of thumb, middle row of phalanges of fingers
 
|-
Patella, proximal fibula, second metatarsal, third metatarsal, middle phalanges of second, third and fourth toes, distal phalanges of third and fourth toes
| Male &nbsp;
 
| Appearance &nbsp;
Triquetrum, proximal phalanx of thumb, middle phalanges of middle and ring fingers, tarsal navicular, second cuneiform
| First metacarpal, distal phalanx of thumb, and distal phalanx of
 
index,firstcuneiform
Fourth metatarsal
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 3:
Head of radius, fifth metatarsal
|-
 
| Female &nbsp;
| Appearance &nbsp;
| Patella, proximal fibula, second metatarsal, third metatarsal, middle phalangesof second, third and fourth toes, distal phalanges of third and fourth toes
|-
| Male &nbsp;
| Appearance &nbsp;
| Triquetrum, proximal phalanx of thumb, middle phalanges of middle and ring fingers, tarsal navicular, second cuneiform
|-bgcolor="CEDFF2"
| colspan="3"|At age of 4:
|-
| Both sexes &nbsp;
| Appearance &nbsp;
| Fourth metatarsal
|-
| Female &nbsp;
| Appearance<br>
Fusion
| Head of radius, fifth metatarsal<br>
Greater tubercle to head of humerus
Greater tubercle to head of humerus
 
|-
Lunate, middle phalanges of index and little fingers, distal phalanges of middle and ring fingers, second metatarsal, third metatarsal, middle phalanx of second toe
| Male &nbsp;
 
| Appearance &nbsp;
Navicular (carpal), multangulum majus, greater trochanter, distal phalanx of second toe Medial epicondyle, distal ulna, lunate, triquetrum, multangulum minus, distal phalanx of index
| Lunate, middle phalanges of index and litle fingers, distal phalanges  
 
of middle and ring fingers, second metatarsal, third metatarsal,
Head of radius, distal phalanx of little finger, patella, proximal fibula, fifth metatarsal, middle phalanges of third and fourth toes, distal phalanges of third and fourth toes
middle phalanx of second toe
 
|-bgcolor="CEDFF2"
Greater tubercle to head of humerus
| colspan="3"|At age of 5:
 
|-
Medial epicondyle, distal ulna, multangulum minus
| Both sexes &nbsp;
 
| Appearance &nbsp;
Distal phalanx of little finger Rami of ischium and pubis
| Navicular (carpal), multangulum majus, greater trochanter, distal
 
phalanx of second toe
Apophysis of calcaneus Olecranon
|-
 
| Female &nbsp;
Trochlea, pisiform Rami of ischium and pubis
| Appearance &nbsp;
 
| Medial epicondyle, distal ulna, lunate, triquetrum, multangulum
Trochlea, olecranon
minus, distal phalanx of index
 
|-
Lateral epicondyle Pisiform Times of Appearance and Fusion of Epiphyses 159
| Male &nbsp;
 
| Appearance<br>
At the age of 12:
| Head of radius, distal phalanx of litle finger, patella, proximal
 
fibula, fifth metatarsal, middle phalanges of third and fourth toes, distal phalanges of third and fourth toes<br>
Male Appearance At the age of 13: Female Appearance Fusion Male ” At the age of 14: Female Appearance Fusion Male Appearance
|-
 
|
At the age of 15: Both sexes Appearance
| Fusion
 
| Greater tubercle to head of humerus
Fusion Female Appearance Fusion Male Appearance Fusion At the age of 16: Female Appearance Fusion Male ”
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 6:
At the age of 17:
|-
 
| Male &nbsp;
Both sexes Fusion
| Appearance &nbsp;
 
| Medial epicondyle, distal ulna, multangulum minus
Female ”
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 7:
Male Appearance Fusion
|-
 
| Female &nbsp;
At the age of 18:
| Appearance &nbsp;
 
| Distal phalanx of litle finger
Female Fusion Male ” At the age of 19: Male Appearance Fusion At the age of 20: Both sexes Fusion Male ”
|-
 
|
At the age of 21: Both sexes Appearance Female Fusion
| Fusion
 
| Rami ofischium and pubis
At the age of 22: Both sexes Fusion
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 8:
Lateral epicondyle
|-
 
| Both sexes &nbsp;
Proximal sesamoid of thumb
| Appearance &nbsp;
 
| Apophysis of calcaneus
Lower conjoint epiphysis of humerus, distal phalanx of thumb, bodies ilium, ischium and pubis
|-
 
| Female &nbsp;
Capitulum to trochlea and lateral epicondyle
| Appearance &nbsp;
 
| Olecranon
Acromion, iliac crest, lesser trochanter
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 9:
Olecranon, upper radius, proximal phalanx of ring finger, distal phalanx of thumb, head of femur, greater trochanter, distal tibia and fibula, apophysis calcaneus, first metatarsal, proximal phalanges of toes
|-
 
| Female &nbsp;
Proximal sesamoid of thumb, base of fifth metatarsal
| Appearance &nbsp;
 
| Trochlea, pisiform
Sesamoid of little finger
|-
 
| Male &nbsp;
_Distal phalanges of second, third and fourth toes
| Fusion &nbsp;
 
| Rami of ischium and pubis
Sesamoid of index and little fingers
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 10:
Medial epicondyle, first metacarpal, proximal phalanx of thumb, distal phalanges of inner four fingers, proximal tibia, outer four metatarsals, middle phalanx of second toe, distal phalanges of inner four toes :
|-
 
| Male &nbsp;
Acromion
| Appearance &nbsp;
 
| Trochlea, olecranon
Ilium, ischium and pubis
|-
 
|-bgcolor="CEDFF2"
Distal sesamoid of thumb, tuber ischii
| colspan="3"|At age of 11:
 
|-
Inner four metacarpals, proximal phalanges of index, middle and little fingers, middle phalanges of fingers
| Female &nbsp;
 
| Appearance &nbsp;
Lower conjoint epiphysis of humerus, medial epicondyle, olecranon, head of radius, distal phalanx of middle finger, apophysis of calcaneus
| Lateral epicondyle
 
|-
Acromion
| Male &nbsp;
 
| Appearance &nbsp;
Upper conjoint epiphysis of humerus, distal ulna, distal femur, proximal fibula
| Pisiform
 
|-
Distal sesamoid of thumb
|-bgcolor="CEDFF2"
 
| colspan="3"|At age of 12:
First metacarpal, proximal phalanges of thumb and ring finger, middle phalanges, index, middle and ring fingers, distal phalanges of thumb, index, ring and little fingers, head of femur, greater trochanter, distal tibia and fibula, metatarsals, proximal phalanges of toes, middle phalanx of second toe, distal phalanx of hallux
|-
 
| Male &nbsp;
Distal radius Inner four metacarpals, proximal phalanges of index, middle and little fingers, middle phalanges of little finger, proximal tibia
| Appearance &nbsp;
 
| Lateral epicondyle
Sesamoid of index, tuber ischii Upper conjoint epiphysis of humerus, distal radius and ulna, distal femur, proximal fibula
|-
 
|-bgcolor="CEDFF2"
Tliac crest Tuber ischii
| colspan="3"|At age of 13:
|-
| Female &nbsp;
| Appearance &nbsp;
| Proximal sesamoid of thumb
|-
|
| Fusion &nbsp;
| Lower conjoint epiphysis of humerus, distal phalanx of thumb, bodies ilium, ischium and pubis
|-
| Male &nbsp;
| Fusion &nbsp;
| Capitulum to trochlea and lateral epicondyle
|-
|-bgcolor="CEDFF2"
| colspan="3"|At age of 14:
|-
| Female &nbsp;
| Appearance &nbsp;
| Acromion, iliac crest, lesser trochanter
|-
|
| Fusion &nbsp;
| Olecranon, upper radius, proximal phalanx of ring finger, distal phalanx of thumb, head of femur, greater trochanter, distal tibia and fibula, apophysis calcaneus, first metatarsal, proximal phalanges oftoes
|-
| Male &nbsp;
| Appearance &nbsp;
| Proximal sesamoid of thumb, base of fifth metatarsal
|-bgcolor="CEDFF2"
| colspan="3"|At age of 15:
|-
| Both sexes &nbsp;
| Appearance &nbsp;
| Sesamoid of little finger
|-
|
| Fusion &nbsp;
| Distal phalanges of second, third and fourth toes
|-
| Female &nbsp;
| Appearance &nbsp;
| Sesamoid of index and little fingers
|-
|
| Fusion &nbsp;
| Medial epicondyle, first metacarpal, proximal phalanx of thumb, distal phalanges of inner four fingers, proximal tibia, outer four metatarsals, middle phalanx of second toe, distal phalanges of innerfourtoes
|-
| Male &nbsp;
| Appearance &nbsp;
| Acromion
|-
|
| Fusion &nbsp;
| Ilium, ischium and pubis
|-bgcolor="CEDFF2"
| colspan="3"|At age of 16:
|-
| Female &nbsp;
| Appearance &nbsp;
| Distal sesamoid of thumb, tuber ischii
|-
|
| Fusion &nbsp;
| Inner four metacarpals, proximal phalanges of index, middle and litle fingers, middle phalanges of fingers
|-
| Male &nbsp;
| Fusion &nbsp;
| Lower conjoint epiphysis of humerus, medial epicondyle, olecranon, head of radius, distal phalanx of middle finger, apophysis of calcaneus
|-bgcolor="CEDFF2"
| colspan="3"|At age of 17:
|-
| Both sexes &nbsp;
| Fusion &nbsp;
| Acromion
|-
| Female &nbsp;
| Fusion &nbsp;
| Upper conjoint epiphysis of humerus, distal ulna, distal femur, proximal fibula
|-
| Male &nbsp;
| Appearance &nbsp;
| Distalsesamoidofthumb
|-
|
| Fusion &nbsp;
| First metacarpal, proximal phalanges of thumb and ring finger, middle phalanges, index, middle and ring fingers, distal phalanges of thumb, index, ring and little fingers, head of femur, greater trochanter,distal tibia and fibula, metatarsals, proximal phalanges of toes, middle phalanx of second toe, distal phalanx of hallux
|-
|-bgcolor="CEDFF2"
| colspan="3"|At age of 18:
|-
| Female &nbsp;
| Fusion &nbsp;
| Distal radius
|-
| Male &nbsp;
| Fusion &nbsp;
| Inner four metacarpals, proximal phalanges of index, middle and litle fingers, middle phalanges of litle finger, proximal tibia
|-bgcolor="CEDFF2"
| colspan="3"|At age of 19:
|-
| Male &nbsp;
| Appearance &nbsp;
| Sesamoid of index, tuber ischii
|-
|
| Fusion &nbsp;
| upper conjoint epiphysis of humerus, distal radius and ulna, distal femur, proximal fibula
|-
|-bgcolor="CEDFF2"
| colspan="3"|At age of 20:
|-
| Both sexes &nbsp;
| Fusion &nbsp;
| Iliac crest
|-
| Male &nbsp;
| Fusion &nbsp;
| Tuber ischii
|-bgcolor="CEDFF2"
| colspan="3"|At age of 21:
|-
| Both sexes &nbsp;
| Appearance &nbsp;
| Clavicle
|-
| Female &nbsp;
| Fusion &nbsp;
| Tuber ischii
|-bgcolor="CEDFF2"
| colspan="3"|At age of 22:
|-
| Both sexes &nbsp;
| Fusion &nbsp;
| Clavicle
|-
|}<noinclude>[[Category:Template]][[Category:Table]][[Category:Bone]][[Category:Timeline]]</noinclude>

Latest revision as of 10:32, 9 February 2020

Chronological Order of Appearance and Fusion of Epiphyses
Before birth:
Both sexes    Appearance     Head of humerus, distal femur, proximal tibia, calcaneum, talus
Female   Appearance   Cuboid
During first year:
Both sexes   Appearance   Hamate, capitate, head of femur, third cuneiform
Female   Appearance   Capitulum, distal radius, distal tibia, distal fibula
Male   Appearance   Cuboid
During second year:
Both sexes   Appearance   Proximal phalanges of inner four fingers
Female   Appearance   First metacarpal, distal phalanges of thumb, middle and ring fingers,

tarsal navicular, first and second cuneiforms

Male   Appearance   Capitulum, distal epiphysis of radius, distal fibula
At age of 2:
Both sexes   Appearance   Innerfourmetacarpals,firstmetatarsal,proximalphalangesoftoes, distal phalanx of hallux
Female   Appearance   Proximal phalanx of thumb, middle row of phalanges of fingers
Male   Appearance   First metacarpal, distal phalanx of thumb, and distal phalanx of

index,firstcuneiform

At age of 3:
Female   Appearance   Patella, proximal fibula, second metatarsal, third metatarsal, middle phalangesof second, third and fourth toes, distal phalanges of third and fourth toes
Male   Appearance   Triquetrum, proximal phalanx of thumb, middle phalanges of middle and ring fingers, tarsal navicular, second cuneiform
At age of 4:
Both sexes   Appearance   Fourth metatarsal
Female   Appearance

Fusion

Head of radius, fifth metatarsal

Greater tubercle to head of humerus

Male   Appearance   Lunate, middle phalanges of index and litle fingers, distal phalanges

of middle and ring fingers, second metatarsal, third metatarsal, middle phalanx of second toe

At age of 5:
Both sexes   Appearance   Navicular (carpal), multangulum majus, greater trochanter, distal

phalanx of second toe

Female   Appearance   Medial epicondyle, distal ulna, lunate, triquetrum, multangulum

minus, distal phalanx of index

Male   Appearance
Head of radius, distal phalanx of litle finger, patella, proximal

fibula, fifth metatarsal, middle phalanges of third and fourth toes, distal phalanges of third and fourth toes

Fusion Greater tubercle to head of humerus
At age of 6:
Male   Appearance   Medial epicondyle, distal ulna, multangulum minus
At age of 7:
Female   Appearance   Distal phalanx of litle finger
Fusion Rami ofischium and pubis
At age of 8:
Both sexes   Appearance   Apophysis of calcaneus
Female   Appearance   Olecranon
At age of 9:
Female   Appearance   Trochlea, pisiform
Male   Fusion   Rami of ischium and pubis
At age of 10:
Male   Appearance   Trochlea, olecranon
At age of 11:
Female   Appearance   Lateral epicondyle
Male   Appearance   Pisiform
At age of 12:
Male   Appearance   Lateral epicondyle
At age of 13:
Female   Appearance   Proximal sesamoid of thumb
Fusion   Lower conjoint epiphysis of humerus, distal phalanx of thumb, bodies ilium, ischium and pubis
Male   Fusion   Capitulum to trochlea and lateral epicondyle
At age of 14:
Female   Appearance   Acromion, iliac crest, lesser trochanter
Fusion   Olecranon, upper radius, proximal phalanx of ring finger, distal phalanx of thumb, head of femur, greater trochanter, distal tibia and fibula, apophysis calcaneus, first metatarsal, proximal phalanges oftoes
Male   Appearance   Proximal sesamoid of thumb, base of fifth metatarsal
At age of 15:
Both sexes   Appearance   Sesamoid of little finger
Fusion   Distal phalanges of second, third and fourth toes
Female   Appearance   Sesamoid of index and little fingers
Fusion   Medial epicondyle, first metacarpal, proximal phalanx of thumb, distal phalanges of inner four fingers, proximal tibia, outer four metatarsals, middle phalanx of second toe, distal phalanges of innerfourtoes
Male   Appearance   Acromion
Fusion   Ilium, ischium and pubis
At age of 16:
Female   Appearance   Distal sesamoid of thumb, tuber ischii
Fusion   Inner four metacarpals, proximal phalanges of index, middle and litle fingers, middle phalanges of fingers
Male   Fusion   Lower conjoint epiphysis of humerus, medial epicondyle, olecranon, head of radius, distal phalanx of middle finger, apophysis of calcaneus
At age of 17:
Both sexes   Fusion   Acromion
Female   Fusion   Upper conjoint epiphysis of humerus, distal ulna, distal femur, proximal fibula
Male   Appearance   Distalsesamoidofthumb
Fusion   First metacarpal, proximal phalanges of thumb and ring finger, middle phalanges, index, middle and ring fingers, distal phalanges of thumb, index, ring and little fingers, head of femur, greater trochanter,distal tibia and fibula, metatarsals, proximal phalanges of toes, middle phalanx of second toe, distal phalanx of hallux
At age of 18:
Female   Fusion   Distal radius
Male   Fusion   Inner four metacarpals, proximal phalanges of index, middle and litle fingers, middle phalanges of litle finger, proximal tibia
At age of 19:
Male   Appearance   Sesamoid of index, tuber ischii
Fusion   upper conjoint epiphysis of humerus, distal radius and ulna, distal femur, proximal fibula
At age of 20:
Both sexes   Fusion   Iliac crest
Male   Fusion   Tuber ischii
At age of 21:
Both sexes   Appearance   Clavicle
Female   Fusion   Tuber ischii
At age of 22:
Both sexes   Fusion   Clavicle