Age of appearance in girls CRITOE
Center | Simple | Accurate |
Capitellum | 1 | 1 |
Radial head | 3 | 5 |
Internal epicondyle | 5 | 7 |
Trochlea | 7 |
10 |
Olecranon | 9 | 10 |
External epicondyle | 11 | 11 |
Boys on average 2 years later in every center except capitellum
Patel et al Paediatr Radiol 2009
- 412 xrays aged 2 - 17
- all centers both appear and fuse early in girls
- capitellum is the only exception
- order is consistent
- age is somewhat variable
1 year old male: C 5 year old female: CR
8 year old male: CRIT
11 year old male: CRITOE
Closure
Capitellum / trochlea / lateral epicondyle
- fuse together age 14
- fuses to metaphysis age 15
Medial epicondyle fuses age 15 girls and 17 in boys