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Cessation of changes in shoe size
1%
17/1392
Onset of menarche
86%
1202/1392
Secondary sex characteristics
7%
91/1392
Doubling the child’s height when she was 2 years of age to determine final height
Age at which patellar ossification began
4%
49/1392
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Age of menarche is the most accurate clinical factor to assess the degree of skeletal maturity in the female athlete.Skeletal maturity is usually within 2 years from menarche with approximately 9mm of distal femoral and 6mm of proximal tibial growth per year. Stanitski presents a Level 5 review of ACL tears and tibial eminence fractures in the pediatric patient. Familial height and recent change in shoe size are only moderately useful in predicting final growth, and hence, skeletal maturity. The presence of secondary sex characteristics as determined by Tanner staging is a good predictor of skeletal maturity however it is worth noting that menarche may be delayed in high performance female athletes.
2.5
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