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OCR: by an X-ray Determination of skeletal developmen seful way of the left hand and wrist (Fig. 13.8) is a cal of establishing the stage of the physiolog development of a child, which may not hus, consonant with the chronological age. T patients who are destined to undergo e a delayedconstitutionally delayed puberty will ha hile others bone age at a given chronological age, w. vanced who enter puberty early may have an ad bone age for chronological age,