Bone age assessments were related to auxological variables in 407 Ital
ian boys, between 7 and 12 years of age, in order to elucidate the fac
tors that affect the rate of skeletal maturation and to examine the po
ssibility of using measures of skeletal maturation to evaluate individ
ual patients. Using the radius-ulna-short bones (RUS) method of assess
ment, bone age velocity was greater in the Italian boys than for the U
K reference standards, although there was considerable interindividual
dispersion around the mean. Bone age Velocity and height velocity wer
e poorly correlated, and there was little correlation between skeletal
and pubertal maturation. There was a slight positive correlation betw
een bone age velocity and height SDS and between bone age velocity and
body mass index. Bone age estimations using RUS were greater than tho
se obtained using the carpus. In conclusion, the marked interindividua
l deviation in measured bone ages makes it difficult to relate data on
an individual basis to other measures of growth and maturation.