Bone of contention: The applicability of the Greulich-Pyle method for skeletal age assessment in South Africa.

The GP method generally significantly underestimates age for both genders. Overestimation is also possible with individuals as young as 16 years old found by the method to be skeletally mature. Until new SA assessment tools are developed for South Africa, use of supplementary means of determination of SA should be considered, especially in medico-legal cases.