Can you still grow taller after skeletal closure at age 20?

Dec 05, 2022 Source: Cainiu Health
Dr. Xu Shuai
Introduction
Skeletal closure usually refers to the closure of the epiphyseal plate. Once the epiphyseal plate closes at around age 20, further height growth is generally no longer possible. Height increase typically results from bone cell division and proliferation, and bone growth usually requires a combination of various nutrients for support, as well as development of the epiphysis at the metaphyseal ends of bones. In clinical terms, epiphyseal plate closure refers to the fusion of the growth plates located at both ends of long bones.

Bone closure usually refers to the closure of growth plates (epiphyseal lines). Once the growth plates have closed at age 20, a person generally cannot grow taller.

Height increase is typically the result of bone cell division and proliferation. Bone growth usually requires various nutrients for support and relies on the development of epiphyses at the ends of long bones. In clinical terms, growth plate closure describes the fusion of the epiphyseal lines at both ends of long bones, indicating that the individual has lost the natural potential for further height growth. Height development typically ceases after this point; therefore, individuals whose growth plates have closed by age 20 generally cannot grow taller naturally. However, if someone wishes to increase their height after growth plate closure, surgical options such as limb lengthening surgery may be considered, although these procedures carry certain risks.

A person's height is primarily influenced by genetic factors. For example, if both parents are short, their child's height is also unlikely to be particularly tall. However, during growth and development, maintaining adequate nutrition, engaging in appropriate physical exercise, and ensuring sufficient sleep can help promote height growth.

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