Clinically, there are three signs of epiphyseal closure, including cessation of height growth, muscle firmness, and expression of sexual characteristics.
1. Cessation of growth: During puberty, the height will grow about 8cm every year. If there is no change in height for a whole year or the change is not obvious, the epiphysis may have started to close.
2. Muscles become firm: the child’s body began to grow meat, limbs of the meat is also more and more, this may be the epiphysis began to close.
3. Sexual Characteristics Expression: Adolescents develop maturity in their sexual characteristics, such as prominent throat knots in males and mature breasts in females. Their facial features and body shape are basically stable, and the absence of major changes signifies that the epiphyses are closing.
However, if you want to know more accurately whether the epiphysis is closed, you should go to the hospital to have your bones X-rayed.