Closed wrist epiphyses do not necessarily indicate a lack of growth; growth is primarily influenced by the development of the epiphyses of the lower extremities. A closed wrist epiphysis may indirectly indicate a closed lower limb epiphysis. 1. The height of a person is not only affected by the epiphyses, but also by genetic factors, environmental factors and nutritional status. In most cases, epiphyseal closure of the lower extremities may indicate a cessation of height gain. 2. Wrist epiphyses are used to determine bone age in most cases. When wrist epiphyses are found to be closed, it usually does not directly indicate that one cannot grow taller, but needs to be combined with X-ray examination of the lower limbs to see if there is also epiphyseal closure. The combination of the two can basically indicate that the body is no longer growing taller. In addition, after epiphyseal closure, there are still some cases of height increase, and such factors may be related to the nutritional status to a certain extent.