“…By contrast, childhood hypothyroidism results in growth arrest, delayed bone age and a severe disruption of the growth plate architecture (Rivkees et al 1988, Boersma et al 1996, Huffmeier et al 2007. T 3 excess accelerates the pace of growth plate chondrocyte differentiation via actions on the key Indian hedgehog/ parathyroid hormone-related peptide, bone morphogenetic protein, fibroblast growth factor (FGF), growth hormone (GH), insulin-like growth factor 1 (IGF1) and canonical Wnt signalling pathways , Barnard et al 2005, Dentice et al 2005, O'Shea et al 2005, Lassova et al 2009, Wang et al 2010, Xing et al 2012). In addition, T 3 acts to accelerate cartilage matrix synthesis, modification, mineralisation and degradation (Ishikawa et al 1998, Himeno et al 2002, Makihira et al 2003, Bassett et al 2006.…”