Bone scintigraphy is a widely accepted method for the evaluation of paediatric bone metabolism. Its strengths are high sensitivity and the capability to investigate the entire skeleton in a single examination. The interpretation of bone scanning in children is challenging and requires knowledge of the appearance of the maturing skeleton. The atlas provides an overview of issues related to bone physiology and variants, and points out pitfalls that might be encountered in daily routine work. Specific suggestions and hints assist in establishing adequate imaging protocols to deliver optimal image quality adjusted to the needs of each age group. The atlas will serve as a valuable reference for nuclear medicine physicians, radiologists and orthopaedic surgeons, and for those involved in teaching and performing paediatric bone scan imaging.