N. Yafl tayini uygulamalar›nda epifiz pla¤› kapanma derecelerinin incelenmesi.Adli T›p Bülteni, 2005;10(3):84-89. Adli T›p uygulamalar›nda yafl tayini önemli bir yer tutmaktad›r. Ülkemizde, kiflilerin nüfus kay›tlar› düzenli olarak tutulmad›¤›ndan, baz› hukuki durumlarda flah›slar›n gerçek yafllar›-n›n tespiti gerekmektedir. Bu konuda en s›k kullan›lan yön-tem, belirli yafl gruplar›nda belirli bölgelerin grafilerinin çekile-rek epifiz plaklar›n›n kapanma derecelerini saptamak ve flahs›n yafl›n› belirlemektir. Bu amaçla, Greulich-Pyle ve Tanner-Whitehouse Atlaslar› kullan›lmaktad›r. Ülkemizde, uygulama kolayl›¤› bak›m›ndan en çok tercih edilen yöntem Greulich-Pyle yöntemidir.Son zamanlarda yap›lan araflt›rmalarda, günümüz çocuklar›-n›n büyüme temposunun artt›¤› ve olgunlaflman›n daha erken oldu¤u bilinmektedir. Bizim çal›flmam›zda, halen kullan›lan yöntemlerin uyumlulu¤unun test edilmesi amac›yla, de¤iflik yafl gruplar›ndan çekilen 570 adet grafi incelenmifltir. Buna gö-re, el bile¤i, omuz ve pelvis grafilerinde 16 yafltan itibaren kapanmalar›n bafllad›¤›; gerçek yafl› 17 olan olgular›n el bile¤i grafilerinin %100'ünde, omuz ve pelvis grafilerinin %81.8'inde epifizlerin tam olarak kapand›¤› görülmüfltür. Sonuç olarak; halen uygulanmakta olan yöntemlerle, kronolojik yafl, kemik yafl›n›n çok gerisinde kalmaktad›r. Bunun için, nüfus kay›tlar› kesin olarak do¤rulanan sa¤l›kl› bireylerin grafileri üzerinde incelemeler yaparak toplumumuza özgü standart de¤erlerin oluflturulmas› gerekmektedir.Anahtar kelimeler: El bile¤i, epifiz, omuz, pelvis, yafl tayini.Age assessment has an important place in Forensic Medicine. Estimation of the accurate age is required in some legal processes as demographic records are not properly performed in Turkey. Age determination by researching the epiphyseal union of some specific joints in the specific age groups is the commonly used method. Most commonly used methods are GreulichPyle and Tanner-Whitehouse methods for this purpose Greulich-Pyle method is preferred in our country usually because of easy applicability.According to some recent studies, the rate of growth and development is quicker and so the maturation occurs earlier. In our study, 570 x-rays of different ages are evaluated to test the correlation of recent methods. We found that the epiphyseal union started at the age of 16, in hand-wrist, shoulder and pelvis. At the age of 17, the epiphyseal union was completed in 100% of the hand-wrist x-ray and 81.8% of the shoulder and pelvis roentgenograms.As a result, bone age is advanced in comparison with the chronological age by using recent methods. Standard data for domestic population must be collected by means of the x-rays of healthy people having regular demographic records and new standards should be established to prevent misinterpretation of the cases.
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