Age estimation from clavicular epiphyseal union sequencing in a Northwest Indian population of the Chandigarh region

Singh, Jay Prakash; Chavali, Krishnadutt

doi:10.1016/j.jflm.2010.12.005

Cited by 29 publications

(23 citation statements)

References 23 publications

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“…The results revealed no significant differences between males and females (except for stage 1) (Table III) or right and left sides as regard age of ossification of medial end clavicles as mentioned before. This was in concurrence with studies of Kellinghaus et al (2010a) (except for stage 2); Kellinghaus et al (2010b); Schulze et al (2006);and Wittschieber et al (2014) (except for stages 2b; 3; 3c and 4) in Germany; Bassed et al (2011) in Australia;El Gerby et al (2013) in Egypt (except for stages 1, 3 and 5); Pattamapaspong et al (2015) in Thailand (except in stage 2); Singh & Chavali (2011) and Gakhar et al (2014) in India; Brown et al (2013) in Ghana (except in stages 2, 3 and 4) and Garamendi et al (2011) in Spain. They regarded no significant distinction of right and left sides or both sexes.…”

Section: Discussionsupporting

confidence: 87%

Age Estimation from Ossification of the Medial Clavicular Epiphysis by Computed Tomography

et al. 2015

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SUMMARY:The current study intended to evaluate the accuracy of age estimation from the development of the medial clavicular epiphysis (sternal end of the clavicle) in Egyptian population using computed tomography (CT) and to develop a discriminant formula that can be used in Egyptians. The study was conducted on 142 subjects (84 males and 58 females) after taken informed consent. They were subjected to multi-slice CT on the medial end of clavicles of both sides. The results revealed that the age of non -union was seen at 8-17 years; incomplete union at 15-20 years and complete union was seen at 20 years. It is concluded that the ossification of medial clavicular end could be used for age estimation. Also CT is a good visualization tool to be used. Regression analysis for each and both clavicles in both sexes is specific to Egyptian population and should be used after validation of the results in other ones. The study recommended using stage 1 to be <17 years; stage 2 to be >15 years; Stage 3 to be >15 years; stage 4 of maturation to be >19 years and stage 5 to be >21 years.

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Section: Discussionsupporting

confidence: 87%

Age Estimation from Ossification of the Medial Clavicular Epiphysis by Computed Tomography

et al. 2015

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“…In addition, as third molars are sometimes missing, for reasons of agenesis or extraction, estimating the age of majority based on these teeth is impossible [52]. Previous studies also examined the medial extremity of the clavicle, which has been exhaustively studied by plain X-rays, multi-slice computed tomography and ultrasound [53][54][55][56][57][58], and the wrist, which has also been closely studied with the Greulich and Pyle radiographic atlas [60]. For this reason, and in order to offer a valuable alternative method for assessing 18 years of age, a different anatomical region was analysed in this study.…”

Section: Discussionmentioning

confidence: 99%

Radiographic analysis of epiphyseal fusion at knee joint to assess likelihood of having attained 18 years of age

et al. 2012

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Radiological analysis of the epiphyses of the knee joint provides new valuable information, which may be used in combination with these well-established techniques in order to maximise the accuracy in the assessment of age of 18 years. A total of 215 antero-posterior radiographs of the knee was reviewed retrospectively in patients aged between 14 and 24 years old (99 boys, 116 girls). Fusion was scored as stage 1, epiphysis not fused; stage 2, epiphysis is fully ossified and epiphyseal scar is visible; and stage 3, epiphysis is fully ossified and epiphyseal scar is not visible. Scores of 0, 1 and 2 were assigned to stages 1, 2 and 3, respectively. Lastly, the score related to epiphyseal fusion at the knee joint was obtained by adding the three scores of the distal femur, proximal tibia and proximal fibula. Age distribution gradually increased with each score, for both genders. The mean age (±standard error) in each score category varied between genders, but the differences were not significant (p > 0.11). Five tests were performed to discriminate between individuals who were or were not at age 18 years or more, according to the receiver operating curve. For boys, the highest value of accuracy was obtained with score 3, with high sensitivity (Se = 93.33 %) and specificity (Sp = 89.29 %). For girls, it was obtained with score 4, with high accuracy (Acc = 85.86 %). These results indicate that radiographic analysis of the knee is a valuable alternative as a non-invasive method of estimation of 18 years of age.

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“…A number of studies have been conducted on the time frame for the ossification of the medial clavicular epiphyseal cartilage in the age group concerned for forensic age diagnostics in living individuals. One group of studies adopted an anatomical perspective, assessing ossification by means of autopsy or direct skeletal inspection (Todd & D'Errico, 1928;McKern & Stewart, 1957;Owings Webb & Myers Suchey, 1985;MacLaughlin, 1990;Ji et al, 1994;Black & Scheuer, 1996;Shirley, 2009;Singh & Chavali, 2011), while the other group took a radiological approach. Several authors pointed out, that data from dry bone material are not directly comparable with data from radiological studies.…”

Section: Age Estimation In the Claviclementioning

confidence: 99%

Forensic Age Estimation in Unaccompanied Minors and Young Living Adults

Schmeling¹,

Garamendi²,

Prieto³

et al. 2011

Forensic Medicine - From Old Problems to New Challenges

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Age estimation from clavicular epiphyseal union sequencing in a Northwest Indian population of the Chandigarh region

Cited by 29 publications

References 23 publications

Age Estimation from Ossification of the Medial Clavicular Epiphysis by Computed Tomography

Age Estimation from Ossification of the Medial Clavicular Epiphysis by Computed Tomography

Radiographic analysis of epiphyseal fusion at knee joint to assess likelihood of having attained 18 years of age

Forensic Age Estimation in Unaccompanied Minors and Young Living Adults

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