The use of medial clavicular epiphysis ossification stages for bone age determination
DOI:
https://doi.org/10.15584/ejcem.2021.4.2Keywords:
bone age, clavicle, medial clavicular epiphysis, skeletal ageAbstract
Introduction. Bone age determination is a radiological method investigating the compatibility of ossification processes of bones with chronological ages.
Aim. We aimed to investigate the use of CT staging of the medial clavicular epiphyseal ossification in bone age determination in Turkish adolescents and young adults.
Material and methods. Chest CT exams of 2018 patients between 11 and 35 years of age were retrospectively evaluated for epiphyseal ossification stages of the bilateral medial clavicles (4036 clavicles) on both axial&coronal images and compared with the sex and chronologic age of the individuals in Turkey.
Results. For stage 2,3 and 4 the ages of women were greater than men and it was statistically significant. For an individual classified as stage 4,it can be said with certainty that he or she has already reached the age of 18.There was no statistically significant difference between left&right sides and between the axial&coronal images.In addition, it was found that the medial clavicular head epiphyses showed a lot of variation.
Conclusion. CT evaluation of the medial clavicular epiphysis ossification stages is helpful in determination of the individuals over the age of 18. Regardless of the sex, the stage 4 can be used as a criterion to make the prediction that an individual is older than 18 years.
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Çöloğlu AS, Soysal Z, Çakalır C. Adli olaylarda kimlik belirlenmesi. Adli Tıp; Cilt 1, Cerrahpaşa Tıp Fakültesi yayınları. İstanbul; 1989:73-93.
Quirmbach F, Ramsthaler F, Verhoff M. Evaluation of the ossification of the medial clavicular epiphysis with a digital ultrasonic system to determine the age threshold of 21 years. Int J Legal Med. 2009;123:241-245.
Yoon SH, Yoo HJ, Yoo RE, et al. Ossification of the Medial Clavicular Epiphysis on Chest Radiographs: Utility and Diagnostic Accuracy in Identifying Korean Adolescents and Young Adults under the Age of Majority. J Korean Med Sci. 2016;31(10):1538-1545.
Schmeling A, Geserick G, Reisinger W, Olze A. Age estimation. Forensic Sci Int. 2007;165:178-181.
Schmeling A, Schulz R, Reisinger W, et al. Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med. 2004; 118:5-8.
Cox LA. The biology of bone maturation and ageing. Acta Pediatr. 1997;423:107-108.
Patil PB, Kiran R, Maled V, Dakhankar S. Age Estimation Using CT of the Clavicle. Int J Anat Radiol Surg. 2018;7(1):RO23-RO28.
El Morsi DA, Abo El-Atta HM, ElMaadawy M, Tawfik AM, Batouty NM. Age Estimation from Ossification of the Medial Clavicular Epiphysis by Computed Tomography. Int J Morphol. 2015;33(4):1419-1426.
Kreitner KF, Scheweden FJ, Riepert T, Nafe B, Thelen M. Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol. 1998;8(7):1116-1122.
Zhang K, Chen XG, Zhao H, Dong XA, Deng ZH. Forensic Age Estimation Using Thin‐Slice Multidetector CT of the Clavicular Epiphyses Among Adolescent Western Chinese. Journal of forensic sciences. 2015;60:675‐678.
Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A. Forensic age estimation in living subjects based on the ossification status of the medial clavicular epiphysis as revealed by thin-slice computed tomography. Int J Legal Med. 2009;124(2):149-154.
Kellinghaus M, Schulz R, Vieth V, et al. Enhanced possibilities to make statements on the ossification status of the medial clavicular epiphysis using an amplified staging scheme in evaluating thin-slice CT scans. Int J Legal Med. 2010;113:253-258.
Schulz R, Mühler M, Mutze S, et al. Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by CT scans. Int J Legal Med. 2005;119:142-145.
Mühler M, Schulz R, Schmidt S, Schmeling A, Walter Reisinger W. The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics. Int J Leg Med. 2006;120:15-17.
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