Forensic Age Estimation by Ossification of Medial Clavicular Epiphysis using Kellinghaus et al. Classification in an Indian Population

Authors

  • V Maled Professor,Dept of Forensic Medicine, SDM College of Medical Sciences & Hospital, Shri Dharmasthala Manjunatheshwar University, Dharwad.
  • P B Patil Professor,Dept of Radio Diagnosis & Imaging, SDM College of Medical Sciences & Hospital, Shri Dharmasthala Manjunatheshwar University, Dharwad.
  • R Kiran Senior Resident,Dept of Radio Diagnosis & Imaging, ESIC Medical College & Hospital, Bengalore.

DOI:

https://doi.org/10.48165/jiafm.2023.45.3.3

Keywords:

Age estimation, Clavicle, Ossification, Skeletal age, Computed tomography, Identification

Abstract

Present study aimed to determine the chronology of medial clavicular union for an Indian population. Aretrospective study was conducted  by evaluating 556 (227 females and 329 males) Computed Tomographic (CT) images of chest and neck region. The evaluation was carried  out based on five stages of maturation described by Schmeling et al. [2004] and sub-stages of stages 2 and 3 by Kellinghaus [2010]. In the  results the range, mean age, median, upper quartile, lower quartile, standard deviation and student t test are presented for each stage of  ossification. Comparison between males and females revealed statistically significant differences in mean age at maturation stage 1, 3b  and 5 which was absent in remaining stages. Maturation stage 3a was first presented at 16 year of age for both sex, stage 3b was first  presented at age 18 year in females and 16 year in males and stage 3c was first presented at 21 years for both sex. To conclude the likelihood  of whether an Indian individual is at least 16, 18 and 21 years or not can be determined. It is a reliable indicator of chronological age and  somatic maturity.

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References

Maled V, Manjunatha B, Patil K, Balaraj BM. The chronology of third molar root mineralization in south Indian population. Medicine, Science and the Law. 2014;54(1):28- 34.

Gurdeep K, Khandelwal N, Jasuja OP. Computed Tomographic Studies on Ossification Status of Medial Epiphysis of Clavicle: Effect of Slice Thickness and Dose Distribution. J Indian Acad Forensic Med. 2010; 32(4):298- 302.

Dunkel F, Grzywa J, Pruin I, SELIH A. Juvenile Justice in Europe–Legal aspects, policy trends and perspectives in the light of human rights standards. Juvenile justice systems in Europe. Current situation and reform developments. 2011; 4:1-813.

Schmeling A, Reisinger W, Geserick G, Olze A. Age

estimation of unaccompanied minors. Part I. General considerations. Forensic Sci Int. 2006; 159(1):S61-64.

Schmidt S, Nitz I, Ribbecke S, Schulz R, Pfeiffer H, Schmeling A. Skeletal age determination of the hand: a comparison of methods. Int J Legal Med. 2013; 127:691-8.

Garamendi PM, Landa MI, Botella MC, Aleman I. Forensic age estimation on digital X ray images: Medial epiphyses of the clavicle and first rib ossification in relation to chronological age. Journal of Forensic Sciences. 2011 Jan; 56:S3-12.

Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, Reisinger W, et al. Criteria for age estimation in living individuals. International journal of legal medicine. 2008 Nov;122(6):457-60.

Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G. Forensische Altersdiagnostik. Methoden, Aussagesicherheit, Rechtsfragen. Deutsches Ärzteblatt. 2016;113:44-50.

Wittschieber D, Ottow C, Vieth V, Küppers M, Schulz R, Hassu J, et al. Projection radiography of the clavicle: still recommendable for forensic age diagnostics in living individuals?. International journal of legal medicine. 2015 Jan;129(1):187-93.

Kreitner KF, Schweden FJ, Riepert T, Nafe B, Thelen M. Bone age determination based on the study of the medial extremity of the clavicle. Eur. Radiol.1998; 8:1116-22.

Wittschieber D, Schulz R, Vieth V, Kuppers M, Bajanowski T, Ramsthaler F, et al. The value of sub-stages and thin slices for the assessment of the medial clavicular epiphysis: a prospective multi-center CT study. Forensic Sci Med. Pathol 2014; 10:163-9.

Quirmbach F, Ramsthaler F, Verhoff MA. 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; 123:241-5.

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 multidetector computed tomography. Int J Legal Med.2010; 124:149-54.

Singh J, Chavali KH. Age estimation from clavicular epiphyseal union sequencing in a Northwest Indian population of the Chandigarh region. Journal of forensic and legal medicine 2011 Feb; 18(2):82-7.

Boyd KL, Villa C, Lynnerup N. The use of CT scans in estimating age at death by examining the extent of ectocranial suture closure. Journal of forensic sciences. 2015 Mar;60(2):363-9.

Scharte P, Vieth V, Schulz R, Ramsthaler F, Püschel K, Bajanowski T, et al. Comparison of imaging planes during CT-based evaluation of clavicular ossification: a multi-| center study. International journal of legal medicine. 2017 Sep;131(5):1391-7.

Wittschieber D, Ottow C, Schulz R, Püschel K, Bajanowski

ISSN : 0971 - 0973, e - ISSN : 0974 - 0848

:148-54.

T, Ramsthaler F, Pfeiffer H, et al. Forensic age diagnostics using projection radiography of the clavicle: a prospective multi-center validation study. International journal of legal medicine. 2016 Jan 1;130(1):213-9.

Hermetet C, Saint-Martin P, Gambier A, Ribier L, Sautenet B, Rérolle C. Forensic age estimation using computed tomography of the medial clavicular epiphysis: a systematic review. International journal of legal medicine. 2018 Sep;132(5):1415-25.

Schulze D, Rother U, Fuhrmann A, Richel S, Faulmann G, Heiland M. Correlation of age and ossification of the medial clavicular epiphysis using computed tomography. Forensic Sci Int. 2006; 158:184-9.

Schulz R, Muhler M, Mutze S, Schmidt S, Reisinger W, Schmeling A. Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by CT scans. Int. J. Legal Med. 2005; 119:142-5.

O'Donnell C, Woodford N. Post-mortem radiology – a new sub-speciality. Clin. Radiol. 2008; 63:1189-94.

Patil PB, Kiran R, Maled V, Dhakhankar S. (2018). The chronology of medial clavicle epiphysis ossification using computed tomography. International Journal of Anatomy, Radiology and surgery. Jan; 7(1): R023-28.

Gonsior M, Ramsthaler F, Gehl A, Verhoff MA. Morphology as a cause for different classification of the ossification stage of the medial clavicular epiphysis by ultrasound, computed tomography, and macroscopy. Int J Legal Med. 2013; 127:1013-21.

Schmeling A, Schulz R, Reisinger W, Muhler M, Wernecke KD, Geserick G. Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med. 2004; 118:5-8.

Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A. Enhanced possibilities to make statements on the ossification status of the medial clavicular epiphysis using an amplified staging scheme in evaluating thin-slice CTscans. Int J Legal Med. 2010; 124:321-5.

Bassed RB, Drummer OH, Briggs C, Valenzuela A. Age estimation and the medial clavicular epiphysis: analysis of the age of majority in an Australian population using computed tomography. Forensic Sci Med Pathol. 2011;

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 multidetector computed tomography. Int J Legal Med. 2010; 124:149-54.

Pattamapaspong N, Madla C, Mekjaidee K, Namwongprom S. Age estimation of a Thai population based on maturation of the medial clavicular epiphysis using computed tomography. Forensic science international. 2015 Jan 31; 246:123-e1.

Vieth V, Schulz R, Brinkmeier P, Dvorak J, Schmeling A, Age estimation in U-20 football players using 3.0 tesla MRI of the clavicle, Forensic Sci. Int. 2014; 241:118-22.

Wittschieber D, Schulz R, Vieth V, Kuppers M, Bajanowski T, Ramsthaler F, et al., Influence of the examiner's qualification and sources of error during stage determination of the medial clavicular epiphysis by means of computed tomography, Int J Legal Med. 2014; 128:183-91.

Hillewig E, Degroote J, Van der Paelt T, Visscher A, Vandemaele P, Lutin B, et al., Magnetic resonance imaging of the sternal extremity of the clavicle in forensic age estimation: towards more sound age estimates, Int J Legal Med. 2013; 127:677-89.

Maled V, Vishwanath SB. The chronology of third molar mineralization by digital orthopantomography, Journal of Forensic and Legal Medicine. 2016; 43:70-5.

Hillewig E, De Tobel J, Cuche O, Vandemaele P, Piette M, Verstraete K, Magnetic resonance imaging of the medial extremity of the clavicle in forensic bone age determination: a new four-minute approach, Eur. Radiol. 2011; 21:757-67.

Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A, Ultrasound studies on the time course of clavicular ossification, Int J Legal Med.2008; 122:163-7.

Ramsthaler F, Proschek P, Betz W, Verhoff MA, How reliable are the risk estimates for X-ray examinations in forensic age estimations? A safety update, Int J Legal Med. 2009; 123:199-204.

Brenner D, Elliston C, Hall E, Berdon W, Estimated risks of radiation-induced fatal cancer from pediatric CT, AJR Am J Roentgenol. 2001; 176:289-96

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Published

2023-07-02

How to Cite

Maled , V., Patil , P. B., & Kiran , R. (2023). Forensic Age Estimation by Ossification of Medial Clavicular Epiphysis using Kellinghaus et al. Classification in an Indian Population . Journal of Indian Academy of Forensic Medicine, 45(3), 216-221. https://doi.org/10.48165/jiafm.2023.45.3.3