Abstract
Radiological assessment of the degree of ossification of the medial clavicular epiphyseal cartilage plays a vital part in forensic age diagnosis of living adolescents and young adults. A total of 873 plain chest radiographs requested by the staff medical officer for members of staff aged 16–30 at the University Hospital Charité were evaluated retrospectively. Of these X-rays 699 permitted an assessment of ossification of at least 1 side of the clavicle. In addition to the customary stages (1: non-ossified epiphysis, 2: discernible ossification centre, 3: partial fusion, 4: total fusion) a stage 5 was also defined, characterised by the disappearance of the epiphyseal scar following total fusion. The earliest age at which stage 3 was detected in either gender was 16 years. Stage 4 was first observed in women at 20 years and in men at 21 years. In both genders, the earliest observation of stage 5 was at 26 years. It was concluded that plain chest radiographs can essentially be used to assess clavicular ossification. In practice, if overlap in posterior-anterior views impedes evaluation, a lateral view should also be taken to facilitate age estimation. In forensic practice the reference values of the present paper should be applied.
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References
Angenendt S (1999) Asylum and migration policies in the European Union. Union Verlag, Bonn
Black SM, Scheuer JL (1996) Age changes in the clavicle: from the early neonatal period to skeletal maturity. Int J Osteoarcheol 6:425–434
Dünkel F, Kalmthout A van, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach
Flecker H (1933) Roentgenographic observations of the times of appearance of epiphyses and their fusion with the diaphyses. J Anat 67:118–164
Galstaun G (1937) A study of ossification as observed in Indian subjects. Indian J Med Res 25:267–324
Ji L, Terazawa K, Tsukamoto T, Haga K (1994) Estimation of age from epiphyseal union degrees of the sternal end of the clavicle. Hokkaido Igaku Zasshi 69:104–111
Jit I, Kullkarni M (1976) Times of appearance and fusion of epiphysis at the medial end of the clavicle. Indian J Med Res 64:773–782
Kaatsch H-J (2001) Juristische Aspekte der Altersschätzung. In: Oehmichen M, Geserick G (eds) Osteologische Identifikation und Altersschätzung. Schmidt-Römhild, Lübeck, pp 243–254
Kahl B, Schwarze CW (1988) Aktualisierung der Dentitionstabelle von I Schour und M Massler von 1941. Fortschr Kieferorthop 49:432–443
Kreitner K-F, Schweden F, Schild HH, Riepert T, Nafe B (1997) Die computertomographisch bestimmte Ausreifung der medialen Klavikulaepiphyse—eine additive Methode zur Altersbestimmung im Adoleszentenalter und in der dritten Lebensdekade? Fortschr Röntgenstr 166:481–486
Kreitner K-F, Schweden FJ, Riepert T, Nafe B, Thelen M (1998) Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol 8:1116–1122
MacLaughlin SM (1990) Epiphyseal fusion at the sternal end of the clavicle in a modern Portugese skeletal sample. Antropol Port 8:59–68
McKern TW, Stewart TD (1957) Skeletal age changes in young American males. Analysed from the standpoint of age identification. In: Technical report EP 45. Quartermaster Research and Development Center, Environmental Protection Research Division. Natick, Massachusetts, pp 89–97
Ohtani S (2002) Technical notes for age estimation using the femur: influence of various analytical conditions on D-aspartic acid contents. Int J Legal Med 116:361–364
Ohtani S, Ito R, Yamamoto T (2003) Differences in the D/L aspartic acid ratios in dentin among different types of teeth from the same individual and estimated age. Int J Legal Med 117:149–152
Olze A, Schmeling A, Rieger K, Kalb G, Geserick G (2003) Untersuchungen zum zeitlichen Verlauf der Weisheitszahnmineralisation bei einer deutschen Population. Rechtsmedizin 13:5–10
Owings Webb PA, Myers Suchey J (1985) Epiphyseal union of the anterior iliac crest and medial clavicle in an modern multiracial sample of American males and females. Am J Phys Anthropol 68:457–466
Ritz S, Schütz HW, Peper C (1993) Postmortem estimation of age at death based on aspartic acid racemization in dentin: its applicability for dentin. Int J Legal Med 105:89–193
Schmeling A, Reisinger W, Loreck D, Vendura K, Markus W, Geserick G (2000) Effects of ethnicity on skeletal maturation—consequences for forensic age estimations. Int J Legal Med 113:253–258
Schmeling A, Kaatsch H-J, Marré B, Reisinger W, Riepert T, Ritz-Timme S, Rösing FW, Rötzscher K, Geserick G (2001a) Empfehlungen für die Altersdiagnostik bei Lebenden im Strafverfahren. Rechtsmedizin 11:1–3
Schmeling A, Olze A, Reisinger W, Geserick G (2001b) Age estimation of living people undergoing criminal proceedings. Lancet 358:89–90
Todd TW, D’Errico J (1928) The clavicular epiphyses. Am J Anat 41:25–50
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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 118, 5–8 (2004). https://doi.org/10.1007/s00414-003-0404-5
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DOI: https://doi.org/10.1007/s00414-003-0404-5