Skip to main content
Log in

Subclassification of clavicular substage 3a is useful for diagnosing the age of 17 years

Unterklassifizierung des Schlüsselbein-Unterstadiums 3a ist nützlich bei der Feststellung des vollendeten 17. Lebensjahres

  • Leitthema
  • Published:
Rechtsmedizin Aims and scope Submit manuscript

Abstract

Background

In various European countries the age of 17 years can play a key role in the context of subsequent immigration of further family members in cases of unaccompanied minor refugees.

Aim

The present study investigated whether further subclassification of the clavicular substage 3a can serve as an additional criterion for determining if a person has reached 17 years of age.

Material and methods

In this study the computed tomography scans of 36 autopsy cases with clavicular substage 3a were further subclassified according to a new classification system comprising the stages 3aa, 3ab and 3ac.

Results

The analysis revealed that the new stage 3ac occurred first at the age of 18.2 years in males and at 17.6 years in females.

Conclusion

The presence of the new stage 3ac represents a potential criterion for indicating that the 17th year of life has been completed.

Zusammenfassung

Hintergrund

Das 17. Lebensjahr kann im Rahmen des Familiennachzugs unbegleiteter minderjähriger Flüchtlinge in verschiedenen Ländern Europas eine entscheidende Rolle spielen.

Ziel

Die Studie untersucht, ob eine weitere Unterteilung des Schlüsselbein-Unterstadiums 3a zur Feststellung des vollendeten 17. Lebensjahrs dienen kann.

Material und Methoden

In der Studie wurde anhand der CT-Scans von 36 Fällen, bei denen bereits das Schlüsselbein-Unterstadium 3a diagnostiziert worden war, ein neues Klassifikationssystem angewendet, das die Stadien 3aa, 3ab und 3ac beinhaltet.

Ergebnisse

Es zeigte sich, dass das Stadium 3ac beim männlichen Geschlecht erstmals mit 18,2 Jahren und beim weiblichen Geschlecht erstmals mit 17,6 Jahren auftrat.

Schlussfolgerung

Das Vorliegen des neuen Stadiums 3ac ist bei beiden Geschlechtern ein potenzielles Kriterium für die Vollendung des 17. Lebensjahrs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bassed RB, Drummer OH, Briggs C, Valenzuela A (2011) Age estimation and the medial clavicular epiphysis: analysis of the age of majority in an Australian population using computed tomography. Forensic Sci Med Pathol 7(2):148–154

    Article  PubMed  Google Scholar 

  2. Baumann U, Schulz R, Reisinger W et al (2009) Reference study on the time frame for ossification of the distal radius and ulnar epiphyses on the hand radiograph. Forensic Sci Int 191(1–3):15–18

  3. Cameriere R, De Luca S, De Angelis D et al (2012) Reliability of Schmeling’s stages of ossification of medial clavicular epiphyses and its validity to assess 18 years of age in living subjects. Int J Legal Med 126:923–932

    Article  CAS  PubMed  Google Scholar 

  4. Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45:221–227

    Google Scholar 

  5. Gunst K, Mesotten K, Carbonez A, Willems G (2003) Third molar root development in relation to chronological age: a large sample sized retrospective study. Forensic Sci Int 136:52–57

    Article  CAS  PubMed  Google Scholar 

  6. Kellinghaus M, Schulz R, Vieth V et al (2010) 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 124(2):149–154

    Article  PubMed  Google Scholar 

  7. Kellinghaus M, Schulz R, Vieth V et al (2010) 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 124:321–325

    Article  PubMed  Google Scholar 

  8. Knell B, Schmeling A (2010) Einfluss der Retention auf die Weisheitszahnmineralisation. Rechtsmedizin 20:469–474

    Article  Google Scholar 

  9. Milenkovic P, Djuric M, Milovanovic P et al (2014) The role of CT analyses of the sternal end of the clavicle and the first costal cartilage in age estimation. Int J Legal Med 128(5):825–839

    Article  PubMed  Google Scholar 

  10. Mühler M, Schulz R, Schmidt S et al (2006) The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics. Int J Legal Med 120(1):15–17

    Article  PubMed  Google Scholar 

  11. Olze A, Niekerk P van, Schulz R et al (2012) The influence of impaction on the rate of third molar mineralisation in male black Africans. Int J Legal Med 126(6):869–874

    Article  PubMed  Google Scholar 

  12. Schmeling A, Grundmann C, Fuhrmann A et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122:457–460

    Article  CAS  PubMed  Google Scholar 

  13. Schmeling A, Schulz R, Reisinger W et al (2004) Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med 118:5–8

    Article  PubMed  Google Scholar 

  14. Schulz R, Mühler M, Mutze S et al (2005) Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by CT scans. Int J Legal Med 119:142–145

    Article  PubMed  Google Scholar 

  15. Schulz R, Schiborr M, Pfeiffer H et al (2013) Sonographic assessment of the ossification of the medial clavicular epiphysis in 616 individuals. Forensic Sci Med Pathol 9(3):351–357

    Article  PubMed  Google Scholar 

  16. Tisè M, Mazzarini L, Fabrizzi G et al (2011) Applicability of Greulich and Pyle method for age assessment in forensic practice on an Italian sample. Int J Legal Med 125:411–416

    Article  PubMed  Google Scholar 

  17. Wittschieber D, Schulz R, Vieth V et al (2014) 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 128:183–191

    Article  PubMed  Google Scholar 

  18. Wittschieber D, Schulz R, Vieth V et al (2014) 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 10:163–169

    Article  PubMed  Google Scholar 

  19. Wittschieber D, Ottow C, Vieth V et al (2014) Projection radiography of the clavicle: still recommendable for forensic age diagnostics in living individuals? Int J Legal Med. doi:10.1007/s00414-014-1067-0

Download references

Compliance with ethical guidelines

Conflict of interest. D. Wittschieber, S. Schmidt, V. Vieth, R. Schulz, K. Püschel, H. Pfeiffer and A. Schmeling state that there are no conflicts of interest. All studies on humans described in the present manuscript were carried out with the approval of the responsible ethics committee and in accordance with national law and the Helsinki Declaration of 1975 (in its current, revised form).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to D. Wittschieber.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wittschieber, D., Schmidt, S., Vieth, V. et al. Subclassification of clavicular substage 3a is useful for diagnosing the age of 17 years. Rechtsmedizin 24, 485–488 (2014). https://doi.org/10.1007/s00194-014-0990-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00194-014-0990-1

Keywords

Schlüsselwörter

Navigation