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.
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References
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
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
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
Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45:221–227
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
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
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
Knell B, Schmeling A (2010) Einfluss der Retention auf die Weisheitszahnmineralisation. Rechtsmedizin 20:469–474
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
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
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
Schmeling A, Grundmann C, Fuhrmann A et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122:457–460
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
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
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
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
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
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
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
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).
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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
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DOI: https://doi.org/10.1007/s00194-014-0990-1
Keywords
- Skeletal age measurements
- Osteogenesis
- Computed tomography
- Forensic pathology
- Clavicle growth and development