Skip to main content
Top
Published in: International Journal of Legal Medicine 4/2008

01-07-2008 | Original Article

Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics

Authors: Sven Schmidt, Inna Nitz, Ronald Schulz, Andreas Schmeling

Published in: International Journal of Legal Medicine | Issue 4/2008

Login to get access

Abstract

The present paper analyses the applicability of the clinically prevalent skeletal age determination method of Tanner and Whitehouse for forensic age estimation in living individuals. For this purpose, the hand X-rays from 48 boys and 44 girls aged 12–16 years were evaluated retrospectively. The minima and maxima, the mean values with their standard deviations as well as the medians with upper and lower quartiles, are presented for the skeletal ages 12–16 years estimated by the TW2 and TW3 methods. In the legally relevant skeletal age group 14–16 years, the differences between the skeletal age and the mean value of the chronological age were between −0.1 and +1.4 years for the TW2 method. For the TW3 method, the differences between the skeletal age and the mean value of the chronological age were between −0.4 and +0.2 years in the relevant age group. Due to the risk of serious overestimations, the TW2 method seems to be unsuitable for forensic age diagnostics. The application of the TW3 method for forensic age estimations can be recommended.
Literature
1.
go back to reference Acheson RM (1954) A method of assessing skeletal maturity from radiographs: a report from the Oxford Child Health Survey. J Anat 88:498–508PubMed Acheson RM (1954) A method of assessing skeletal maturity from radiographs: a report from the Oxford Child Health Survey. J Anat 88:498–508PubMed
2.
3.
go back to reference Andersen E (1971) Comparison of Tanner–Whitehouse and Greulich–Pyle methods in a large scale Danish survey. Am J Phys Anthropol 35:373–376PubMedCrossRef Andersen E (1971) Comparison of Tanner–Whitehouse and Greulich–Pyle methods in a large scale Danish survey. Am J Phys Anthropol 35:373–376PubMedCrossRef
4.
go back to reference Beunen G, Lefevre J, Ostyn M, Renson R, Simons J, van Gernen D (1990) Skeletal maturity in Belgian youths assessed by the Tanner–Whitehouse method (TW2). Ann Hum Biol 17:355–376PubMedCrossRef Beunen G, Lefevre J, Ostyn M, Renson R, Simons J, van Gernen D (1990) Skeletal maturity in Belgian youths assessed by the Tanner–Whitehouse method (TW2). Ann Hum Biol 17:355–376PubMedCrossRef
5.
go back to reference Braga J, Treil J (2007) Estimation of pediatric skeletal age using geometric morphometrics and three-dimensional cranial size changes. Int J Legal Med 121:439–443PubMedCrossRef Braga J, Treil J (2007) Estimation of pediatric skeletal age using geometric morphometrics and three-dimensional cranial size changes. Int J Legal Med 121:439–443PubMedCrossRef
6.
go back to reference Bull RK, Edwards PD, Kemp PM, Fry S, Hughes IA (1999) Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods. Arch Dis Child 81:172–173PubMed Bull RK, Edwards PD, Kemp PM, Fry S, Hughes IA (1999) Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods. Arch Dis Child 81:172–173PubMed
7.
go back to reference Cameriere R, De Angelis D, Ferrante L, Scarpino F, Cingolani M (2007) Age estimation in children by measurement of open apices in teeth: a European formula. Int J Legal Med 121:449–453PubMedCrossRef Cameriere R, De Angelis D, Ferrante L, Scarpino F, Cingolani M (2007) Age estimation in children by measurement of open apices in teeth: a European formula. Int J Legal Med 121:449–453PubMedCrossRef
8.
go back to reference Cole AJL, Webb L, Cole TJ (1988) Bone age estimation: a comparison of methods. Br J Radiol 61:683–686PubMed Cole AJL, Webb L, Cole TJ (1988) Bone age estimation: a comparison of methods. Br J Radiol 61:683–686PubMed
9.
go back to reference Cox LA (1996) Tanner–Whitehouse method of assessing skeletal maturity: problems and common errors. Horm Res 45(Suppl 2):53–55PubMed Cox LA (1996) Tanner–Whitehouse method of assessing skeletal maturity: problems and common errors. Horm Res 45(Suppl 2):53–55PubMed
10.
go back to reference Dünkel F, van Kalmthout A, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach Dünkel F, van Kalmthout A, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach
11.
go back to reference Fendel H (1976) Die Methodik der radiologischen Skeletalterbestimmung. Radiologe 16:370–380PubMed Fendel H (1976) Die Methodik der radiologischen Skeletalterbestimmung. Radiologe 16:370–380PubMed
12.
go back to reference Gilli G (1996) The assessment of skeletal maturation. Horm Res 45 Suppl 2:49–52 Gilli G (1996) The assessment of skeletal maturation. Horm Res 45 Suppl 2:49–52
13.
go back to reference Graham CB (1972) Assessment of bone maturation—methods and pitfalls. Radiol Clin N Amer 10:185–202PubMed Graham CB (1972) Assessment of bone maturation—methods and pitfalls. Radiol Clin N Amer 10:185–202PubMed
14.
go back to reference Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford
15.
go back to reference Haavikko K, Kilpinen E (1973) Skeletal development of Finnish children in the light of hand–wrist roentgenograms. Proc Finn Dent Soc 69:182–190PubMed Haavikko K, Kilpinen E (1973) Skeletal development of Finnish children in the light of hand–wrist roentgenograms. Proc Finn Dent Soc 69:182–190PubMed
16.
go back to reference Helm S (1979) Skeletal maturity in Danish schoolchildren assessed by the TW2 method. Am J Phys Anthropol 51:345–352PubMedCrossRef Helm S (1979) Skeletal maturity in Danish schoolchildren assessed by the TW2 method. Am J Phys Anthropol 51:345–352PubMedCrossRef
17.
go back to reference Hernandez M, Sanchez E, Sobradillo B, Rincon JM (1991) Skeletal maturation and height prediction: atlas and scoring methods. Diaz de Santos, Madrid Hernandez M, Sanchez E, Sobradillo B, Rincon JM (1991) Skeletal maturation and height prediction: atlas and scoring methods. Diaz de Santos, Madrid
18.
go back to reference Johnston FE (1971) The use of the Greulich–Pyle method in a longitudinal growth study. Am J Phys Anthropol 35:353–357PubMedCrossRef Johnston FE (1971) The use of the Greulich–Pyle method in a longitudinal growth study. Am J Phys Anthropol 35:353–357PubMedCrossRef
19.
go back to reference Kemperdick HF (1981) Skelettalter-Bestimmung bei Kindern mit normalem und abweichendem Wachstumsverlauf. Fortschr Med 99:152–156PubMed Kemperdick HF (1981) Skelettalter-Bestimmung bei Kindern mit normalem und abweichendem Wachstumsverlauf. Fortschr Med 99:152–156PubMed
20.
go back to reference Kemperdick H (1986) Die Skelettalterbestimmung beim Kind. Radiologe 26:216–221PubMed Kemperdick H (1986) Die Skelettalterbestimmung beim Kind. Radiologe 26:216–221PubMed
21.
go back to reference King DG, Steventon DM, O’Sullivan MP, Cook AM, Hornsby VP, Jefferson IG (1994) Reproducibility of bone ages when performed by radiology registrars: an audit of Tanner and Whitehouse II versus Greulich and Pyle methods. Br J Radiol 67:848–851PubMed King DG, Steventon DM, O’Sullivan MP, Cook AM, Hornsby VP, Jefferson IG (1994) Reproducibility of bone ages when performed by radiology registrars: an audit of Tanner and Whitehouse II versus Greulich and Pyle methods. Br J Radiol 67:848–851PubMed
22.
go back to reference van Lenthe FJ, Kemper HC, van Mechelen W (1998) Skeletal maturation in adolescence: a comparison between the Tanner–Whitehouse II and the Fels method. Eur J Pediatr 157:257–261CrossRef van Lenthe FJ, Kemper HC, van Mechelen W (1998) Skeletal maturation in adolescence: a comparison between the Tanner–Whitehouse II and the Fels method. Eur J Pediatr 157:257–261CrossRef
23.
go back to reference Low WD (1975) Assessing skeletal maturity by inspection and bone-specific methods with the atlas of Greulich and Pyle. Z Morphol Anthropol 67:1–5PubMed Low WD (1975) Assessing skeletal maturity by inspection and bone-specific methods with the atlas of Greulich and Pyle. Z Morphol Anthropol 67:1–5PubMed
24.
go back to reference Meijerman L, Maat GJR, Schulz R, Schmeling A (2007) Variables affecting the probability of complete fusion of the medial clavicular epiphysis. Int J Legal Med 121:463–468PubMedCrossRef Meijerman L, Maat GJR, Schulz R, Schmeling A (2007) Variables affecting the probability of complete fusion of the medial clavicular epiphysis. Int J Legal Med 121:463–468PubMedCrossRef
25.
go back to reference Olze A, van Niekerk P, Ishikawa T, Zhu BL, Schulz R, Maeda H, Schmeling A (2007) Comparative study on the effect of ethnicity on wisdom tooth eruption. Int J Legal Med 121:445–448PubMedCrossRef Olze A, van Niekerk P, Ishikawa T, Zhu BL, Schulz R, Maeda H, Schmeling A (2007) Comparative study on the effect of ethnicity on wisdom tooth eruption. Int J Legal Med 121:445–448PubMedCrossRef
26.
go back to reference Rikhasor RM, Qureshi AM, Rathi SL, Channa NA (1999) Skeletal maturity in Pakistani children. J Anat 195:305–308PubMedCrossRef Rikhasor RM, Qureshi AM, Rathi SL, Channa NA (1999) Skeletal maturity in Pakistani children. J Anat 195:305–308PubMedCrossRef
27.
go back to reference Roche AF, Roberts J, Hamill PVV (1975) Skeletal maturity of children 6–11 years: racial, geographic area and socioeconomic differentials, United States. National Center for Health Statistics, series 11, no. 149. DHEW Publication no. (HRA) 76-1631. DHEW, Rockville Roche AF, Roberts J, Hamill PVV (1975) Skeletal maturity of children 6–11 years: racial, geographic area and socioeconomic differentials, United States. National Center for Health Statistics, series 11, no. 149. DHEW Publication no. (HRA) 76-1631. DHEW, Rockville
28.
go back to reference Roche AF, Roberts J, Hamill PVV (1978) Skeletal maturity of youth 12–17 years. Racial, geographic area and socioeconomic differentials. (Vital and health statistics. US Dept. of Health, Education and Welfare. Series 11. No. 167). US Government Printing Office, Washington, D.C. Roche AF, Roberts J, Hamill PVV (1978) Skeletal maturity of youth 12–17 years. Racial, geographic area and socioeconomic differentials. (Vital and health statistics. US Dept. of Health, Education and Welfare. Series 11. No. 167). US Government Printing Office, Washington, D.C.
29.
go back to reference Roche AF, Chumlea WC, Thissen D (1988) Assessing the skeletal maturity of the hand–wrist: Fels method. Thomas, Springfield Roche AF, Chumlea WC, Thissen D (1988) Assessing the skeletal maturity of the hand–wrist: Fels method. Thomas, Springfield
30.
go back to reference 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 113:253–258PubMedCrossRef 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 113:253–258PubMedCrossRef
31.
go back to reference Schmeling A, Baumann U, Schmidt S, Wernecke K-D, Reisinger W (2006) Reference data for the Thiemann–Nitz method of assessing skeletal age for the purpose of forensic age estimation. Int J Legal Med 120:1–4PubMedCrossRef Schmeling A, Baumann U, Schmidt S, Wernecke K-D, Reisinger W (2006) Reference data for the Thiemann–Nitz method of assessing skeletal age for the purpose of forensic age estimation. Int J Legal Med 120:1–4PubMedCrossRef
32.
go back to reference Schmeling A, Schulz R, Danner B, Rösing FW (2006) The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med 120:121–126PubMedCrossRef Schmeling A, Schulz R, Danner B, Rösing FW (2006) The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med 120:121–126PubMedCrossRef
33.
go back to reference Schmid F (1974) Skelettentwicklung bei hirnorganischen Störungen. Kinderarzt 5:1045–1047 Schmid F (1974) Skelettentwicklung bei hirnorganischen Störungen. Kinderarzt 5:1045–1047
34.
go back to reference Schmidt S, Koch B, Mühler M, Reisinger W, Schmeling A (2007) Optimizing the Thiemann–Nitz method for skeletal age determination for forensic age diagnostics in live subjects. Scand J Forensic Sci 13:5–7 Schmidt S, Koch B, Mühler M, Reisinger W, Schmeling A (2007) Optimizing the Thiemann–Nitz method for skeletal age determination for forensic age diagnostics in live subjects. Scand J Forensic Sci 13:5–7
35.
go back to reference Schmidt S, Koch B, Schulz R, Reisinger W, Schmeling A (2007) Comparative analysis of the applicability of the skeletal age determination methods of Greulich–Pyle and Thiemann–Nitz for forensic age estimation in living subjects. Int J Legal Med 121:293–296PubMedCrossRef Schmidt S, Koch B, Schulz R, Reisinger W, Schmeling A (2007) Comparative analysis of the applicability of the skeletal age determination methods of Greulich–Pyle and Thiemann–Nitz for forensic age estimation in living subjects. Int J Legal Med 121:293–296PubMedCrossRef
36.
go back to reference Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324PubMedCrossRef Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324PubMedCrossRef
37.
go back to reference Schmidt S, Baumann U, Schulz R, Reisinger W, Schmeling A (2008) Study of age dependence of epiphyseal ossification of the hand skeleton. Int J Legal Med 122:51–54PubMedCrossRef Schmidt S, Baumann U, Schulz R, Reisinger W, Schmeling A (2008) Study of age dependence of epiphyseal ossification of the hand skeleton. Int J Legal Med 122:51–54PubMedCrossRef
39.
go back to reference Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58PubMedCrossRef Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58PubMedCrossRef
40.
go back to reference Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167PubMedCrossRef Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167PubMedCrossRef
41.
go back to reference Tanner JM, Whitehouse RH, Healy MJR (1962) A new system for estimating skeletal maturity from the hand and wrist with standards derived from a study of 2600 healthy British children. Part II. The scoring system. Int Child Centre, Paris Tanner JM, Whitehouse RH, Healy MJR (1962) A new system for estimating skeletal maturity from the hand and wrist with standards derived from a study of 2600 healthy British children. Part II. The scoring system. Int Child Centre, Paris
42.
go back to reference Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1975) Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic, London Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1975) Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic, London
43.
go back to reference Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1983) Assessment of skeletal maturity and prediction of adult height (TW2 method), 2nd edn. Academic Press, London Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1983) Assessment of skeletal maturity and prediction of adult height (TW2 method), 2nd edn. Academic Press, London
44.
go back to reference Tanner JM, Oshman D, Bahhage F, Healy M (1997) Tanner–Whithouse bone age reference values for North American children. J Pediatr 131:34–40PubMedCrossRef Tanner JM, Oshman D, Bahhage F, Healy M (1997) Tanner–Whithouse bone age reference values for North American children. J Pediatr 131:34–40PubMedCrossRef
45.
go back to reference Tanner JM, Healy MJR, Goldstein H, Cameron N (2001) Assessment of skeletal maturity and prediction of adult height (TW3 method). Saunders, London Tanner JM, Healy MJR, Goldstein H, Cameron N (2001) Assessment of skeletal maturity and prediction of adult height (TW3 method). Saunders, London
46.
go back to reference Thiemann H-H, Nitz I (1991) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Leipzig Thiemann H-H, Nitz I (1991) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Leipzig
47.
go back to reference Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart
48.
go back to reference Vignolo M, Milani S, Cerbello G, Coroli P, Di Battista E, Aicardi G (1992) FELS, Greulich–Pyle, and Tanner–Whitehouse bone age assessments in a group of Italian children and adolescents. Am J Hum Biol 4:493–500CrossRef Vignolo M, Milani S, Cerbello G, Coroli P, Di Battista E, Aicardi G (1992) FELS, Greulich–Pyle, and Tanner–Whitehouse bone age assessments in a group of Italian children and adolescents. Am J Hum Biol 4:493–500CrossRef
49.
go back to reference Weber R (1978) Genauigkeit der Skelettalterbestimmungen und Größenprognosen nach den Methoden von Greulich and Pyle sowie Tanner and Whitehouse, Dissertation. Freie Universität, Berlin Weber R (1978) Genauigkeit der Skelettalterbestimmungen und Größenprognosen nach den Methoden von Greulich and Pyle sowie Tanner and Whitehouse, Dissertation. Freie Universität, Berlin
Metadata
Title
Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics
Authors
Sven Schmidt
Inna Nitz
Ronald Schulz
Andreas Schmeling
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
International Journal of Legal Medicine / Issue 4/2008
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-008-0237-3

Other articles of this Issue 4/2008

International Journal of Legal Medicine 4/2008 Go to the issue