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Published in: International Journal of Legal Medicine 1/2017

01-01-2017 | Review

Age estimation in competitive sports

Authors: Maximilian Timme, Jürgen Michael Steinacker, Andreas Schmeling

Published in: International Journal of Legal Medicine | Issue 1/2017

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Abstract

To maintain the principle of sporting fairness and to protect the health of athletes, it is essential that age limits for youth sporting competitions are complied with. Forensic scientists have developed validated procedures for age estimation in living individuals. Methods have also been published for age estimation in competitive sports. These methods make use of the ossification stage of an epiphyseal plate to draw conclusions about an athlete’s age. This article presents published work on the use of magnetic resonance imaging for age estimation in competitive sports. In addition, it looks at the effect on age estimation of factors such as an athlete’s socioeconomic status, the use of hormones and anabolic substances as well as chronic overuse of the growth plates. Finally, recommendations on the components required for a valid age estimation procedure in competitive sports are suggested.
Literature
1.
go back to reference Engebretsen L, Steffen K, Bahr R, Broderick C, Dvorak J, Janarv PM, Johnson A, Leglise M, Mamisch TC, McKay D, Micheli L, Schamasch P, Singh GD, Stafford DEJ, Steen H (2010) The International Olympic Committee consensus statement on age determination in high-level young athletes. Br J Sports Med 44:476–484CrossRefPubMed Engebretsen L, Steffen K, Bahr R, Broderick C, Dvorak J, Janarv PM, Johnson A, Leglise M, Mamisch TC, McKay D, Micheli L, Schamasch P, Singh GD, Stafford DEJ, Steen H (2010) The International Olympic Committee consensus statement on age determination in high-level young athletes. Br J Sports Med 44:476–484CrossRefPubMed
3.
go back to reference Beunen GP, Malina RM (1988) Growth and physical performance relative to the timing of the adolescent growth spurt. Exerc Sports Sci Rev 16:503–540CrossRef Beunen GP, Malina RM (1988) Growth and physical performance relative to the timing of the adolescent growth spurt. Exerc Sports Sci Rev 16:503–540CrossRef
5.
go back to reference Helsen WF, von Winckel J, Williams AM (2005) The relative age effect in youth soccer across Europe. J Sports Sci 23:692-36 Helsen WF, von Winckel J, Williams AM (2005) The relative age effect in youth soccer across Europe. J Sports Sci 23:692-36
6.
go back to reference Le Gall F, Carling C, Reilly T (2007) Biological maturity an injury in elite youth football. Scand J Med Sci Sports 17:564–572PubMed Le Gall F, Carling C, Reilly T (2007) Biological maturity an injury in elite youth football. Scand J Med Sci Sports 17:564–572PubMed
7.
go back to reference Johnson A, Doherty PJ, Freemont A (2009) Investigation of growth, development, and factors associated with injury in elite schoolboy footballers: prospective study. BMJ 338:b490CrossRefPubMedPubMedCentral Johnson A, Doherty PJ, Freemont A (2009) Investigation of growth, development, and factors associated with injury in elite schoolboy footballers: prospective study. BMJ 338:b490CrossRefPubMedPubMedCentral
8.
10.
go back to reference Dvorak J (2009) Detecting over-age players using wrist MRI: science partnering with sport to ensure fair play. Br J Sports Med 43:884–885CrossRefPubMed Dvorak J (2009) Detecting over-age players using wrist MRI: science partnering with sport to ensure fair play. Br J Sports Med 43:884–885CrossRefPubMed
11.
go back to reference Lockemann U, Fuhrmann A, Püschel K, Schmeling A, Geserick G (2004) Empfehlungen für die Altersdiagnostik bei Jugendlichen und jungen Erwachsenen außerhalb des Strafverfahrens. Rechtsmed 14:123–125CrossRef Lockemann U, Fuhrmann A, Püschel K, Schmeling A, Geserick G (2004) Empfehlungen für die Altersdiagnostik bei Jugendlichen und jungen Erwachsenen außerhalb des Strafverfahrens. Rechtsmed 14:123–125CrossRef
12.
go back to reference Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G (2016) Forensic age estimation—methods, certainty, and the law. Dtsch Arztebl Int 113:44–50PubMedPubMedCentral Schmeling A, Dettmeyer R, Rudolf E, Vieth V, Geserick G (2016) Forensic age estimation—methods, certainty, and the law. Dtsch Arztebl Int 113:44–50PubMedPubMedCentral
14.
go back to reference Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, Reisinger W, Riepert T, Ritz-Timme S, Rösing FW, Rötzscher K, Geserick G (2008) Aktualisierte Empfehlungen der Arbeitsgemeinschaft für Forensische Altersdiagnostik für Altersschätzungen bei Lebenden im Strafverfahren. Rechtsmed 18:451–453CrossRef Schmeling A, Grundmann C, Fuhrmann A, Kaatsch HJ, Knell B, Ramsthaler F, Reisinger W, Riepert T, Ritz-Timme S, Rösing FW, Rötzscher K, Geserick G (2008) Aktualisierte Empfehlungen der Arbeitsgemeinschaft für Forensische Altersdiagnostik für Altersschätzungen bei Lebenden im Strafverfahren. Rechtsmed 18:451–453CrossRef
15.
go back to reference Kahl B, Schwarze CW (1988) Aktualisierung der Dentitionstabelle von I Schour und M Massler von 1941. Fortschr Kieferorthop 49:432–443CrossRefPubMed Kahl B, Schwarze CW (1988) Aktualisierung der Dentitionstabelle von I Schour und M Massler von 1941. Fortschr Kieferorthop 49:432–443CrossRefPubMed
16.
go back to reference Olze A, Schmeling A, Rieger K, Kalb G, Geserick G (2003) Untersuchungen zum zeitlichen Verlauf der Weisheitszahnmineralisation bei einer deutschen Population. Rechtsmed 13:5–10CrossRef Olze A, Schmeling A, Rieger K, Kalb G, Geserick G (2003) Untersuchungen zum zeitlichen Verlauf der Weisheitszahnmineralisation bei einer deutschen Population. Rechtsmed 13:5–10CrossRef
17.
go back to reference Olze A, Taniguchi M, Schmeling A, Zhu BL, Yamada Y, Maeda H, Geserick G (2004) Studies on the chronology of third molar mineralization in a Japanese population. Legal Med 6:73–79CrossRefPubMed Olze A, Taniguchi M, Schmeling A, Zhu BL, Yamada Y, Maeda H, Geserick G (2004) Studies on the chronology of third molar mineralization in a Japanese population. Legal Med 6:73–79CrossRefPubMed
18.
go back to reference Olze A, van Niekerk P, Schmidt S, Wernecke KD, Rösing FW, Geserick G, Schmeling A (2006) Studies on the progress of third molar mineralization in a Black African population. Homo 57:209–217CrossRefPubMed Olze A, van Niekerk P, Schmidt S, Wernecke KD, Rösing FW, Geserick G, Schmeling A (2006) Studies on the progress of third molar mineralization in a Black African population. Homo 57:209–217CrossRefPubMed
19.
go back to reference Schmeling A, Baumann U, Schmidt S, Wernecke KD, 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 120:1–4CrossRefPubMed Schmeling A, Baumann U, Schmidt S, Wernecke KD, 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 120:1–4CrossRefPubMed
20.
go back to reference Olze A, van Niekerk P, Schulz R, Schmeling A (2007) Studies on the chronological course of wisdom tooth eruption in a black African population. J Forensic Sci 52:1161–1163CrossRefPubMed Olze A, van Niekerk P, Schulz R, Schmeling A (2007) Studies on the chronological course of wisdom tooth eruption in a black African population. J Forensic Sci 52:1161–1163CrossRefPubMed
21.
go back to reference Olze A, Ishikawa T, Zhu BL, Schulz R, Heinecke A, Maeda H, Schmeling A (2008) Studies of the chronological course of wisdom tooth eruption in a Japanese population. Forensic Sci Int 174:203–206CrossRefPubMed Olze A, Ishikawa T, Zhu BL, Schulz R, Heinecke A, Maeda H, Schmeling A (2008) Studies of the chronological course of wisdom tooth eruption in a Japanese population. Forensic Sci Int 174:203–206CrossRefPubMed
22.
go back to reference Olze A, Peschke C, Schulz R, Schmeling A (2008) Studies of the chronological course of wisdom tooth eruption in a German population. J Forensic Legal Med 15:426–429CrossRef Olze A, Peschke C, Schulz R, Schmeling A (2008) Studies of the chronological course of wisdom tooth eruption in a German population. J Forensic Legal Med 15:426–429CrossRef
23.
go back to reference Knell B, Ruhstaller P, Prieels F, Schmeling A (2009) Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Legal Med 123:465–469CrossRefPubMed Knell B, Ruhstaller P, Prieels F, Schmeling A (2009) Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Legal Med 123:465–469CrossRefPubMed
24.
go back to reference Tisè M, Mazzarini L, Fabrizzi G, Ferrante L, Giorgetti R, Tagliabracci A (2011) Applicability of Greulich and Pyle method for age assessment in forensic practice on an Italian sample. Int J Legal Med 125:411–416CrossRefPubMed Tisè M, Mazzarini L, Fabrizzi G, Ferrante L, Giorgetti R, Tagliabracci A (2011) Applicability of Greulich and Pyle method for age assessment in forensic practice on an Italian sample. Int J Legal Med 125:411–416CrossRefPubMed
25.
go back to reference Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A (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 124:149–154CrossRefPubMed Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A (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 124:149–154CrossRefPubMed
26.
go back to reference Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A (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 124:321–325CrossRefPubMed Kellinghaus M, Schulz R, Vieth V, Schmidt S, Pfeiffer H, Schmeling A (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 124:321–325CrossRefPubMed
27.
go back to reference Olze A, van Niekerk P, Schulz R, Ribbecke S, Schmeling A (2012) The influence of impaction on the rate of third molar mineralisation in black Africans. Int J Legal Med 126:869–874CrossRefPubMed Olze A, van Niekerk P, Schulz R, Ribbecke S, Schmeling A (2012) The influence of impaction on the rate of third molar mineralisation in black Africans. Int J Legal Med 126:869–874CrossRefPubMed
28.
go back to reference Wittschieber D, Schulz R, Vieth V, Küppers M, Bajanowski T, Ramsthaler F, Püschel K, Pfeiffer H, Schmidt S, Schmeling A (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 10:163–169CrossRefPubMed Wittschieber D, Schulz R, Vieth V, Küppers M, Bajanowski T, Ramsthaler F, Püschel K, Pfeiffer H, Schmidt S, Schmeling A (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 10:163–169CrossRefPubMed
29.
go back to reference Parzeller M (2015) Juristische Aspekte der forensischen Altersdiagnostik. Rechtsprechung-Update 2010-2014. Rechtsmed 25:21–29CrossRef Parzeller M (2015) Juristische Aspekte der forensischen Altersdiagnostik. Rechtsprechung-Update 2010-2014. Rechtsmed 25:21–29CrossRef
30.
go back to reference Dedouit F, Auriol J, Rousseau H, Rougé D, Crubézy E, Telmon N (2012) Age assessment by magnetic resonance imaging of the knee: a preliminary study. Forensic Sci Int 217:232e1–232e7CrossRef Dedouit F, Auriol J, Rousseau H, Rougé D, Crubézy E, Telmon N (2012) Age assessment by magnetic resonance imaging of the knee: a preliminary study. Forensic Sci Int 217:232e1–232e7CrossRef
31.
go back to reference Hollnberger J (2010) Validierung der Ossifikation der medialen Claviculaepiphyse mit der Magnetresonanztomografie. Dissertation. Universität Jena, Jena Hollnberger J (2010) Validierung der Ossifikation der medialen Claviculaepiphyse mit der Magnetresonanztomografie. Dissertation. Universität Jena, Jena
32.
go back to reference Jopp E, Schröder I, Maas R, Adam G, Püschel K (2010) Proximale Tibiaepiphyse im Magnetresonanztomogramm. Rechtsmed 20:464–468CrossRef Jopp E, Schröder I, Maas R, Adam G, Püschel K (2010) Proximale Tibiaepiphyse im Magnetresonanztomogramm. Rechtsmed 20:464–468CrossRef
33.
go back to reference Saint-Martin P, Rérolle C, Dedouit F, Bouilleau L, Rousseau H, Rougé D, Telmon N (2013) Age estimation by magnetic resonance imaging of the distal epiphysis and the calcaneum. Int J Legal Med 127:1023–1030CrossRefPubMed Saint-Martin P, Rérolle C, Dedouit F, Bouilleau L, Rousseau H, Rougé D, Telmon N (2013) Age estimation by magnetic resonance imaging of the distal epiphysis and the calcaneum. Int J Legal Med 127:1023–1030CrossRefPubMed
34.
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 121:321–324CrossRefPubMed Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324CrossRefPubMed
35.
go back to reference Ottow C, Krämer JC, Olze A, Schmidt S, Schulz R, Wittschieber D, Heindel W, Pfeiffer H, Ribbecke S, Vieth V, Schmeling A (2014) Magnetresonanztomographiestudie zur Altersschätzung von unbegleiteten minderjährigen Flüchtlingen. Rechtsmed 25:12–20CrossRef Ottow C, Krämer JC, Olze A, Schmidt S, Schulz R, Wittschieber D, Heindel W, Pfeiffer H, Ribbecke S, Vieth V, Schmeling A (2014) Magnetresonanztomographiestudie zur Altersschätzung von unbegleiteten minderjährigen Flüchtlingen. Rechtsmed 25:12–20CrossRef
36.
go back to reference Krämer JA, Schmidt S, Jürgens KU, Lentschig M, Schmeling A, Vieth V (2014) The use of magnetic resonance imaging to examine ossification of the proximal tibial epiphysis for forensic age estimation in living individuals. Forensic Sci Med Pathol 10:306–313CrossRefPubMed Krämer JA, Schmidt S, Jürgens KU, Lentschig M, Schmeling A, Vieth V (2014) The use of magnetic resonance imaging to examine ossification of the proximal tibial epiphysis for forensic age estimation in living individuals. Forensic Sci Med Pathol 10:306–313CrossRefPubMed
37.
go back to reference Dvorak J, George J, Junge A, Hodler J (2006) Age determination by magnetic resonance imaging of the wrist in adolscent male football players. Br J Sports Med 41:45–52CrossRefPubMedPubMedCentral Dvorak J, George J, Junge A, Hodler J (2006) Age determination by magnetic resonance imaging of the wrist in adolscent male football players. Br J Sports Med 41:45–52CrossRefPubMedPubMedCentral
39.
go back to reference Dvorak J, George J, Junge A, Hodler J (2007) Application of MRI of the wrist for age determination in international U-17 soccer competitions. Br J Sports Med 41:497–500CrossRefPubMedPubMedCentral Dvorak J, George J, Junge A, Hodler J (2007) Application of MRI of the wrist for age determination in international U-17 soccer competitions. Br J Sports Med 41:497–500CrossRefPubMedPubMedCentral
40.
go back to reference George J, Nagendran J, Azmi K (2012) Comparison study of growth plate fusion using MRI versus plain radiographs as used in age determination for exclusion of overaged football players. Br J Sports Med 46:273–278CrossRefPubMed George J, Nagendran J, Azmi K (2012) Comparison study of growth plate fusion using MRI versus plain radiographs as used in age determination for exclusion of overaged football players. Br J Sports Med 46:273–278CrossRefPubMed
41.
go back to reference Sarkodie BD, Ofori EK, Pambo P (2013) MRI to determine the chronological age of Ghanaian footballers. S Afr SM 25:74–76CrossRef Sarkodie BD, Ofori EK, Pambo P (2013) MRI to determine the chronological age of Ghanaian footballers. S Afr SM 25:74–76CrossRef
42.
go back to reference Tscholl PM, Junge A, Dvorak J, Zubler V (2016) MRI of the wrist is not recommended for age determination in female football players of U-16/U-17 competitions. Scand J Med Sci Sports 26:324–328CrossRefPubMed Tscholl PM, Junge A, Dvorak J, Zubler V (2016) MRI of the wrist is not recommended for age determination in female football players of U-16/U-17 competitions. Scand J Med Sci Sports 26:324–328CrossRefPubMed
43.
go back to reference Schmidt S, Vieth V, Timme M, Dvorak J, Schmeling A (2015) Examination of ossification of the distal radial epiphysis using magnetic resonance imaging. New insights for age estimation in young footballers in FIFA tournaments. Sci Justice 55:139–144CrossRefPubMed Schmidt S, Vieth V, Timme M, Dvorak J, Schmeling A (2015) Examination of ossification of the distal radial epiphysis using magnetic resonance imaging. New insights for age estimation in young footballers in FIFA tournaments. Sci Justice 55:139–144CrossRefPubMed
44.
go back to reference Wittschieber D, Vieth V, Timme M, Dvorak J, Schmeling A (2014) Magnetic resonance imaging of the iliac crest: age estimation in under-20 soccer players. Forensic Sci Med Pathol 10:198–202CrossRefPubMed Wittschieber D, Vieth V, Timme M, Dvorak J, Schmeling A (2014) Magnetic resonance imaging of the iliac crest: age estimation in under-20 soccer players. Forensic Sci Med Pathol 10:198–202CrossRefPubMed
45.
go back to reference Vieth V, Schulz R, Brinkmeier P, Dvorak J, Schmeling A (2014) Age estimation in U-20 football players using 3.0 tesla MRI of the clavicle. Forensic Sci In 241:118–122CrossRef Vieth V, Schulz R, Brinkmeier P, Dvorak J, Schmeling A (2014) Age estimation in U-20 football players using 3.0 tesla MRI of the clavicle. Forensic Sci In 241:118–122CrossRef
48.
go back to reference Schmidt S, Fracasso T, Pfeiffer H, Schmeling A (2010) Skelettaltersbestimmung der Hand. Rechtsmed 20:475–482 Schmidt S, Fracasso T, Pfeiffer H, Schmeling A (2010) Skelettaltersbestimmung der Hand. Rechtsmed 20:475–482
49.
go back to reference Scheuer L, Black S (2004) The juvenile skeleton. Elsevier Academic Press, London, San Diego Scheuer L, Black S (2004) The juvenile skeleton. Elsevier Academic Press, London, San Diego
50.
go back to reference Schmeling A, Schulz R, Reisinger W, Mühler M, Wernecke KD, Geserick G (2004) Studies on the time frame for ossification of medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med 118:5–8CrossRefPubMed Schmeling A, Schulz R, Reisinger W, Mühler M, Wernecke KD, Geserick G (2004) Studies on the time frame for ossification of medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med 118:5–8CrossRefPubMed
51.
go back to reference Risser JC (1958) The iliac apophysis: an invaluable sign in the management of scoliosis. Clin Orthop 11:111–119PubMed Risser JC (1958) The iliac apophysis: an invaluable sign in the management of scoliosis. Clin Orthop 11:111–119PubMed
52.
go back to reference Schmeling A, Olze A, Reisinger W, Geserick G (2001) Der Einfluss der Ethnie auf die bei strafrechtlichen Altersschätzungen untersuchten Merkmale. Rechtsmed 11:78–81CrossRef Schmeling A, Olze A, Reisinger W, Geserick G (2001) Der Einfluss der Ethnie auf die bei strafrechtlichen Altersschätzungen untersuchten Merkmale. Rechtsmed 11:78–81CrossRef
53.
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. Intl J Legal Med 120:121–126CrossRef 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. Intl J Legal Med 120:121–126CrossRef
54.
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 113:253–258CrossRefPubMed 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 113:253–258CrossRefPubMed
55.
go back to reference Malina RM, Peña Reyes ME, Figueiredo AJ, Coelho E, Silva MJ, Horta L, Miller R, Chamorro M, Serratosa L, Morate F (2010) Skeletal age in youth soccer players: implication for age verification. Clin J Sport Med 20:469–474CrossRefPubMed Malina RM, Peña Reyes ME, Figueiredo AJ, Coelho E, Silva MJ, Horta L, Miller R, Chamorro M, Serratosa L, Morate F (2010) Skeletal age in youth soccer players: implication for age verification. Clin J Sport Med 20:469–474CrossRefPubMed
56.
go back to reference Michopoulou E, Avloniti A, Kambas A, Leontsini D, Michalopoulou M, Tournis S, Fatouros IG (2011) Elite premenarcheal rhythmic gymnasts demonstrate energy and dietary intake deficiencies during periods of intense training. Pediatr Exerc Sci 23:560–572CrossRefPubMed Michopoulou E, Avloniti A, Kambas A, Leontsini D, Michalopoulou M, Tournis S, Fatouros IG (2011) Elite premenarcheal rhythmic gymnasts demonstrate energy and dietary intake deficiencies during periods of intense training. Pediatr Exerc Sci 23:560–572CrossRefPubMed
57.
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
58.
go back to reference Cacciari E, Mazzanti L, Tassinari D, Bergamaschi R, Magnani C, Zappulla F, Nanni G, Cobianchi C, Ghini T, Pini R, Tani G (1990) Effects of sport (football) on growth: auxological, anthropometric and hormonal aspects. Eur J Appl Physiol Occup Physiol 61:149–158CrossRefPubMed Cacciari E, Mazzanti L, Tassinari D, Bergamaschi R, Magnani C, Zappulla F, Nanni G, Cobianchi C, Ghini T, Pini R, Tani G (1990) Effects of sport (football) on growth: auxological, anthropometric and hormonal aspects. Eur J Appl Physiol Occup Physiol 61:149–158CrossRefPubMed
59.
go back to reference Matina RM, Rogol AD (2011) Sport training and the growth and pubertal maturation of young athletes. Pediatr Endocrinol Rev 9:441–455PubMed Matina RM, Rogol AD (2011) Sport training and the growth and pubertal maturation of young athletes. Pediatr Endocrinol Rev 9:441–455PubMed
60.
go back to reference Arruda AF, Aoki MS, Freitas CG, Spigolon LM, Franciscon C, Moreira A (2015) Testosterone concentration and lower limb power over an entire competitive season in elite young soccer players. J Strength Cond Res 29:3380–3385CrossRefPubMed Arruda AF, Aoki MS, Freitas CG, Spigolon LM, Franciscon C, Moreira A (2015) Testosterone concentration and lower limb power over an entire competitive season in elite young soccer players. J Strength Cond Res 29:3380–3385CrossRefPubMed
61.
go back to reference Thomas L (2008) Labor und Diagnose: Indikation und Bewertung von Laborbefunden für die medizinische Diagnostik. TH-Books-Verlags-Gesellschaft. Frankfurt am Main Thomas L (2008) Labor und Diagnose: Indikation und Bewertung von Laborbefunden für die medizinische Diagnostik. TH-Books-Verlags-Gesellschaft. Frankfurt am Main
62.
go back to reference Steinacker JM, Brkic M, Simsch C, Nething K, Kresz A, Prokopchuk O, Liu Y (2005) Thyroid hormones, cytokines, physical training and metabolic control. Horm Metab Res 37:538–544CrossRefPubMed Steinacker JM, Brkic M, Simsch C, Nething K, Kresz A, Prokopchuk O, Liu Y (2005) Thyroid hormones, cytokines, physical training and metabolic control. Horm Metab Res 37:538–544CrossRefPubMed
63.
go back to reference Georgopoulos NA, Roupas ND, Theodoropoulou A, Tsekouras A, Vagenakis AG, Markou KB (2010) The influence of intensive physical training on growth and pubertal development in athletes. Ann NY Acad Sci 1086:1–6 Georgopoulos NA, Roupas ND, Theodoropoulou A, Tsekouras A, Vagenakis AG, Markou KB (2010) The influence of intensive physical training on growth and pubertal development in athletes. Ann NY Acad Sci 1086:1–6
64.
go back to reference Gruodyte R, Jürimäe J, Saar M, Jürimäe T (2010) The relationships among bone health, insulin-like growth factor-1 and sex hormones in adolescent female athletes. J Bone Miner Metab 28:306–313CrossRefPubMed Gruodyte R, Jürimäe J, Saar M, Jürimäe T (2010) The relationships among bone health, insulin-like growth factor-1 and sex hormones in adolescent female athletes. J Bone Miner Metab 28:306–313CrossRefPubMed
65.
go back to reference Carani C, Qin K, Simoni M, Faustini-Fustini M, Serpente S, Boyd J, Korach KS, Simpson ER (1997) Effect of testosterone and estradiol in a man with aromatase deficiency. N Engl J Med 337:91–95CrossRefPubMed Carani C, Qin K, Simoni M, Faustini-Fustini M, Serpente S, Boyd J, Korach KS, Simpson ER (1997) Effect of testosterone and estradiol in a man with aromatase deficiency. N Engl J Med 337:91–95CrossRefPubMed
66.
go back to reference Herrmann BL, Saller B, Janssen OE (2002) Impact of estrogen replacement therapy in a male with congenital aromatase deficiency caused by a novel mutation in the CYP19 gene. J Clin Endocrinol Metab 87:5476CrossRefPubMed Herrmann BL, Saller B, Janssen OE (2002) Impact of estrogen replacement therapy in a male with congenital aromatase deficiency caused by a novel mutation in the CYP19 gene. J Clin Endocrinol Metab 87:5476CrossRefPubMed
67.
go back to reference Maffei L, Murata Y, Rochira V (2004) Dysmetabolic syndrome in a man with a novel mutation of the aromatase gene: effects of testosterone, alendronate, and estradiol treatment. J Clin Endocr Metab 89:61–70CrossRefPubMed Maffei L, Murata Y, Rochira V (2004) Dysmetabolic syndrome in a man with a novel mutation of the aromatase gene: effects of testosterone, alendronate, and estradiol treatment. J Clin Endocr Metab 89:61–70CrossRefPubMed
68.
go back to reference Shim KS (2015) Pubertal growth and epiphyseal fusion. Ann Pediatr Endocrinol Metab 20:8–12 Shim KS (2015) Pubertal growth and epiphyseal fusion. Ann Pediatr Endocrinol Metab 20:8–12
69.
go back to reference Lanfranco F, Lucia Zirilli L, Baldi M, Pignatti E, Corneli G, Ghigo E, Aimaretti G, Carani C, Rochira V (2008) A novel mutation in the human aromatase gene: insights on the relationship among serum estradiol, longitudinal growth and bone mineral density in an adult man under estrogen replacement treatment. Bone 43:628–635CrossRefPubMed Lanfranco F, Lucia Zirilli L, Baldi M, Pignatti E, Corneli G, Ghigo E, Aimaretti G, Carani C, Rochira V (2008) A novel mutation in the human aromatase gene: insights on the relationship among serum estradiol, longitudinal growth and bone mineral density in an adult man under estrogen replacement treatment. Bone 43:628–635CrossRefPubMed
71.
go back to reference Thieme D, Büttner A (2015) Doping und Dopinganalytik. Rechtsmed 25:323–336CrossRef Thieme D, Büttner A (2015) Doping und Dopinganalytik. Rechtsmed 25:323–336CrossRef
72.
go back to reference Siegmund-Schultze N (2007) Doping im Breitensport: Anabolika per Mausklick. Dtsch Arztebl 104:1967–1968 Siegmund-Schultze N (2007) Doping im Breitensport: Anabolika per Mausklick. Dtsch Arztebl 104:1967–1968
73.
go back to reference Dowthwaite JN, Rosenbaum PF, Scerpella TA (2011) Mechanical loading during growth is associated with plane-specific differences in vertebral geometry: a cross-sectional analysis comparing artistic gymnasts vs. non-gymnasts. Bone 49:1046–1054CrossRefPubMedPubMedCentral Dowthwaite JN, Rosenbaum PF, Scerpella TA (2011) Mechanical loading during growth is associated with plane-specific differences in vertebral geometry: a cross-sectional analysis comparing artistic gymnasts vs. non-gymnasts. Bone 49:1046–1054CrossRefPubMedPubMedCentral
74.
75.
go back to reference Jackowski SA, Baxter-Jones AD, Gruodyte-Raciene R, Kontulainen SA, Erlandson MC (2015) A longitudinal study of bone area, content, density, and strength development at the radius and tibia in children 4–12 years of age exposed to recreational gymnastics. Osteoporos Int 26:1677–1690CrossRefPubMed Jackowski SA, Baxter-Jones AD, Gruodyte-Raciene R, Kontulainen SA, Erlandson MC (2015) A longitudinal study of bone area, content, density, and strength development at the radius and tibia in children 4–12 years of age exposed to recreational gymnastics. Osteoporos Int 26:1677–1690CrossRefPubMed
76.
go back to reference Burt LA, Greene DA, Ducher G, Naughton GA (2013) Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT: a systematic review and meta-analysis. J Sci Med Sport 16:231–239CrossRefPubMed Burt LA, Greene DA, Ducher G, Naughton GA (2013) Skeletal adaptations associated with pre-pubertal gymnastics participation as determined by DXA and pQCT: a systematic review and meta-analysis. J Sci Med Sport 16:231–239CrossRefPubMed
77.
go back to reference Specker B, Thiex NW, Sudhagoni RG (2015) Does exercise influence pediatric bone? A systematic review. Clin Orhop Relat Res 473:3658–3672CrossRef Specker B, Thiex NW, Sudhagoni RG (2015) Does exercise influence pediatric bone? A systematic review. Clin Orhop Relat Res 473:3658–3672CrossRef
78.
go back to reference Tveit M, Rosengren BE, Nilsson JÅ, Karlsson MK (2015) Exercise in youth: high bone mass, large bone size, and low fracture risk in old age. Scand J Med Sci Sports 25:453–461CrossRefPubMed Tveit M, Rosengren BE, Nilsson JÅ, Karlsson MK (2015) Exercise in youth: high bone mass, large bone size, and low fracture risk in old age. Scand J Med Sci Sports 25:453–461CrossRefPubMed
79.
go back to reference Yakar S, Isaksson O (2015) Regulation of skeletal growth and mineral acquisition by the GH/IGF-1 axis: lessons from mouse models. Growth Horm IGF Res 28:26–42 Yakar S, Isaksson O (2015) Regulation of skeletal growth and mineral acquisition by the GH/IGF-1 axis: lessons from mouse models. Growth Horm IGF Res 28:26–42
81.
go back to reference Caine D, Roy S, Singer KM, Broekhoff J (1992) Stress changes of the distal radial growth plate. A radiographic survey and review of the literature. Am J Sports Med 20:290–298CrossRefPubMed Caine D, Roy S, Singer KM, Broekhoff J (1992) Stress changes of the distal radial growth plate. A radiographic survey and review of the literature. Am J Sports Med 20:290–298CrossRefPubMed
82.
go back to reference Carter SR, Aldrige MJ, Fitzgerald R, Davies AM (1988) Stress changes of the wrist in adolescent gymnast. Br J Radiol 61:109–112CrossRefPubMed Carter SR, Aldrige MJ, Fitzgerald R, Davies AM (1988) Stress changes of the wrist in adolescent gymnast. Br J Radiol 61:109–112CrossRefPubMed
83.
go back to reference De Smet L, Claessens A, Lefevre J, Beunen G (1994) Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med 22:846–850CrossRefPubMed De Smet L, Claessens A, Lefevre J, Beunen G (1994) Gymnast wrist: an epidemiologic survey of ulnar variance and stress changes of the radial physis in elite female gymnasts. Am J Sports Med 22:846–850CrossRefPubMed
84.
go back to reference Laor T, Hartman AL, Jaramillo D (1997) Local physeal widening on MR imaging: an incidental finding suggesting prior metaphyseal insult. Pediatr Radiol 27:654–662CrossRefPubMed Laor T, Hartman AL, Jaramillo D (1997) Local physeal widening on MR imaging: an incidental finding suggesting prior metaphyseal insult. Pediatr Radiol 27:654–662CrossRefPubMed
85.
go back to reference Liebling MS, Berdon WE, Ruzal-Shapiro C, Levin TL, Roye D Jr, Wilkinson R (1995) Gymnast’s wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. Am J Roentgenol 165:157–159CrossRef Liebling MS, Berdon WE, Ruzal-Shapiro C, Levin TL, Roye D Jr, Wilkinson R (1995) Gymnast’s wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MR imaging. Am J Roentgenol 165:157–159CrossRef
86.
go back to reference Shih C, Chang CY, Penn IW, Tiu CM, Chang T, Wu JJ (1995) Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiol 195:855–859CrossRef Shih C, Chang CY, Penn IW, Tiu CM, Chang T, Wu JJ (1995) Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiol 195:855–859CrossRef
87.
go back to reference Kanematsu Y, Matsuura T, Kashiwaguchi S, Iwase T, Suzue N, Iwame T, Fukuta S, Hamada D, Goto T, Sairyo K (2015) Epidemiology of shoulder injuries in young baseball players and grading of radiologic findings of Little Leaguer’s shoulder. J Med Invest, doi: 10.2152/jmi.62.123 Kanematsu Y, Matsuura T, Kashiwaguchi S, Iwase T, Suzue N, Iwame T, Fukuta S, Hamada D, Goto T, Sairyo K (2015) Epidemiology of shoulder injuries in young baseball players and grading of radiologic findings of Little Leaguer’s shoulder. J Med Invest, doi: 10.​2152/​jmi.​62.​123
88.
go back to reference Hébert KJ, Laor T, Divine JG, Emery KH, Wall EJ (2008) MRI appearance of chronic stress injury of the iliac crest apophysis in adolescent athletes. AJR Am J Roentgenol 190:1487–1491CrossRefPubMed Hébert KJ, Laor T, Divine JG, Emery KH, Wall EJ (2008) MRI appearance of chronic stress injury of the iliac crest apophysis in adolescent athletes. AJR Am J Roentgenol 190:1487–1491CrossRefPubMed
89.
go back to reference Laor T, Wall EJ, Vu LP (2006) Physeal widening in the knee due to stress injury in child athletes. AJR Am J Roentgenol 186:1260–1264CrossRefPubMed Laor T, Wall EJ, Vu LP (2006) Physeal widening in the knee due to stress injury in child athletes. AJR Am J Roentgenol 186:1260–1264CrossRefPubMed
91.
go back to reference Johansson FR, Skillgate E, Adolfsson A, Jenner G, De Bri E, Swärd L, Cools AM (2016) Asymptomatic elite young tennis players show lateral and ventral growth plate alterations of proximal humerus on MRI. Knee Surg Sports Traumatol Arthrosc, doi: 10.1007/s00167-016-4024-2 Johansson FR, Skillgate E, Adolfsson A, Jenner G, De Bri E, Swärd L, Cools AM (2016) Asymptomatic elite young tennis players show lateral and ventral growth plate alterations of proximal humerus on MRI. Knee Surg Sports Traumatol Arthrosc, doi: 10.​1007/​s00167-016-4024-2
92.
go back to reference Fleischer-Peters A (1976) Handskelettanalyse und ihre klinische Bedeutung. Fortschr Kieferorthop 37:375–385CrossRef Fleischer-Peters A (1976) Handskelettanalyse und ihre klinische Bedeutung. Fortschr Kieferorthop 37:375–385CrossRef
93.
go back to reference Guo Y, Olze A, Ottow C, Schmidt S, Schulz R, Heindel W, Pfeiffer H, Vieth V, Schmeling A (2015) Dental age estimation in living individuals using 3.0 T MRI of lower third molars. Int J Legal Med 129:1265–1270CrossRefPubMed Guo Y, Olze A, Ottow C, Schmidt S, Schulz R, Heindel W, Pfeiffer H, Vieth V, Schmeling A (2015) Dental age estimation in living individuals using 3.0 T MRI of lower third molars. Int J Legal Med 129:1265–1270CrossRefPubMed
94.
go back to reference Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45:211–227PubMed Demirjian A, Goldstein H, Tanner JM (1973) A new system of dental age assessment. Hum Biol 45:211–227PubMed
95.
go back to reference Olze A, Bilang D, Schmidt S et al (2005) Validation of common classification systems for assessing the mineralization of third molars. Int J Legal Med 119:22–26CrossRefPubMed Olze A, Bilang D, Schmidt S et al (2005) Validation of common classification systems for assessing the mineralization of third molars. Int J Legal Med 119:22–26CrossRefPubMed
96.
go back to reference Tritrakarn A, Tansuphasiri V (1991) Roentgenographic assessment of skeletal ages of Asian junior youth football players. J Med Assoc Thail 74:459–465 Tritrakarn A, Tansuphasiri V (1991) Roentgenographic assessment of skeletal ages of Asian junior youth football players. J Med Assoc Thail 74:459–465
Metadata
Title
Age estimation in competitive sports
Authors
Maximilian Timme
Jürgen Michael Steinacker
Andreas Schmeling
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Legal Medicine / Issue 1/2017
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-016-1456-7

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