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Published in: Forensic Science, Medicine and Pathology 2/2011

01-06-2011 | Original Article

Age estimation and the medial clavicular epiphysis: analysis of the age of majority in an Australian population using computed tomography

Authors: Richard B. Bassed, Olaf H. Drummer, Christopher Briggs, Aurora Valenzuela

Published in: Forensic Science, Medicine and Pathology | Issue 2/2011

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Abstract

This study was designed in order to assess the suitability of clavicular development in discriminating whether or not an individual has reached the age of 18 years. The development of the medial clavicular epiphysis was examined in an Australian population using computed tomography as the imaging modality. The sample consisted of individuals who were admitted to the Victorian Institute of Forensic Medicine, Melbourne, Australia, for the purposes of medico-legal death investigation. Comparisons were made with similar studies conducted on different populations in other countries, which revealed that the Australian population reaches maturity earlier, and the level of left/right asymmetry is higher than in other studies. The high degree of variation in fusion times is discussed, and the consequent effect upon the ability to use this epiphysis as a tool for determining if an individual has reached the age of 18 years is analysed. If an individual in this population has completely fused clavicles at stage 5, then for males they will be at least 18 years of age, with a 99% certainty of being at least 21, and for females they will be at least 20 years old. If at stage three then an individual of either sex will be at least 17 years of age.
Literature
1.
go back to reference Cunha E, Baccino E, Martrille L, et al. The problem of aging human remains and living individuals: a review. Forensic Sci Int. 2009;193(1–3):1–13.PubMedCrossRef Cunha E, Baccino E, Martrille L, et al. The problem of aging human remains and living individuals: a review. Forensic Sci Int. 2009;193(1–3):1–13.PubMedCrossRef
2.
go back to reference Garamendi PM, Landa MI, Ballesteros J, Solano MA. Reliability of the methods applied to assess age minority in living subjects around 18 years old. A survey on a Moroccan origin population. Forensic Sci Int. 2005;154(1):3–12.PubMedCrossRef Garamendi PM, Landa MI, Ballesteros J, Solano MA. Reliability of the methods applied to assess age minority in living subjects around 18 years old. A survey on a Moroccan origin population. Forensic Sci Int. 2005;154(1):3–12.PubMedCrossRef
3.
go back to reference Schmeling A, Reisinger W, Geserick G, Olze A. Age estimation of unaccompanied minors. Part I. general considerations. Forensic Sci Int. 2006;159(Suppl 1):S61–4.PubMedCrossRef Schmeling A, Reisinger W, Geserick G, Olze A. Age estimation of unaccompanied minors. Part I. general considerations. Forensic Sci Int. 2006;159(Suppl 1):S61–4.PubMedCrossRef
4.
go back to reference Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211–27.PubMed Demirjian A, Goldstein H, Tanner JM. A new system of dental age assessment. Hum Biol. 1973;45(2):211–27.PubMed
5.
go back to reference Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. California: Stanford University Press; 1959. Greulich WW, Pyle SI. Radiographic atlas of skeletal development of the hand and wrist. 2nd ed. California: Stanford University Press; 1959.
6.
go back to reference Franklin D. Forensic age estimation in human skeletal remains: current concepts and future directions. Leg Med (Tokyo). 2010;12(1):1–7. Franklin D. Forensic age estimation in human skeletal remains: current concepts and future directions. Leg Med (Tokyo). 2010;12(1):1–7.
7.
go back to reference Olze A, Schmeling A, Taniguchi M, et al. Forensic age estimation in living subjects: the ethnic factor in wisdom tooth mineralization. Int J Legal Med. 2004;118(3):170–3.PubMedCrossRef Olze A, Schmeling A, Taniguchi M, et al. Forensic age estimation in living subjects: the ethnic factor in wisdom tooth mineralization. Int J Legal Med. 2004;118(3):170–3.PubMedCrossRef
8.
go back to reference Schmeling A, Reisinger W, Loreck D, Vendura K, Markus W, Geserick G. Effects of ethnicity on skeletal maturation: consequences for forensic age estimations. Int J Legal Med. 2000;113(5):253–8.PubMedCrossRef Schmeling A, Reisinger W, Loreck D, Vendura K, Markus W, Geserick G. Effects of ethnicity on skeletal maturation: consequences for forensic age estimations. Int J Legal Med. 2000;113(5):253–8.PubMedCrossRef
9.
go back to reference Schmeling A, Schulz R, Danner B, Rosing FW. The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med. 2006;120(2):121–6.PubMedCrossRef Schmeling A, Schulz R, Danner B, Rosing FW. The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med. 2006;120(2):121–6.PubMedCrossRef
10.
go back to reference Meijerman L, Maat GJ, Schulz R, Schmeling A. Variables affecting the probability of complete fusion of the medial clavicular epiphysis. Int J Legal Med. 2007;121(6):463–8.PubMedCrossRef Meijerman L, Maat GJ, Schulz R, Schmeling A. Variables affecting the probability of complete fusion of the medial clavicular epiphysis. Int J Legal Med. 2007;121(6):463–8.PubMedCrossRef
11.
go back to reference Schmeling A, Olze A, Reisinger W, Geserick G. Forensic age estimation and ethnicity. Leg Med (Tokyo). 2005;7(2):134–7. Schmeling A, Olze A, Reisinger W, Geserick G. Forensic age estimation and ethnicity. Leg Med (Tokyo). 2005;7(2):134–7.
12.
go back to reference Todd TW, D’Errico J. The clavicular epiphyses. Am J Anat. 1928;41:25–50.CrossRef Todd TW, D’Errico J. The clavicular epiphyses. Am J Anat. 1928;41:25–50.CrossRef
13.
go back to reference Stevenson PH. Age order of epiphyseal union in man. Am J Phys Anthropol. 1924;7:53–93.CrossRef Stevenson PH. Age order of epiphyseal union in man. Am J Phys Anthropol. 1924;7:53–93.CrossRef
14.
go back to reference Webb PA, Suchey JM. Epiphyseal union of the anterior iliac crest and medial clavicle in a modern multiracial sample of American males and females. Am J Phys Anthropol. 1985;68(4):457–66.PubMedCrossRef Webb PA, Suchey JM. Epiphyseal union of the anterior iliac crest and medial clavicle in a modern multiracial sample of American males and females. Am J Phys Anthropol. 1985;68(4):457–66.PubMedCrossRef
15.
go back to reference Black S, Scheuer L. Age changes in the clavicle: from the early neonatel period to skeletal maturity. Int J Osteoarchaeol. 1996;6:425–34.CrossRef Black S, Scheuer L. Age changes in the clavicle: from the early neonatel period to skeletal maturity. Int J Osteoarchaeol. 1996;6:425–34.CrossRef
16.
go back to reference Ji L, Terazawa K, Tsukamoto T, Haga K. Estimation of age from epiphyseal union degrees of the sternal end of the clavicle. Hokkaido Igaku Zasshi. 1994;69(1):104–11.PubMed Ji L, Terazawa K, Tsukamoto T, Haga K. Estimation of age from epiphyseal union degrees of the sternal end of the clavicle. Hokkaido Igaku Zasshi. 1994;69(1):104–11.PubMed
17.
go back to reference Schmeling A, Schulz R, Reisinger W, Muhler M, Wernecke KD, Geserick G. Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med. 2004;118(1):5–8.PubMedCrossRef Schmeling A, Schulz R, Reisinger W, Muhler M, Wernecke KD, Geserick G. Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med. 2004;118(1):5–8.PubMedCrossRef
18.
go back to reference Jit I, Kulkarni M. Times of appearance and fusion of epiphysis at the medial end of the clavicle. Indian J Med Res. 1976;64(5):773–82.PubMed Jit I, Kulkarni M. Times of appearance and fusion of epiphysis at the medial end of the clavicle. Indian J Med Res. 1976;64(5):773–82.PubMed
19.
go back to reference Kreitner KF, Schweden FJ, Riepert T, Nafe B, Thelen M. Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol. 1998;8(7):1116–22.PubMedCrossRef Kreitner KF, Schweden FJ, Riepert T, Nafe B, Thelen M. Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol. 1998;8(7):1116–22.PubMedCrossRef
20.
go back to reference Schulze D, Rother U, Fuhrmann A, Richel S, Faulmann G, Heiland M. Correlation of age and ossification of the medial clavicular epiphysis using computed tomography. Forensic Sci Int. 2006;158(2–3):184–9.PubMedCrossRef Schulze D, Rother U, Fuhrmann A, Richel S, Faulmann G, Heiland M. Correlation of age and ossification of the medial clavicular epiphysis using computed tomography. Forensic Sci Int. 2006;158(2–3):184–9.PubMedCrossRef
21.
go back to reference Schulz R, Muhler M, Mutze S, Schmidt S, Reisinger W, Schmeling A. Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by ct scans. Int J Legal Med. 2005;119(3):142–5.PubMedCrossRef Schulz R, Muhler M, Mutze S, Schmidt S, Reisinger W, Schmeling A. Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by ct scans. Int J Legal Med. 2005;119(3):142–5.PubMedCrossRef
22.
go back to reference Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A. 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. 2010;124(2):149–54.PubMedCrossRef Kellinghaus M, Schulz R, Vieth V, Schmidt S, Schmeling A. 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. 2010;124(2):149–54.PubMedCrossRef
23.
go back to reference Muhler M, Schulz R, Schmidt S, Schmeling A, Reisinger W. The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics. Int J Legal Med. 2006;120(1):15–7.PubMedCrossRef Muhler M, Schulz R, Schmidt S, Schmeling A, Reisinger W. The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics. Int J Legal Med. 2006;120(1):15–7.PubMedCrossRef
24.
go back to reference Schmidt S, Muhler M, Schmeling A, Reisinger W, Schulz R. Magnetic resonance imaging of the clavicular ossification. Int J Legal Med. 2007;121(4):321–4.PubMedCrossRef Schmidt S, Muhler M, Schmeling A, Reisinger W, Schulz R. Magnetic resonance imaging of the clavicular ossification. Int J Legal Med. 2007;121(4):321–4.PubMedCrossRef
25.
go back to reference Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A. Ultrasound studies on the time course of clavicular ossification. Int J Legal Med. 2008;122(2):163–7.PubMedCrossRef Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A. Ultrasound studies on the time course of clavicular ossification. Int J Legal Med. 2008;122(2):163–7.PubMedCrossRef
26.
go back to reference Quirmbach F, Ramsthaler F, Verhoff MA. Evaluation of the ossification of the medial clavicular epiphysis with a digital ultrasonic system to determine the age threshold of 21 years. Int J Legal Med. 2009;123(3):241–5.PubMedCrossRef Quirmbach F, Ramsthaler F, Verhoff MA. Evaluation of the ossification of the medial clavicular epiphysis with a digital ultrasonic system to determine the age threshold of 21 years. Int J Legal Med. 2009;123(3):241–5.PubMedCrossRef
28.
go back to reference Bassed RB, Briggs C, Drummer OH. Analysis of time of closure of the spheno-occipital synchondrosis using computed tomography. Forensic Sci Int. 2010;200:1–3.CrossRef Bassed RB, Briggs C, Drummer OH. Analysis of time of closure of the spheno-occipital synchondrosis using computed tomography. Forensic Sci Int. 2010;200:1–3.CrossRef
29.
go back to reference Bassed R, Briggs C, Drummer OH. Age estimation and the developing third molar tooth: An analysis of an australian population using computed tomography. J Forensic Sci. 2010, (in press). Bassed R, Briggs C, Drummer OH. Age estimation and the developing third molar tooth: An analysis of an australian population using computed tomography. J Forensic Sci. 2010, (in press).
30.
go back to reference Fleiss JL. Statistical methods for rates and proportions. 2nd ed. New York: Wiley; 1981. Fleiss JL. Statistical methods for rates and proportions. 2nd ed. New York: Wiley; 1981.
31.
go back to reference Smith BH. Standards of human tooth formation and dental age assessment. In: Kelley MA, Larson CS, editors. Advances in dental anthropology. New York: Wiley-Liss, Inc; 1991. pp. 143–68. Smith BH. Standards of human tooth formation and dental age assessment. In: Kelley MA, Larson CS, editors. Advances in dental anthropology. New York: Wiley-Liss, Inc; 1991. pp. 143–68.
32.
go back to reference Martin-de las Heras S, Garcia-Fortea P, Ortega A, Zodocovich S, Valenzuela A. Third molar development according to chronological age in populations from Spanish and Magrebian origin. Forensic Sci Int. 2008;174(1):47–53.PubMedCrossRef Martin-de las Heras S, Garcia-Fortea P, Ortega A, Zodocovich S, Valenzuela A. Third molar development according to chronological age in populations from Spanish and Magrebian origin. Forensic Sci Int. 2008;174(1):47–53.PubMedCrossRef
33.
go back to reference Price C. Australian population: ethnic origin. People Place. 1999;7(4):12–6. Price C. Australian population: ethnic origin. People Place. 1999;7(4):12–6.
34.
go back to reference Khoo SE. Intermarriage in Australia: patterns by ancestry, gender and generation. People Place. 2004;12(2):34–44. Khoo SE. Intermarriage in Australia: patterns by ancestry, gender and generation. People Place. 2004;12(2):34–44.
35.
go back to reference Knell B, Ruhstaller P, Prieels F, Schmeling A. Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Legal Med. 2009;123(6):465–9.PubMedCrossRef Knell B, Ruhstaller P, Prieels F, Schmeling A. Dental age diagnostics by means of radiographical evaluation of the growth stages of lower wisdom teeth. Int J Legal Med. 2009;123(6):465–9.PubMedCrossRef
Metadata
Title
Age estimation and the medial clavicular epiphysis: analysis of the age of majority in an Australian population using computed tomography
Authors
Richard B. Bassed
Olaf H. Drummer
Christopher Briggs
Aurora Valenzuela
Publication date
01-06-2011
Publisher
Springer US
Published in
Forensic Science, Medicine and Pathology / Issue 2/2011
Print ISSN: 1547-769X
Electronic ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-010-9200-y

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