Examination of the Epiphyseal Union in Age Assessment
DOI:
https://doi.org/10.17986/blm.2005103592Keywords:
age determination, epiphysis, hand-wrist, pelvis, shoulderAbstract
Age assessment has an important place in Forensic Medicine. Estimation of the accurate age is required in some legal processes as demographic records are not properly performed in Turkey. Age determination by researching the epiphyseal union of some specific joints in the specific age groups is the commonly used method. Most commonly used methods are Greulich-Pyle and Tanner-Whitehouse methods for this purpose Greulich- Pyle method is preferred in our country usually because of easy applicability. According to some recent studies, the rate of growth and development is quicker and so the maturation occurs earlier. In our study, 570 x-rays of different ages are evaluated to test the correlation of recent methods. We found that the epiphyseal union started at the age of 16, in hand-wrist, shoulder and pelvis. At the age of 17, the epiphyseal union was completed in 100% of the hand-wrist x-ray and 81.8% of the shoulder and pelvis roentgenograms. As a result, bone age is advanced in comparison with the chronological age by using recent methods. Standard data for domestic population must be collected by means of the x-rays of healthy people having regular demographic records and new standards should be established to prevent misinterpretation of the cases.
Key words: Age determination, epiphysis, hand-wrist, pelvis, shoulder.
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Korkut M. Canlılarda Yaş Tayininde Karşılaşılan Güçlükler veAdli Tıp’taki Önemi. Uzmanlık Tezi, T. C. Adalet Bakanlığı Adli Tıp Kurumu Başkanlığı, İstanbul, 1996.
Çöloğlu A S, İşcan M Y. Adli Osteoloji. İ .Ü Adli Tıp Enstitüsü Yayınları. 1990.
Malkoç I, Güler M. Ceza ve Yargılamada Temel Yasalar. 2. Baskı, İstanbul: Seçkin Yayıncılık, 1994.
Üzel M. Türk Popülasyonunda Puberte Dönemi Kemik Gelişimi ve Yaş Tayini Üzerine Anatomik ve Radyolojik Bir Araştırma. İstanbul Üniversitesi Sağlık Bilimleri Enstitüsü Anatomi Anabilim Dalı, İstanbul, 2002.
Üzel M. Kemik Yaşı Belirlenmesi, Sostoekonomik Faktörler ve Beslenme İlişkilerinin İncelenmesi. Uzmanlık Tezi, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Anatomi Anabilim Dalı, İstanbul, 2002.
Neyzi O, Ertuğrul T. Pediatri. 2. Baskı, İstanbul: Nobel Tıp Kitabevi, 1993.
Kaplan S A, Özer G. Pediatrik Endokrinoloji. 1. Baskı, Adana: Çukurova Üniversitesi Tıp Fakültesi Yayınları, 1982.
Gök Ş, Erölçer N, Özen C. Adli Tıpda Yaş Tayini. Adli Tıp Kurumu Yayınları 1985.
Öztürk C. Erzurum’da (2000 Metre Rakımda) Yaşayan Kız ve Erkek Çocukların El ve El Bileğinin İskeletal Maturasyonu. Atatürk Üniversitesi Tıp Fakültesi Anatomi Anabilim Dalı, Erzurum, 2002.
Greulich W W, Pyle S I. Radiographie Atlas of Skeletal Development of the Hand and Wrist. 2nd Ed, California: Stanford University Press, 1959. DOI: https://doi.org/10.1097/00000441-195909000-00030
Cao F, Huang H K, Pietka E, Gilsanz V. Digital hand atlas and web-based bone age assesment: system design and implementation. Computerized Medical Imaging and Graphics 2000; 24:297-307. DOI: https://doi.org/10.1016/S0895-6111(00)00026-4
Tanner J M, Gibbons R D, Bock D R. An image analysis system for TW skeletal maturity. Hormon Research 1992; 37:11.
Drayer N M, Cox L A. Assessment of bone ages by the tanner-whitehouse method using a computer-aided system. Acta Paediatrica 1994; 406:77-80.
Hill K, Pynsent P B. A fully automated bone-aging system. Acta Paediatrica 1994; 406:81-83. DOI: https://doi.org/10.1111/j.1651-2227.1994.tb13430.x
Ritz-Timme S, Cattaneo C, Collins M J, Waite E R, Schütz H W, Kaatsch H J, Borrman HIM. Age estimation: the state of the art in relation to the specific demands of forensic practice. International Journal of Forensic Medicine 2000; 113:129-136.
Benso L, Vannelli S, Pastorin L, Benso A, Milani S. Variation of bone age progression in healthy children. Acta Paediatrica 1997; 423:109-112. DOI: https://doi.org/10.1111/j.1651-2227.1997.tb18387.x
Tanner J M, Healy M J R, Goldstein H, Cameron N. Assessement of Skeletal Maturity. 3rd Ed, Philadelphia: W. B. Saunders Company, 2001.
Koç A, Karaoğlanoğlu M, Erdoğan M, Kösecik M, Cesur Y. Assessement of bone ages: Is the Greulich- Pyle methods sufficient for turkish boys? Pediatrics International 2001; 43:662-665. DOI: https://doi.org/10.1046/j.1442-200X.2001.01470.x
Yüzügüllü S, Ziyla S Z, Akşit M A. Bölgemizde 2- 24 ay arasındaki sağlıklı çocukların sol el-el bileği grafilerinde kemiklerin olgunlaşma derecelerinin Greulich-Pyle iskelet gelişme atlasına göre uyumluluğunun karşılaştırılması. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 2004; 2:75-79.
Cox L A. Tanner-Whitehouse method of assessing skeletal maturity: problems and common errors. Hormon Research 1996; 45:53-55. DOI: https://doi.org/10.1159/000184848
Mora S, Boechat M I, Pietka E, Huang H K, Gilsanz V. Skeletal age determinations in children of european and african descent: Applicability of the greulich and pyle standards. Pediatric Research 2001; 50(5):624-628. DOI: https://doi.org/10.1203/00006450-200111000-00015
Bull R K, Edwards P D, Kemp P M, Fry S, Hughes I A. Bone age assessment: a large scale comparison of the Greulich-Pyle, and tanner and whitehouse (TW2) methods. Archives of Disease in Childhood 1999; 81:172-173. DOI: https://doi.org/10.1136/adc.81.2.172
Carpenter C T, Lester E L. Skeletal age determination in young children: analysis of three regions of the hand/wrist film. Journal of Pediatric Orthopaedics 1993; 13:76-79. DOI: https://doi.org/10.1097/01241398-199301000-00015
Banerjee K K, Agarwal B B L. Estimation of age from epiphyseal union at the wrist and ankle joints in the Capital City of India. Forensic Science International 1998; 98:31-39. DOI: https://doi.org/10.1016/S0379-0738(98)00134-0
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