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Evaluation of the ossification of the medial clavicular epiphysis with a digital ultrasonic system to determine the age threshold of 21 years

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Abstract

In this study, both medial clavicular epiphyses of 77 men were evaluated by two researchers with a digital ultrasound system. The degree of ossification was classified in four stages according to Schulz et al. (Int J Legal Med 122:55–58, 17). Of the test persons over 21 years of age, stage 4 was found bilaterally in 25 (60%), while for five (12%) stage 4 was found on only one side; 12 (28%) further subjects did not show stage 4 on either side, although nine were exactly 21 years old. For the subjects under 21 years of age, stage 4 was found bilaterally in three cases (8.5%), and in three additional cases stage 4 was found on one side. Particularly, the three cases in which stage 4 was diagnosed bilaterally before completion of the 21st year of age limit the value of the used examinatory technique. For these cases it would be interesting to know if parts of the epiphyseal plate that might have been obstructed from the view of the ultrasound transducer would have been visible with CT.

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References

  1. Alt J (2004) Leben in der Schattenwelt-Problemkomplex illegale Migration. Von Loeper, Karlsruhe, Germany

    Google Scholar 

  2. Bundeskriminalamt der Bundesrepublik Deutschland (2008) Alters- und Geschlechtsstruktur der Tatverdächtigen. In: Polizeiliche Kriminalstatistik 2007. http://www.bka.de/pks/pks2007/index2.html, p 72

  3. Geserick G, Schmeling A (2000) Übersicht zum gegenwärtigen Stand der Altersschätzung Lebender im deutschsprachigen Raum. In: Oehmschen M, Geserick G (eds) Osteologische Identifikation (Rechtsmedizinische Forschungsergebnisse). Schmidt-Römhild, Lübeck, pp 255–261

    Google Scholar 

  4. Jung H (2000) Strahlenrisiken durch Röntgenuntersuchungen zur Altersschätzung im Strafverfahren. Fortschr Röntgenstr 172:553–556

    Article  CAS  Google Scholar 

  5. Kreitner KF, Schweden FJ, Riepert T, Nafe B, Thelen M (1998) Bone age determination based on the study of the medial extremity of the clavicle. Eur Radiol 8:1116–1122

    Article  PubMed  CAS  Google Scholar 

  6. 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 121:463–468

    Article  PubMed  Google Scholar 

  7. Muhler M, Schulz R, Schmidt S, Schmeling A, Reisinger W (2006) The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics. Int J Legal Med 120:15–17

    Article  PubMed  Google Scholar 

  8. Ramsthaler F, Proschek P, Betz M, Verhoff MA (2009) How reliable are the risk estimates for X-ray examinations in forensic age estimations? A safety update. Int J Legal Med. Doi:10.1007/s00414-009-0322-2

  9. Schmeling A, Grundmann C, Fuhrmann A et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122:457–460

    Article  PubMed  CAS  Google Scholar 

  10. Schmeling A, Kaatsch H-J, Marré B et al (2001) Empfehlungen für die Altersdiagnostik bei Lebenden im Strafverfahren. Rechtsmedizin 11:1–3

    Article  Google Scholar 

  11. Schmeling A, Reisinger W, Wormanns D, Geserick G (2000) Strahlenexposition bei Röntgenuntersuchungen zur forensischen Altersschätzung Lebender. Rechtsmedizin 10:135–137

    Article  Google Scholar 

  12. Schmeling A, Schulz R, Reisinger W, Mühler M, Wernecke K-D, Geserick G (2004) Studies on the time frame for ossification of medial clavicular epiphyseal cartilage in conventional radiography. Int J Legal Med 118:5–8

    Article  PubMed  Google Scholar 

  13. 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 122:51–54

    Article  PubMed  CAS  Google Scholar 

  14. 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 121:293–296

    Article  PubMed  Google Scholar 

  15. Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324

    Article  PubMed  Google Scholar 

  16. Schulz R, Mühler M, Mutze S, Schmidt S, Reisinger W, Schmeling A (2005) Studies on the time frame for ossification of the medial epiphyis of the clavicle as revealed by CT scans. Int J Legal Med 119:142–145

    Article  PubMed  Google Scholar 

  17. Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58

    Article  PubMed  Google Scholar 

  18. Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank the orthopedic specialist, Dr. med. Wolfgang Pörschke (Gießen, Germany), for the use of an examination room in his practice, for selecting suitable test persons, and for functioning as the experiment supervisor. We would also like to thank Raimund Flüder from Sonowied (Marl, Germany) for making the sonography system available to us for the experiment and for extensively instructing the examiners in the use of the apparatus.

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Authors and Affiliations

  1. Department of Legal Medicine, University of Gießen, Frankfurter Straße 58, 35392, Gießen, Germany

    Fabian Quirmbach & Marcel A. Verhoff

  2. Department of Legal Medicine, University of Frankfurt /Main, Kennedyallee 104, 60596, Frankfurt/Main, Germany

    Frank Ramsthaler

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  1. Fabian Quirmbach
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  2. Frank Ramsthaler
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  3. Marcel A. Verhoff
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Correspondence to Marcel A. Verhoff.

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Quirmbach, F., Ramsthaler, F. & Verhoff, M.A. 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 123, 241–245 (2009). https://doi.org/10.1007/s00414-009-0335-x

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  • DOI: https://doi.org/10.1007/s00414-009-0335-x

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