| 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. | |
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MedLine Citation:
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PMID: 20354711 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Thin-slice computed tomography provides the imaging modality of choice in analysing the ossification process of the medial clavicular epiphysis for the purpose of forensic age diagnostics in the living in the course of criminal proceedings. The classification of the ossification stages by Schmeling et al. compass the emergence of an epiphyseal ossification centre (stage 2), the partial fusion of the epiphysis with the metaphysis (stage 3), the complete fusion of these osseous elements including a visible epiphyseal scar (stage 4), and the complete fusion without a visible epiphyseal scar (stage 5). In the present study, each of the ossification stages 2 and 3 was divided into an early, intermediate and late phase. The authors evaluated the thin-slice CT scans of 185 patients aged between 13 and 26 years. In all these cases, a stage 2 or 3 had been determined in a previous study. The late stage 3, which is characterized by a fusion between metaphysis and epiphysis completing more than two thirds of the former epiphyseal gap, first appeared at age 19 in both sexes. If a late stage 3 is found, it is therefore possible to substantiate that an individual has already reached the legally important age threshold of 18 years. |
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Authors:
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Manuel Kellinghaus; Ronald Schulz; Volker Vieth; Sven Schmidt; Heidi Pfeiffer; Andreas Schmeling |
Publication Detail:
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Type: Journal Article Date: 2010-03-31 |
Journal Detail:
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Title: International journal of legal medicine Volume: 124 ISSN: 1437-1596 ISO Abbreviation: Int. J. Legal Med. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-18 Completed Date: 2010-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9101456 Medline TA: Int J Legal Med Country: Germany |
Other Details:
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Languages: eng Pagination: 321-5 Citation Subset: IM |
Affiliation:
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Institut für Rechtsmedizin, Röntgenstrasse 23, 48149 Münster, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Determination by Skeleton / methods* Clavicle / growth & development*, radiography* Epiphyses / radiography Female Forensic Anthropology Humans Male Osteogenesis* Tomography, X-Ray Computed / methods* Young Adult |
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