BONE AGE ASSESSMENT FROM RADIOLOGICAL EVALUATION OF MEDIAL END OF CLAVICLE: A CROSS SECTIONAL STUDY FROM CENTRAL INDIA (CHHATTISGARH)
Keywords:
bone age assessment, epiphyseal union, medial end of clavicleAbstract
Bone age assessment is a method for evaluating the level of skeletal maturity to estimate the actual age of a person. The aim of our study was to evaluate the relationship between the chronological age and degree of epiphyseal fusion of medial end of clavicle in population of Chhattisgarh (Central India) and to compare our results with the results of similar studies. The study was carried out in 100 healthy subjects (40 girls & 60 boys) aging from 16 to 25 years. The obtained results from the radiographs revealed that the complete fusion of epiphysis of medial end of clavicle is seen at 21-25 years. Females were consistently developing epiphyseal union at a younger age than their male counterparts. Results also suggest that the age of epiphyseal union is found to vary greatly indicating the need for separate standards of age of epiphyseal union for separate regions.
Downloads
References
Franklin D. Forensic age estimation in human skeletal remains: current concepts and future directions. Legal Medicine 2010; 12(1): 1-7.
Paewinsky E, Pfeiffer H. Et al. Quantification of secondary dentine formation from orthopantomograms - a contribution to forensic age estimation methods in adults. International journal of legal medicine 2005; 119(1): 27-30.
Whitley A, Sloane C. Clark’s positioning in radiography. 12th edition 2005: 95-98.
Jit I, Kulkarni M. Time of appearance and fusion of epiphysis at medical end of clavicle. Indian J Med Res.1976 May: 64(5):773-82.
Stevenson P. Age order of epiphyseal union in man. American journal of physical anthropology. 1924; 7(1): 53-93.
Flecker H. Roentgenographic observations of the times of appearance of epiphyses and their fusion with the diaphyses, J. Anat. 1932; 67(1): 118–164.
Galstaun G. A study of ossification as observed in Indian subject. Indian journal of Medical Research1937; 25(1):267-324.
Krogman W, Iscan M. The human skeleton in Forensic Medicine, Charles C. Thomas Publisher, Illinois, USA. II Edition, 1986.
Stewart. Recent improvements in estimating stature, sex, age and race from skeletal remains; The Modern Trends in Forensic Medicine. Butterworth and Company (Publishers) limited.
Chaurasia B. Human Anatomy: vol. one: Upper limb and thorax. C. B. S. Publisher & Distributors, 7th edition: 2016.
Subrahmanyam B. Parikh’s Textbook of Medical Jurisprudence and Toxicology. C. B. S. Publisher & Distributors, 7th edition: 2016.
Sudha S. Inderbir Singh’s Textbook Of Anatomy. Jaypee Publishers, 6th edition: 2016.
Vij K. Textbook of Forensic Medicine & Toxicology: Principles & Practice; Elsevier India, 6th edition: 2014.
Singh P, Gorea R et al. Age estimation from medial end of clavicle by X-ray examination, J Indian Acad Forensic Med. 2010; 32(1): 28-30.
Bhise S, Chavan G et al. Age Determination from Clavicle: A Radiological Study in Mumbai Region J Indian Acad Forensic Med. 2012; 34(1): 7-9.

