Abstract
Background: The estimatation of the age of persons who are assumed to be older than 18 years, it is particularly important to evaluate the progress of ossification of the epiphysis at medial end of clavicle, because all other developmental systems under examination have completed their growth by this time. The present study has been undertaken to study roentgen graphically the epiphyseal appearance and fusion of medial end of clavicle in subjects between age group of 20 to 25 years.
Material & Methods: A community based cross sectional study done on randomly selected subjects of both sexes having age between 20 to 25 years of age amongst the visiting to MLC –OPD in Mahatma Gandhi Hospital /Mathuradas Mathur Hospital Jodhpur who will fulfill the selection criteria, after proper history taken in relation to age estimation, availability of certificate indicating the age of birth or any such relevant document and physical examination.
Results: In present study, majority of cases show complete union at 22 years for both males and females. There is no variation in mean ages when sex comparison were made for the age of complete fusion.
Conclusion: We concluded from the present study that the complete epiphyseal union at medial end of clavicle in population of Jodhpur region occurred at the age of 22 years, in both males and females.
Keywords: Medial end of clavicle, Fusion, Epiphysis, Estimation of age.
References
- Kreitner KF, Schweden FJ, Riepert T, Nafe B, Thelen M. Bone age determination based on the study of the medial extremity of the Eur Radiol. 1998; 8(7):1116-22.
- Chhokar V, Aggarwal SN, Bhardwaj DN. Estimation of age of 16 years in females by Radiological and dental examination: Journal Forensic Medicine and Toxicology. 1992 Jan- Jun; 9 (1&2):25-30.
- McKern T, Stewart T. Skeletal age changes in young American males. Analysed from the standpoint of age identification. Natick, MA: Quartermaster Research and Development Center, Environmental Protection Research Division. 1957; p 89-97.
- Parikh Parikh's Textbook of Medical Jurisprudence and Toxicology, 5th ed. India: C.B.S; 1990. Personal identity; p.39-50
- Modi JN. Modi's Medical Jurisprudence and Toxicology, 22ndIndia; Butterworths ed; 1988. Personal identity; p. 35-42.
- Schmeling A, Schulz R, Reisinger W, MUhler M. Studies on the time frame for ossification of the medial clavicular epyphyseal cartilage in conventional radiography. Int J Legal Med. 2004; 118(1):5-8.
- Bhise SS, Chavan GS, Chikhalkar BG, Nanandkar Age Determination from Clavicle: A Radiological Study in Mumbai Region. J Indian Acad Forensic Med. 2012; 34(1):7-9.
- Brown AA, Derkyi-Kwarteng L, Amonoo-Kuofi HS. Study on the time frame for ossification of the medial clavicular epiphyseal cartilage by Xray in Ghanian students. Int J Morphol. 2013; 31(2):491-496.
- Singh P, Gorea RK, Oberoi SS, Kapila AK. Age Estimation from Medial End of Clavicle by x-ray examination. J Indian Acad Forensic 2010;32(1):28-30.
- Stevenson P. Age order of epiphyseal union in man. Am J 1924; 7:53-93
- Badgujar KP. Medicolegal age estimation in resident of Jaipur in the age group of 14 to 22 years by study of ossification in the medial end of clavicle, knee joint and pelvis bone [Thesis] Jaipur (India): Rajasthan University of Health Sciences, Jaipur; 2006.
- Davies DA Parson FH. Journal of Anatoriiy. 1927; 62:58.
- Skeletal age: Earlier years, Skeletal age: Later years I. Suture closure and Skeletal age: Later years II. The Pelvis; The Human skeletal in Forensic Medicine. Charles C Thomas [ed]. 1962; p.18-71, 76-89, 92-111.
- Recent improvements in estimating stature, sex, age and race from skeletal remains: The Modern trends in Forensic Medicine-3. London: Butterworth and Co. (Publishers) Ltd. [ed.]; 1973; p. 204-211.
- Singh I. Bones of Lower limb and The Skull, Human Osteology. India: Jay Pee Brothers Medical Publisher [P.] Ltd [ed]; 1990; p.53-54,164-
- Flecker H. J Anat Lond. 1932; 67:118.
- Galstaun G. Ind Jour Med Res. 1937; 25:267.
- Chaurasia: Upper Limb and Thorax; Human Anatomy Volume one, 2nd India: C.B.S. Publisher and Distributors; 1991.
- Vij K. Text book of Forensic Medicine: Principle and Practice. B.I. Churchil Livingston, [ed.]; 2001. Identification; p.74-82.
Corresponding Author
Dr Lokendar Pal Singh
Senior Demonstrator, Department of Forensic Medicine
Bharatpur Medical College, Bharatpur, Rajasthan
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.47
