Ultrasonographic assessment of ossification of the distal radial epiphysis for estimating forensic age
Open Access
- 20 February 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in International journal of legal medicine
- Vol. 135 (4), 1573-1580
- https://doi.org/10.1007/s00414-021-02521-2
Abstract
Since forensic age estimation is not a valid medical indication, research on the use of nonionizing methods is increasing. Ultrasonography is a radiological approach that protects patients from radiation exposure and offers special convenience to them. In this study, ultrasonography was used for age estimation by investigating the degree of ossification of the distal radial epiphysis. Its applicability on the Turkish population was investigated. The left wrist of 688 (322 males, 366 females) patients between the ages of 9 and 25 years was prospectively evaluated by ultrasonography. The intra- and interobserver reliabilities in evaluating the distal radial epiphysis and Cohen’s kappa statistics show that the interobserver error was very low, and the kappa value was found to be 0.919. Stage 3 and 4 ossification of the distal radial epiphysis was first detected at age 14.3 and 15.3 years in males and 12.7 and 14.8 years in females, respectively. The data obtained may help determine legally critical age limits of 14 and 15. Although it does not seem useful for the age of 18, ultrasonography may be recommended in selected cases as a fast, inexpensive, frequently reproducible radiological method without concern about radiation and without a predictable health risk.Keywords
Funding Information
- Université de Genève
This publication has 36 references indexed in Scilit:
- Forensic Age Estimation in Unaccompanied Minors and Young Living AdultsPublished by IntechOpen ,2011
- The International Olympic Committee Consensus Statement on age determination in high-level young athletesBritish Journal of Sports Medicine, 2010
- Reference study on the time frame for ossification of the distal radius and ulnar epiphyses on the hand radiographForensic Science International, 2009
- Detecting over-age players using wrist MRI: science partnering with sport to ensure fair playBritish Journal of Sports Medicine, 2009
- Ultrasound studies on the time course of clavicular ossificationInternational journal of legal medicine, 2008
- Determination of skeletal maturity by ultrasound: a preliminary reportSkeletal Radiology, 1995
- Practical statistics for medical research. Douglas G. Altman, Chapman and Hall, London, 1991. No. of pages: 611. Price: £32.00Statistics in Medicine, 1991
- Skeletal stages of the hand and wrist as indicators of the pubertal growth spurtActa Odontologica Scandinavica, 1980
- A Longitudinal Study of Skeletal MaturationArchives of Pediatrics & Adolescent Medicine, 1961
- RADIOGRAPHIC ATLAS OF SKELETAL DEVELOPMENT OF THE HAND AND WRISTThe American Journal of the Medical Sciences, 1959