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Forensic Age Estimation of Individuals from Computed Tomography Analysis of Medial Clavicular Epiphysis in Pakistani Population.

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OBJECTIVE To determine the association of chronological age through ossification of the medial clavicular epiphysis using computed tomography (CT) scan. STUDY DESIGN An Observational study. Place and Duration of the… Click to show full abstract

OBJECTIVE To determine the association of chronological age through ossification of the medial clavicular epiphysis using computed tomography (CT) scan. STUDY DESIGN An Observational study. Place and Duration of the Study: Dow Institute of Radiology, Dow University Hospital, Karachi, Pakistan, from February 2021 till October 2021. METHODOLOGY Subjects aged 10-35 years of either gender reported without any clavicular trauma or fracture, no known chronic illness or malignancy, or no congenital bony abnormalities, or any prior surgical intervention to the sterno-clavicular region were included. The fusion of maturity of medial clavicular epiphyses was evaluated on either side by using the five-stage classification system reported by Schmeling. RESULTS Of 200 patients, a significant increase in the age of the patients was observed with respect to the increase in the stages (p <0.001). When stratified on the basis of gender, a significant increase in age was also observed with respect to the increase in stages (p <0.001). Stage 4 was observed in majority of the patients, i.e., 81 (40.5%), followed by stages 2 and 3 in 35 (17.5%) each, stage 5 in 32 (16%), while stage 1 was observed in 17 (8.5%) patients. An insignificant difference of age was observed with respect to the gender of the patients (p= 0.472, 95% CI -2.91 - 1.35). CONCLUSION The fusion of the medial clavicular epiphysis showed a considerable degree of variability. Fused clavicles at stage 4 could be observed at age 22 years or less in males while at 21 years or less in females. KEY WORDS Age estimation, Schmeling method, Medial clavicular epiphysis, Computed tomography.

Keywords: clavicular epiphysis; computed tomography; age; stage; medial clavicular

Journal Title: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Year Published: 2023

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