Abstract
As a collection of radiographic standards of the normal hand development with a homogenous degree of maturity of all skeletal elements, the digital atlas of skeletal maturity by Gilsanz and Ratib combines the possibilities of digital imaging with the principle of a conventional atlas method. The present paper analyses the forensic applicability of skeletal age assessment according to Gilsanz and Ratib to age estimation in criminal proceedings. For this, the hand X-rays of 180 children and adolescents aged 10–18 years old were examined retrospectively. For the entire age range, the minima and maxima, the mean values and standard deviations as well as the medians with upper and lower quartiles are specified by sex. For the legally relevant age groups from 14 to 18 years, there is a risk of overestimation of the chronological age of up to 7.2 months in females. The method of Gilsanz and Ratib is therefore only suitable to forensic age estimation in criminal proceedings to a limited extent.
Similar content being viewed by others
References
Bayley N, Pinneau SR (1952) Tables for predicting adult height from skeletal age. J Pediatr 40:423–441
Behrendsen E (1897) Studien über die Ossifikation der menschlichen Hand vermittels des Roentgenschen Verfahrens. Dtsch Med Wochenschr 23:433–435
Cameriere R, De Angelis D, Ferrante L, Scarpino F, Cingolani M (2007) Age estimation in children by measurement of open apices in teeth: a European formula. Int J Legal Med 121:449–453
Dickhaus H, Wastl S (1995) Computer assisted bone age assessment. Medinfo 8:709–713
Dünkel F, van Kalmthout A, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach
Gilsanz V, Ratib O (2005) Hand bone age. A digital atlas of skeletal maturity. Springer, Berlin, Heidelberg, New York
Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford, California
Meijerman L, Maat GJR, Schulz R, Schmeling A (2007) Variables affecting the probability of complete fusion of the medial clavicular epiphysis. Int J Legal Med 121:463–468
Olze A, van Niekerk P, Ishikawa T, Zhu BL, Schulz R, Maeda H, Schmeling A (2007) Comparative study on the effect of ethnicity on wisdom tooth eruption. Int J Legal Med 121:445–448
Olze A, van Niekerk P, Schulz R, Schmeling A (2007) Studies of the chronological course of wisdom tooth eruption in a black African population. J Forensic Sci 52:1161–1163
Pietka BE, Pośpiech S, Gertych A, Cao F, Huang HK, Gilsanz V (2001) Computer automated approach to the extraction of epiphyseal regions in hand radiographs. J Digit Imaging 14:165–172
Pryor JW (1923) Differences in the time of development of the centers of ossification in the male and female skeleton. Anat Rec 25:257–273
Roche AF, Chumlea WC, Thissen D (1988) Assessing the skeletal maturity of the hand-wrist: Fels method. C.C. Thomas, Springfield
de Roo T, Schröder HJ (1976) Pocket atlas of skeletal age. Martinus Nijhoff medical division, The Hague
Schmeling A, Reisinger W, Loreck D, Vendura K, Markus W, Geserick G (2000) Effects of ethnicity on skeletal maturation: consequences for forensic age estimations. Int J Legal Med 113:253–258
Schmeling A, Baumann U, Schmidt S, Wernecke K-D, Reisinger W (2006) Reference data for the Thiemann–Nitz method of assessing skeletal age for the purpose of forensic age estimation. Int J Legal Med 120:1–4
Schmeling A, Schulz R, Danner B, Rösing FW (2006) The impact of economic progress and modernization in medicine on the ossification of hand and wrist. Int J Legal Med 120:121–126
Schmeling A, Grundmann C, Fuhrmann A et al (2008) Criteria for age estimation in living individuals. Int J Legal Med 122:457–460
Schmid F, Moll H (1960) Atlas der normalen und pathologischen Handskelettentwicklung. Springer, Berlin
Schmidt S, Koch B, Mühler M, Reisinger W, Schmeling A (2007) Optimizing the Thiemann–Nitz method for skeletal age determination for forensic age diagnostics in live subjects. Scand J Forensic Sci 13:05–07
Schmidt S, Koch B, Schulz R, Reisinger W, Schmeling A (2007) Comparative analysis of the applicability of the skeletal age determination methods of Greulich–Pyle and Thiemann–Nitz for forensic age estimation in living subjects. Int J Legal Med 121:293–296
Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324
Schmidt S, Baumann U, Schulz R, Reisinger W, Schmeling A (2008) Study of age dependence of epiphyseal ossification of the hand skeleton. Int J Legal Med 122:51–54
Schmidt S, Koch B, Schulz R, Reisinger W, Schmeling A (2008) Studies in use of the Greulich–Pyle skeletal age method to assess criminal liability. Leg Med (Tokyo) 10:190–195
Schmidt S, Nitz I, Schulz R, Schmeling A (2008) Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics. Int J Legal Med 122:309–314
Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58
Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167
Siegert F (1935) Atlas der normalen Ossifikation der menschlichen Hand. Georg Thieme, Leipzig
Stettner E (1921) Über die Beziehung der Ossifikation des Handskeletts zu Alter und Längenwachstum bei gesunden und kranken Kindern von der Geburt bis zur Pubertät. Teil I Arch Kinderheilkd 68:342–368, Teil II Arch Kinderheilkd 68:439–466, Teil III Arch Kinderheilkd 69: 27–62
Stettner E (1935) Normaldaten für die Entwicklung der Knochenkerne. Kinderärztl Praxis 6:105–108
Stuart HC (1934) Standards of physical development for reference in clinical appraisement. J Paediat 5:194–209
Tanner JM, Whitehouse RH, Healy MJR (1962) A new system for estimating skeletal maturity from the hand and wrist with standard derived from a study of 2600 healthy British children. Part II. The scoring system. Int Child Centre, Paris
Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1975) Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic Press, London, New York, San Francisco
Tanner JM, Gibbons RD (1994) A computerized image analysis system for estimating Tanner–Whitehouse 2 bone age. Horm Res 42:282–287
Tanner JM, Healy MJR, Goldstein H, Cameron N (2001) Assessment of skeletal maturity and prediction of adult height (TW3 method). W.B. Saunders, London
Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart, New York
Todd TW (1937) Atlas of skeletal maturation: 1. The hand. C.V. Mosby Comp, St. Louis
Acknowledgement
The authors would like to thank Dr. K. Minas (Papenburg), PD Dr. R. Fuchs (Berlin), PD Dr. G. Stobbe (Berlin) and Prof. Dr. F. Schmidt (Leipzig) for providing the hand radiographs evaluated in this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Schmidt, S., Nitz, I., Schulz, R. et al. The digital atlas of skeletal maturity by Gilsanz and Ratib: a suitable alternative for age estimation of living individuals in criminal proceedings?. Int J Legal Med 123, 489–494 (2009). https://doi.org/10.1007/s00414-009-0367-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00414-009-0367-2