ArticleInternational journal of legal medicine2012
Radiographic analysis of epiphyseal fusion at knee joint to assess likelihood of having attained 18 years of age.
Article in International journal of legal medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- From cartilage to bone: the utility of ultrasonography in age estimation using forearm bones: a novel scoring system approach.International journal of legal medicine · 2026Article
- Reliability of Angle Measurements Based on the Epiphyseal Scar for Knee Osteotomy: An International Multicenter Radiographic Study.Orthopaedic journal of sports medicine · 2024Article
- Bone Age Determination of Epiphyseal Fusion at Knee Joint and Its Correlation with Chronological Age.Medicina (Kaunas, Lithuania) · 2024Article
- Improving the Age Estimation Efficiency by Calculation of the Area Ratio Index Using Semi-Automatic Segmentation of Knee MRI Images.Biomedicines · 2023Article
- Validation of the Third Molar Maturation Index (IScientific reports · 2020Observational
- Age estimation in Turkish children and young adolescents using fourth cervical vertebra.International journal of legal medicine · 2020Article
- A 2-year follow-up MRI study for the evaluation of an age estimation method based on knee bone development.International journal of legal medicine · 2019Article
- Bone age estimation based on multislice computed tomography study of the scapula.International journal of legal medicine · 2017Article
- Accuracy of scoring of the epiphyses at the knee joint (SKJ) for assessing legal adult age of 18 years.International journal of legal medicine · 2016Article
- The persistence of epiphyseal scars in the distal radius in adult individuals.International journal of legal medicine · 2016Article
- Age estimation in children and young adolescents for forensic purposes using fourth cervical vertebra (C4).International journal of legal medicine · 2015Article
- Magnetic resonance imaging of the iliac crest: age estimation in under-20 soccer players.Forensic science, medicine, and pathology · 2014Article
- The value of sub-stages and thin slices for the assessment of the medial clavicular epiphysis: a prospective multi-center CT study.Forensic science, medicine, and pathology · 2014Article
- Forensic age estimation in living individuals using 3.0 T MRI of the distal femur.International journal of legal medicine · 2014Article
- The persistence of epiphyseal scars in the adult tibia.International journal of legal medicine · 2014Article
- Radiographic assessment of age from epiphyseal fusion at knee joint.International journal of legal medicine · 2013Article
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5 authors.
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Abstract
Radiological analysis of the epiphyses of the knee joint provides new valuable information, which may be used in combination with these well-established techniques in order to maximise the accuracy in the assessment of age of 18 years. A total of 215 antero-posterior radiographs of the knee was reviewed retrospectively in patients aged between 14 and 24 years old (99 boys, 116 girls). Fusion was scored as stage 1, epiphysis not fused; stage 2, epiphysis is fully ossified and epiphyseal scar is visible; and stage 3, epiphysis is fully ossified and epiphyseal scar is not visible. Scores of 0, 1 and 2 were assigned to stages 1, 2 and 3, respectively. Lastly, the score related to epiphyseal fusion at the knee joint was obtained by adding the three scores of the distal femur, proximal tibia and proximal fibula. Age distribution gradually increased with each score, for both genders. The mean age (±standard error) in each score category varied between genders, but the differences were not significant (p > 0.11). Five tests were performed to discriminate between individuals who were or were not at age 18 years or more, according to the receiver operating curve. For boys, the highest value of accuracy was obtained with score 3, with high sensitivity (Se = 93.33 %) and specificity (Sp = 89.29 %). For girls, it was obtained with score 4, with high accuracy (Acc = 85.86 %). These results indicate that radiographic analysis of the knee is a valuable alternative as a non-invasive method of estimation of 18 years of age.
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