In our previous post on estimation of age by skull, we learnt about closing times of fontanels and sutures. In this post we will find out how estimation of age by bones is done. Read on.
Epiphyseal fusion, ossification of bones and fusion of joints
The process of bone formation has been explained previously. In a newborn child bones are not in fully developed, they develop as the infant ages through his life. If the radiograph of a newborn child is examined carefully, it can be seen that bones do not occur in their mature shape. Major portions of the bones like condyles, facets, processes, apophyses etc. are not fully developed and if developed, are not in fused state with the rest of the bone. Various joints of the body like shoulder joint, elbow joint, wrist joint, hip joint, knee joint etc. are not fused at the beginning.
Gradually as the infant matures, bones are completely ossified at their epiphyseal and diaphyseal or other ends and joints are also articulated. These processes take place during a particular interval of the individual’s life and hence can be used to ‘estimate’ the age of a person from skeletal remains in the field of forensics. Examination of bones or skeleton as a whole can give an estimate idea of the age, however, the information provided is delimited by the facts that the development and fusion of bones and joints are a subject to vary with environment, population, race, heredity, nutrition, presence of congenital abnormalities or bone diseases. Let us study the ossification time of various bones and joints in the tables below:
Scapula
Name of epiphysis | Fusion |
Coracoid epiphysis | Females-15-18 years Males-17-18 years |
Glenoid epiphysis | Females-17-20 years Males-19-20 years |
Inferior angle | Females-21-22 years Males-19-21 years |
Acromial epiphysis | Females-18-21 years Males-19-21 years |
Table 1 showing estimate epiphyseal fusion ages of scapula.
Clavicle
Name of epiphysis | Fusion |
Secondary epiphysis at the medial end of clavicle | Fusion with medial end-18-25 years Fusion of medial clavicle with rest of the bone-25-31 years It is the last epiphysis to fuse |
Table 2 showing time of ossification of clavicle in humans
Humerus
Name of epiphysis/portion of bone | Appearance | Fusion |
Head of humerus | 1st year | — |
Greater tubercle | 2nd year | — |
Lesser tubercle | 5th year | — |
Fusion of above three to form conjoint epiphysis | — | By 6 years |
Union of conjoint epiphysis with shaft | — | Females-13-17 years Males-16-20 years |
Medial epicondyle | — | Females-17-20 years Males-19-20 years |
Distal humerus | — | Females-15-18 years Males-17-18 years |
Table 3 showing estimate epiphyseal fusion time of humerus
Radius
Name of epiphysis | Fusion |
Proximal radius | Females-17-20 years Males-17-20 years |
Distal radius | Females-20-23 years Males-21-23 years |
Table 4 showing estimate epiphyseal fusion time of radius.
Ulna
Name of epiphysis | Fusion |
Proximal ulna | Females-15-17 years Males-16-17 years |
Distal ulna | Females-20-22 years Males-20-21 years |
Table 5 showing estimate epiphyseal fusion time of ulna.
Femur
Name of epiphysis | Fusion |
Proximal end | 15.5-19.5 years |
Distal end | 14.5-19.5 years |
Table 6 showing estimate time of epiphyseal fusion in femur.
Tibia
Name of epiphysis | Fusion |
Proximal end | 14-17 years |
Distal end | 14.5-19.5 years |
Table 7 showing estimate time of epiphyseal fusion in tibia.
Fusion of joints
Name of joint | Fusion |
Shoulder joint | Females-17-20 years Males-18-20 years |
Elbow joint | Females-17-18 years Males-18-19 years |
Wrist joint | Males-19-20 years |
Knee joint | Males-17-20 years |
Pelvis (fusion of iliac crest and ischial tuberosity with pelvis) | Males-20-22 years |
Table 8 showing estimate time of fusion of major joints in humans.
Vertebrae
Name of vertebrae | Fusion |
Sacral (5 vertebrae) | Begins by 16-20 years, completely fused by 30 years |
Coccygeal (4 vertebrae) | Delayed fusion than that of sacral vertebrae, occurs between 20-30 years |
Table 9 showing estimate time of fusion of sacral and coccygeal vertebrae.
Sternum
Name of portion | Fusion |
Sternebrae S1 and S2 | 21-30 years of age |
Sternebrae S2 and S3 | 16-25 years of age |
Sternebrae S3 and S4 | Completed by 16-20 years |
Manubrium and body of sternum | Begins after 40s and completed during 50-60 years of age |
Xiphoid process and body of sternum | Begins after 30s and completed during 40-60 years of age |
Table 10 showing estimate time of fusion of various portions of sternum.
Read our next post to find out how estimation of age by teeth is done.
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