Ce diaporama a bien été signalé.
Nous utilisons votre profil LinkedIn et vos données d’activité pour vous proposer des publicités personnalisées et pertinentes. Vous pouvez changer vos préférences de publicités à tout moment.

88

Partager

Télécharger pour lire hors ligne

Age determination prof.enas

Télécharger pour lire hors ligne

Livres associés

Gratuit avec un essai de 30 jours de Scribd

Tout voir

Age determination prof.enas

  1. 1. Age determination Dr. Enas El Taftazani Prof. of Forensic medicine and Toxicology
  2. 2. I ntroduction <ul><li>Why we need to learn how to estimate age ? </li></ul><ul><li>So age can be determined by four main criteria: </li></ul><ul><li>Teeth examination. </li></ul><ul><li>Secondary sexual characters </li></ul><ul><li>Ossification centers. </li></ul><ul><li>General development in children </li></ul><ul><li>Bone examination </li></ul>
  3. 3. Stages of life and their main characteristics <ul><li>Intrauterine life (during pregnancy) </li></ul><ul><ul><li>By ultra sonography and date of the last menstrual period </li></ul></ul><ul><li>From 0-15 days (neonatal period) </li></ul><ul><ul><li>By umbilical stump examination </li></ul></ul><ul><li>From 15 days - 2 years (Infancy period) </li></ul><ul><ul><li>By primary dentition </li></ul></ul>
  4. 4. <ul><li>From 2- 6 years </li></ul><ul><ul><li>Closure of metopic suture </li></ul></ul><ul><ul><li>Appearance of ossific centers </li></ul></ul><ul><li>From 6-12 years </li></ul><ul><ul><li>Secondary dentition </li></ul></ul>Stages of life and their main characteristics Childhood period: rapid dental and bony growth and development
  5. 5. <ul><li>From 12- 18 (Adolescence period) </li></ul><ul><ul><li>Closure of epiphysial plates </li></ul></ul><ul><li>Adulthood </li></ul><ul><ul><li>Early stage: bone remodeling and maintenance </li></ul></ul><ul><ul><li>Late stage: bone wear and tear </li></ul></ul>Stages of life and their main characteristics
  6. 7. Appearance of ossific centers after birth
  7. 8. Appearance of ossific centers after birth
  8. 16. Appearance of ossific centers after birth <ul><li>1 year : head of humerus ,femur and tibia . </li></ul><ul><li>2 years : lower radius and tibia. </li></ul><ul><li>3 years ; Patella. </li></ul><ul><li>4 years ; upper fibula ,greater trochanter of femur. </li></ul><ul><li>5 years lower fibula </li></ul><ul><li>6 years ;head of radius ,lower ulna.calcanium </li></ul>
  9. 17. <ul><li>Below1 year as ossific center of the head of femur not appeared . </li></ul>
  10. 19. <ul><li>Below 2 years (no ossific centre in the wrist) </li></ul>
  11. 20. <ul><li>Ossific centre at lower radius = 2 years </li></ul>
  12. 21. What is the age ? <ul><li>> 1 year(ossific center at head of femur <4years no ossific center of greater trochanter </li></ul>
  13. 22. What is the age ? <ul><li>Above 2 years. Ossific center of lower radius </li></ul>
  14. 24. Determination of age by bone examination - Sternum
  15. 25. What is the age? <ul><li>< 15 y (non-united segments) </li></ul>
  16. 26. Determination of age by bone examination – Epiphyseal closure
  17. 27. Determination of age by bone examination – Epiphyseal closure
  18. 28. Age from upper limb examination <ul><li>1)At the wrist and shoulder joint (lower ends of radius and ulna and head of the humerus) 19-20 years. </li></ul><ul><li>2) At the elbow region: trochlea and capitulum (14 years)- trochlea and capitulum + lower end of the humerus (15years) </li></ul><ul><li>3)Lat.epicondyle and head of ulna(17 years). </li></ul><ul><li>4)Med epicondyles and the head of the radius (18years) </li></ul><ul><li>5)Metacarpals and phalanges (16 y in females and 18 years in males). </li></ul>
  19. 32. What is the age ? <ul><li>>17 y (completely developed elbow) </li></ul>
  20. 33. What is the age ? <ul><li>>19 years (united head of humerus) </li></ul>
  21. 34. What is the age ? <ul><li><19 (not united head of humerus with the body) </li></ul>
  22. 35. What is the age ? <ul><li>>20-21years ( closed lower ends of radius and ulna) </li></ul>
  23. 36. What is the age ? <ul><li>< 20-21 ( non united lower ends of radius and ulna) </li></ul>
  24. 37. Less than18 ys
  25. 38. What is the age ? < 2 years < 2 y (no ossifc center of ulna ,< 18 y in female < 18 in males
  26. 39. What are the ages? <ul><li>Less than18 more than18 less than18 </li></ul>
  27. 40. What is the age? <ul><li>More than20-21 more than20-21 </li></ul>
  28. 41. Determination of age by bone examination – Epiphyseal closure
  29. 42. Age from lower limb examination <ul><li>1) Lesser trochanter (16y )-----Greater trochanter (17y) ------ Head of the femur (18y). </li></ul><ul><li>2) Lower end of the femur + shaft (21y). </li></ul><ul><li>3) Upper end of the tibia +shaft (21y). </li></ul><ul><li>4) Lower end of the tibia +shaft (18 y). </li></ul><ul><li>By foot examination ossific center appears at calcanium at 6 years and union of epiphysis at the calcanium at 14 years ,so examining only this bone gives us a range of 8 years </li></ul>
  30. 43. What is the age ? <ul><li>>18 years (united head of femur) </li></ul>
  31. 44. What is the age? above18ys
  32. 45. What is the age? <21 knee
  33. 46. What is the age? >21 y
  34. 47. What is the age ? <ul><li>> 19 y ( ankle closed) </li></ul>
  35. 48. What is the age ? <ul><li>> 19 y ( ankle closed). </li></ul><ul><li>Notice the calcaneus </li></ul>
  36. 49. What are the ages ? <ul><li>above18 </li></ul><ul><li>below18 </li></ul>
  37. 50. What is the age ? <ul><li><14 y (not united epiphysis of calcaneus) </li></ul>
  38. 51. What are the ages ?
  39. 52. What is the age? >14(calcaneus) and < 18 y (opened lower ends of tibia and fibula)
  40. 53. Age from hip bone examination: <ul><li>Two pubic rami of the hip (6y) </li></ul><ul><li>Suture at the acetabulum (15y). </li></ul><ul><li>Ischeal tuberosity with the ischium (21y). </li></ul><ul><li>Iliac crest with the ilium (23y). </li></ul>
  41. 54. What is the age? <ul><li>>23 y (iliac crest) </li></ul>
  42. 55. What is the age ? <ul><li>From4-6 </li></ul><ul><li>Open ischial ramus(less than6) </li></ul><ul><li>>4years (ossific center at greater trochanter) <15years (opened triradiate suture) </li></ul>
  43. 56. > 18 y (head of femur)<23 opened iliac crest >23 y (iliac crest)
  44. 57. What is the age ? <ul><li>>4 y (ossific center at greater trochanter)<15 y </li></ul><ul><li>(triradiate suture is opened ) </li></ul>
  45. 58. What is the age? <ul><li><23 y (non-united iliac crest) </li></ul>
  46. 59. Ages of legal importance in Egypt: <ul><li>6 years . </li></ul><ul><ul><li>Age of education. </li></ul></ul><ul><ul><li>First molar and pubic ramus </li></ul></ul><ul><li>7 years </li></ul><ul><ul><li>Age of discrimination </li></ul></ul><ul><ul><li>Central incisors. </li></ul></ul><ul><li>10 years </li></ul><ul><ul><li>In case of divorce father claims his son. </li></ul></ul><ul><ul><li>Second premolar) </li></ul></ul>
  47. 60. Ages of legal importance in Egypt: <ul><li>12 years : </li></ul><ul><ul><li>In case of divorce father claims his daughter </li></ul></ul><ul><ul><li>Second molar </li></ul></ul><ul><ul><li>This low has been changed ,where the custody of the mother ends at 15 years for both son and daughter ,at which they are allowed to choose their custodian till age of21 for son or marriage for daughter. how can you estimate age of 15? </li></ul></ul>
  48. 61. Ages of legal importance in Egypt: <ul><li>14 years: </li></ul><ul><ul><li>Under this age the child cannot commit the crime of rape. </li></ul></ul><ul><ul><li>Also under this age child work is not legal . </li></ul></ul><ul><ul><li>Union of the trochlea and capitulum. </li></ul></ul><ul><li>15 years: </li></ul><ul><ul><li>The child is considered partially responsible i.e. trial in front of juvenile court </li></ul></ul><ul><ul><li>Union of trochlea and capitulum with lower end of humerus.+acetabular suture union </li></ul></ul>
  49. 62. Ages of legal importance in Egypt: <ul><li>16years: </li></ul><ul><ul><li>Age of legal marriage in females-identity card) </li></ul></ul><ul><ul><li>Metecarpals in females. </li></ul></ul><ul><li>18 years: </li></ul><ul><ul><li>Legal marriage in males ---legal age for consent----- governmental employment---- driving license ----- Full criminal responsibility-------Voting. </li></ul></ul><ul><ul><li>Metacarpals with their bodies </li></ul></ul><ul><li>21 years: </li></ul><ul><ul><li>Civil rights </li></ul></ul><ul><ul><li>X - ray knee </li></ul></ul>
  50. 63. Ages of legal importance in Egypt: <ul><li>30 years </li></ul><ul><ul><li>Member of people assembly </li></ul></ul><ul><ul><li>Sagittal suture. </li></ul></ul><ul><li>35 years </li></ul><ul><ul><li>Legal age of the president of the public </li></ul></ul><ul><li>60 years: </li></ul><ul><ul><li>Age of pension </li></ul></ul><ul><ul><li>Union of body and manubrium of sternum </li></ul></ul>
  51. 64. Post test <ul><li>Ques. 1 </li></ul><ul><li>Write the estimated age for the following: </li></ul><ul><li>Pic.1 </li></ul>
  52. 65. Ques 2 <ul><li>Above 21 </li></ul>
  53. 66. Quest. 3 <ul><li>Less than 21 </li></ul>
  54. 67. Quest 4 <ul><li>above18 </li></ul>
  55. 68. Quest. 5 <ul><li>Less than18 </li></ul>
  56. 69. Quest.6 <ul><li>Above 2 years </li></ul><ul><li>Ossific centre of lower radius </li></ul>
  57. 70. Quest.7 Which is older a or b? <ul><li>Less </li></ul><ul><li>than18 </li></ul><ul><li>Above 20-21 </li></ul><ul><li>Closed </li></ul><ul><li>Lower </li></ul><ul><li>Radius& </li></ul><ul><li>Lower </li></ul><ul><li>ulna </li></ul>
  58. 71. Quest.8 <ul><li>For more precise age estimation for the pic a I need to ask for x ray: </li></ul><ul><li>Knee </li></ul><ul><li>Ankle </li></ul><ul><li>Elbow </li></ul><ul><li>pelvis </li></ul>
  59. 72. Quest.9 <ul><li>For more precise age estimation for the pic b I need to ask for x ray: </li></ul><ul><li>Sternum </li></ul><ul><li>Knee </li></ul><ul><li>Shoulder </li></ul><ul><li>hip </li></ul>
  60. 73. Quest 10 Suggest which picture is older a or b and why? <ul><li>Below1 year(absent ossific centre of head of femur </li></ul><ul><li>Between1-6 </li></ul><ul><li>Above 1 year(ossific center </li></ul><ul><li>of head </li></ul><ul><li>femur) </li></ul><ul><li>Less </li></ul><ul><li>Than6 ys </li></ul><ul><li>Opened </li></ul><ul><li>Pubic </li></ul><ul><li>ramus </li></ul>
  • AkashThakur115

    Jan. 28, 2021
  • PranjaliSharma17

    Dec. 1, 2020
  • aayushisolanki

    Sep. 22, 2020
  • sanwarmalkumawat1

    May. 2, 2020
  • AmelmouniaBelala

    Jan. 2, 2020
  • AnaBatos

    Nov. 2, 2019
  • ManavChaturvedi3

    Sep. 24, 2019
  • NamrataNair7

    Jul. 31, 2019
  • Subham60

    Jul. 28, 2019
  • taqianwari

    Jul. 7, 2019
  • SadiaShafique4

    May. 25, 2019
  • wbayed

    Mar. 30, 2019
  • ranbirssodhi

    Feb. 12, 2019
  • gehadhagras

    Feb. 4, 2019
  • RateYourApp

    Jan. 23, 2019
  • MarwaAbdelrahim1

    Jan. 15, 2019
  • KcYashwanth

    Dec. 26, 2018
  • MSRupika

    Dec. 26, 2018
  • SiddhiGanesh

    Dec. 22, 2018
  • YemikaDhayal

    Dec. 3, 2018

Vues

Nombre de vues

34 614

Sur Slideshare

0

À partir des intégrations

0

Nombre d'intégrations

618

Actions

Téléchargements

1 784

Partages

0

Commentaires

0

Mentions J'aime

88

×