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Erschienen in: International Journal of Legal Medicine 4/2008

01.07.2008 | Original Article

Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics

verfasst von: Sven Schmidt, Inna Nitz, Ronald Schulz, Andreas Schmeling

Erschienen in: International Journal of Legal Medicine | Ausgabe 4/2008

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Abstract

The present paper analyses the applicability of the clinically prevalent skeletal age determination method of Tanner and Whitehouse for forensic age estimation in living individuals. For this purpose, the hand X-rays from 48 boys and 44 girls aged 12–16 years were evaluated retrospectively. The minima and maxima, the mean values with their standard deviations as well as the medians with upper and lower quartiles, are presented for the skeletal ages 12–16 years estimated by the TW2 and TW3 methods. In the legally relevant skeletal age group 14–16 years, the differences between the skeletal age and the mean value of the chronological age were between −0.1 and +1.4 years for the TW2 method. For the TW3 method, the differences between the skeletal age and the mean value of the chronological age were between −0.4 and +0.2 years in the relevant age group. Due to the risk of serious overestimations, the TW2 method seems to be unsuitable for forensic age diagnostics. The application of the TW3 method for forensic age estimations can be recommended.
Literatur
1.
Zurück zum Zitat Acheson RM (1954) A method of assessing skeletal maturity from radiographs: a report from the Oxford Child Health Survey. J Anat 88:498–508PubMed Acheson RM (1954) A method of assessing skeletal maturity from radiographs: a report from the Oxford Child Health Survey. J Anat 88:498–508PubMed
2.
Zurück zum Zitat Ahmed ML, Warner JT (2007) TW2 and TW3 bone ages: time to change. Arch Dis Child 92:371–372PubMedCrossRef Ahmed ML, Warner JT (2007) TW2 and TW3 bone ages: time to change. Arch Dis Child 92:371–372PubMedCrossRef
3.
Zurück zum Zitat Andersen E (1971) Comparison of Tanner–Whitehouse and Greulich–Pyle methods in a large scale Danish survey. Am J Phys Anthropol 35:373–376PubMedCrossRef Andersen E (1971) Comparison of Tanner–Whitehouse and Greulich–Pyle methods in a large scale Danish survey. Am J Phys Anthropol 35:373–376PubMedCrossRef
4.
Zurück zum Zitat Beunen G, Lefevre J, Ostyn M, Renson R, Simons J, van Gernen D (1990) Skeletal maturity in Belgian youths assessed by the Tanner–Whitehouse method (TW2). Ann Hum Biol 17:355–376PubMedCrossRef Beunen G, Lefevre J, Ostyn M, Renson R, Simons J, van Gernen D (1990) Skeletal maturity in Belgian youths assessed by the Tanner–Whitehouse method (TW2). Ann Hum Biol 17:355–376PubMedCrossRef
5.
Zurück zum Zitat Braga J, Treil J (2007) Estimation of pediatric skeletal age using geometric morphometrics and three-dimensional cranial size changes. Int J Legal Med 121:439–443PubMedCrossRef Braga J, Treil J (2007) Estimation of pediatric skeletal age using geometric morphometrics and three-dimensional cranial size changes. Int J Legal Med 121:439–443PubMedCrossRef
6.
Zurück zum Zitat Bull RK, Edwards PD, Kemp PM, Fry S, Hughes IA (1999) Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods. Arch Dis Child 81:172–173PubMed Bull RK, Edwards PD, Kemp PM, Fry S, Hughes IA (1999) Bone age assessment: a large scale comparison of the Greulich and Pyle, and Tanner and Whitehouse (TW2) methods. Arch Dis Child 81:172–173PubMed
7.
Zurück zum Zitat 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 121:449–453PubMedCrossRef 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 121:449–453PubMedCrossRef
8.
Zurück zum Zitat Cole AJL, Webb L, Cole TJ (1988) Bone age estimation: a comparison of methods. Br J Radiol 61:683–686PubMed Cole AJL, Webb L, Cole TJ (1988) Bone age estimation: a comparison of methods. Br J Radiol 61:683–686PubMed
9.
Zurück zum Zitat Cox LA (1996) Tanner–Whitehouse method of assessing skeletal maturity: problems and common errors. Horm Res 45(Suppl 2):53–55PubMed Cox LA (1996) Tanner–Whitehouse method of assessing skeletal maturity: problems and common errors. Horm Res 45(Suppl 2):53–55PubMed
10.
Zurück zum Zitat Dünkel F, van Kalmthout A, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach Dünkel F, van Kalmthout A, Schüler-Springorum H (1997) Entwicklungstendenzen und Reformstrategien im Jugendstrafrecht im europäischen Vergleich. Forum, Mönchengladbach
11.
Zurück zum Zitat Fendel H (1976) Die Methodik der radiologischen Skeletalterbestimmung. Radiologe 16:370–380PubMed Fendel H (1976) Die Methodik der radiologischen Skeletalterbestimmung. Radiologe 16:370–380PubMed
12.
Zurück zum Zitat Gilli G (1996) The assessment of skeletal maturation. Horm Res 45 Suppl 2:49–52 Gilli G (1996) The assessment of skeletal maturation. Horm Res 45 Suppl 2:49–52
13.
Zurück zum Zitat Graham CB (1972) Assessment of bone maturation—methods and pitfalls. Radiol Clin N Amer 10:185–202PubMed Graham CB (1972) Assessment of bone maturation—methods and pitfalls. Radiol Clin N Amer 10:185–202PubMed
14.
Zurück zum Zitat Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford Greulich WW, Pyle SI (1959) Radiographic atlas of skeletal development of the hand and wrist. Stanford University Press, Stanford
15.
Zurück zum Zitat Haavikko K, Kilpinen E (1973) Skeletal development of Finnish children in the light of hand–wrist roentgenograms. Proc Finn Dent Soc 69:182–190PubMed Haavikko K, Kilpinen E (1973) Skeletal development of Finnish children in the light of hand–wrist roentgenograms. Proc Finn Dent Soc 69:182–190PubMed
16.
Zurück zum Zitat Helm S (1979) Skeletal maturity in Danish schoolchildren assessed by the TW2 method. Am J Phys Anthropol 51:345–352PubMedCrossRef Helm S (1979) Skeletal maturity in Danish schoolchildren assessed by the TW2 method. Am J Phys Anthropol 51:345–352PubMedCrossRef
17.
Zurück zum Zitat Hernandez M, Sanchez E, Sobradillo B, Rincon JM (1991) Skeletal maturation and height prediction: atlas and scoring methods. Diaz de Santos, Madrid Hernandez M, Sanchez E, Sobradillo B, Rincon JM (1991) Skeletal maturation and height prediction: atlas and scoring methods. Diaz de Santos, Madrid
18.
Zurück zum Zitat Johnston FE (1971) The use of the Greulich–Pyle method in a longitudinal growth study. Am J Phys Anthropol 35:353–357PubMedCrossRef Johnston FE (1971) The use of the Greulich–Pyle method in a longitudinal growth study. Am J Phys Anthropol 35:353–357PubMedCrossRef
19.
Zurück zum Zitat Kemperdick HF (1981) Skelettalter-Bestimmung bei Kindern mit normalem und abweichendem Wachstumsverlauf. Fortschr Med 99:152–156PubMed Kemperdick HF (1981) Skelettalter-Bestimmung bei Kindern mit normalem und abweichendem Wachstumsverlauf. Fortschr Med 99:152–156PubMed
20.
Zurück zum Zitat Kemperdick H (1986) Die Skelettalterbestimmung beim Kind. Radiologe 26:216–221PubMed Kemperdick H (1986) Die Skelettalterbestimmung beim Kind. Radiologe 26:216–221PubMed
21.
Zurück zum Zitat King DG, Steventon DM, O’Sullivan MP, Cook AM, Hornsby VP, Jefferson IG (1994) Reproducibility of bone ages when performed by radiology registrars: an audit of Tanner and Whitehouse II versus Greulich and Pyle methods. Br J Radiol 67:848–851PubMed King DG, Steventon DM, O’Sullivan MP, Cook AM, Hornsby VP, Jefferson IG (1994) Reproducibility of bone ages when performed by radiology registrars: an audit of Tanner and Whitehouse II versus Greulich and Pyle methods. Br J Radiol 67:848–851PubMed
22.
Zurück zum Zitat van Lenthe FJ, Kemper HC, van Mechelen W (1998) Skeletal maturation in adolescence: a comparison between the Tanner–Whitehouse II and the Fels method. Eur J Pediatr 157:257–261CrossRef van Lenthe FJ, Kemper HC, van Mechelen W (1998) Skeletal maturation in adolescence: a comparison between the Tanner–Whitehouse II and the Fels method. Eur J Pediatr 157:257–261CrossRef
23.
Zurück zum Zitat Low WD (1975) Assessing skeletal maturity by inspection and bone-specific methods with the atlas of Greulich and Pyle. Z Morphol Anthropol 67:1–5PubMed Low WD (1975) Assessing skeletal maturity by inspection and bone-specific methods with the atlas of Greulich and Pyle. Z Morphol Anthropol 67:1–5PubMed
24.
Zurück zum Zitat 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 121:463–468PubMedCrossRef 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 121:463–468PubMedCrossRef
25.
Zurück zum Zitat 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 121:445–448PubMedCrossRef 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 121:445–448PubMedCrossRef
26.
Zurück zum Zitat Rikhasor RM, Qureshi AM, Rathi SL, Channa NA (1999) Skeletal maturity in Pakistani children. J Anat 195:305–308PubMedCrossRef Rikhasor RM, Qureshi AM, Rathi SL, Channa NA (1999) Skeletal maturity in Pakistani children. J Anat 195:305–308PubMedCrossRef
27.
Zurück zum Zitat Roche AF, Roberts J, Hamill PVV (1975) Skeletal maturity of children 6–11 years: racial, geographic area and socioeconomic differentials, United States. National Center for Health Statistics, series 11, no. 149. DHEW Publication no. (HRA) 76-1631. DHEW, Rockville Roche AF, Roberts J, Hamill PVV (1975) Skeletal maturity of children 6–11 years: racial, geographic area and socioeconomic differentials, United States. National Center for Health Statistics, series 11, no. 149. DHEW Publication no. (HRA) 76-1631. DHEW, Rockville
28.
Zurück zum Zitat Roche AF, Roberts J, Hamill PVV (1978) Skeletal maturity of youth 12–17 years. Racial, geographic area and socioeconomic differentials. (Vital and health statistics. US Dept. of Health, Education and Welfare. Series 11. No. 167). US Government Printing Office, Washington, D.C. Roche AF, Roberts J, Hamill PVV (1978) Skeletal maturity of youth 12–17 years. Racial, geographic area and socioeconomic differentials. (Vital and health statistics. US Dept. of Health, Education and Welfare. Series 11. No. 167). US Government Printing Office, Washington, D.C.
29.
Zurück zum Zitat Roche AF, Chumlea WC, Thissen D (1988) Assessing the skeletal maturity of the hand–wrist: Fels method. Thomas, Springfield Roche AF, Chumlea WC, Thissen D (1988) Assessing the skeletal maturity of the hand–wrist: Fels method. Thomas, Springfield
30.
Zurück zum Zitat 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 113:253–258PubMedCrossRef 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 113:253–258PubMedCrossRef
31.
Zurück zum Zitat 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 120:1–4PubMedCrossRef 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 120:1–4PubMedCrossRef
32.
Zurück zum Zitat 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 120:121–126PubMedCrossRef 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 120:121–126PubMedCrossRef
33.
Zurück zum Zitat Schmid F (1974) Skelettentwicklung bei hirnorganischen Störungen. Kinderarzt 5:1045–1047 Schmid F (1974) Skelettentwicklung bei hirnorganischen Störungen. Kinderarzt 5:1045–1047
34.
Zurück zum Zitat 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 13:5–7 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 13:5–7
35.
Zurück zum Zitat 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 121:293–296PubMedCrossRef 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 121:293–296PubMedCrossRef
36.
Zurück zum Zitat Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324PubMedCrossRef Schmidt S, Mühler M, Schmeling A, Reisinger W, Schulz R (2007) Magnetic resonance imaging of the clavicular ossification. Int J Legal Med 121:321–324PubMedCrossRef
37.
Zurück zum Zitat 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 122:51–54PubMedCrossRef 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 122:51–54PubMedCrossRef
39.
Zurück zum Zitat Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58PubMedCrossRef Schulz R, Mühler M, Reisinger W, Schmidt S, Schmeling A (2008) Radiographic staging of ossification of the medial clavicular epiphysis. Int J Legal Med 122:55–58PubMedCrossRef
40.
Zurück zum Zitat Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167PubMedCrossRef Schulz R, Zwiesigk P, Schiborr M, Schmidt S, Schmeling A (2008) Ultrasound studies on the time course of clavicular ossification. Int J Legal Med 122:163–167PubMedCrossRef
41.
Zurück zum Zitat Tanner JM, Whitehouse RH, Healy MJR (1962) A new system for estimating skeletal maturity from the hand and wrist with standards derived from a study of 2600 healthy British children. Part II. The scoring system. Int Child Centre, Paris Tanner JM, Whitehouse RH, Healy MJR (1962) A new system for estimating skeletal maturity from the hand and wrist with standards derived from a study of 2600 healthy British children. Part II. The scoring system. Int Child Centre, Paris
42.
Zurück zum Zitat Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1975) Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic, London Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1975) Assessment of skeletal maturity and prediction of adult height (TW2 method). Academic, London
43.
Zurück zum Zitat Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1983) Assessment of skeletal maturity and prediction of adult height (TW2 method), 2nd edn. Academic Press, London Tanner JM, Whitehouse RH, Marshall WA, Healy MJR, Goldstein H (1983) Assessment of skeletal maturity and prediction of adult height (TW2 method), 2nd edn. Academic Press, London
44.
Zurück zum Zitat Tanner JM, Oshman D, Bahhage F, Healy M (1997) Tanner–Whithouse bone age reference values for North American children. J Pediatr 131:34–40PubMedCrossRef Tanner JM, Oshman D, Bahhage F, Healy M (1997) Tanner–Whithouse bone age reference values for North American children. J Pediatr 131:34–40PubMedCrossRef
45.
Zurück zum Zitat Tanner JM, Healy MJR, Goldstein H, Cameron N (2001) Assessment of skeletal maturity and prediction of adult height (TW3 method). Saunders, London Tanner JM, Healy MJR, Goldstein H, Cameron N (2001) Assessment of skeletal maturity and prediction of adult height (TW3 method). Saunders, London
46.
Zurück zum Zitat Thiemann H-H, Nitz I (1991) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Leipzig Thiemann H-H, Nitz I (1991) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Leipzig
47.
Zurück zum Zitat Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart Thiemann H-H, Nitz I, Schmeling A (2006) Röntgenatlas der normalen Hand im Kindesalter. Thieme, Stuttgart
48.
Zurück zum Zitat Vignolo M, Milani S, Cerbello G, Coroli P, Di Battista E, Aicardi G (1992) FELS, Greulich–Pyle, and Tanner–Whitehouse bone age assessments in a group of Italian children and adolescents. Am J Hum Biol 4:493–500CrossRef Vignolo M, Milani S, Cerbello G, Coroli P, Di Battista E, Aicardi G (1992) FELS, Greulich–Pyle, and Tanner–Whitehouse bone age assessments in a group of Italian children and adolescents. Am J Hum Biol 4:493–500CrossRef
49.
Zurück zum Zitat Weber R (1978) Genauigkeit der Skelettalterbestimmungen und Größenprognosen nach den Methoden von Greulich and Pyle sowie Tanner and Whitehouse, Dissertation. Freie Universität, Berlin Weber R (1978) Genauigkeit der Skelettalterbestimmungen und Größenprognosen nach den Methoden von Greulich and Pyle sowie Tanner and Whitehouse, Dissertation. Freie Universität, Berlin
Metadaten
Titel
Applicability of the skeletal age determination method of Tanner and Whitehouse for forensic age diagnostics
verfasst von
Sven Schmidt
Inna Nitz
Ronald Schulz
Andreas Schmeling
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
International Journal of Legal Medicine / Ausgabe 4/2008
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-008-0237-3

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