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International Journal of Legal Medicine

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18.05.2019 | Original Article

Anatomic shape variants of extremitas sternalis claviculae as collected from sternoclavicular thin-slice CT-studies of 2820 male borderline-adults

verfasst von: Ernst Rudolf, Josef Kramer, Sven Schmidt, Volker Vieth, Ingemar Winkler, Andreas Schmeling

Erschienen in: International Journal of Legal Medicine | Ausgabe 5/2019

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Abstract

Within medical age assessment practice, the indicator “medial clavicular ossification” constitutes crucial evidence capable of excluding age minority “beyond reasonable doubt” concerning age-disputed individuals doubtfully claiming children’s rights during legal procedures. Yet, one of its characteristics affects the morphological variability including a fair amount of downright peculiar appearances. As a result, inexperienced examiners are tempted to classify actually not-assessable formations according to the two established developmental typologies of Schmeling et al. and Kellinghaus et al. being at the same time the most frequent systemic error of age-related clavicular taxation. Since a respective overview appears missing, the study extracts not-assessable shape variants of the medial collar bone from a large sample of 2820 male borderline-adults as seen from thin-slice, sternoclavicular computed tomography. The two already highlighted configurations “more than one, medial, secondary ossification centres” and “medial metaphyseal concavity” are found as the most commonly encountered features impeding reliable delineation of staging criteria. In accordance with previous literature, it is emphasized that “qualified” rating of extremitas sternalis claviculae within age assessment practice presupposes “knowledge about the diversity of [its] anatomic shape variants.”

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Titel: Anatomic shape variants of extremitas sternalis claviculae as collected from sternoclavicular thin-slice CT-studies of 2820 male borderline-adults
verfasst von: Ernst Rudolf
Josef Kramer
Sven Schmidt
Volker Vieth
Ingemar Winkler
Andreas Schmeling
Publikationsdatum: 18.05.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Legal Medicine / Ausgabe 5/2019
Print ISSN: 0937-9827
Elektronische ISSN: 1437-1596
DOI: https://doi.org/10.1007/s00414-019-02065-6

Springer Medizin

Anatomic shape variants of extremitas sternalis claviculae as collected from sternoclavicular thin-slice CT-studies of 2820 male borderline-adults

Abstract

Neu im Fachgebiet Rechtsmedizin

Molekularpathologische Untersuchungen im Wandel der Zeit

Vergleichende Pathologie in der onkologischen Forschung

Gastrointestinale Stromatumoren

Personalisierte Medizin in der Onkologie

Springer Medizin

Abstract

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