Tiwari Praveen K, Gupta Mayank, Verma Ashish, Pandey Surender, Nayak Amit
Forensic Medicine, Institute of Medical Sciences, Varanasi, IND.
Radiology, Institute of Medical Sciences, Varanasi, IND.
Cureus. 2020 Oct 10;12(10):e10880. doi: 10.7759/cureus.10880.
Background In forensic proficiency, the distinct model applied for age estimation includes physical examination, i.e., evaluation of somatic maturity and post pubescence peculiarities, dental development, and radiological assessment of skeletal maturity usually of the hand and wrist. The Greulich and Pyle (GP) method of skeletal age (SA) determination is considered quicker and easier with a lower error percentage of prediction. The specificity and applicability of the GP atlas have been recapitulated in many studies. This study aims to assess the applicability and reproducibility of the GP atlas on a sample of the eastern Utter Pradesh (UP) population. Results Considering the whole study population, the SA of the male subjects was retarded by 0.89 years or 9.03 months, whereas the SA of females were retarded by 0.36 years or 4.33 months than the chronological age, respectively. Conclusion According to this study, it is concluded that the GP atlas may not be applicable for both males and females in the eastern Uttar Pradesh region. The factors responsible for delayed skeletal growth and maturation may vary depending on demographics, ethnicity, and genetics. Further, a detailed study will be conclusive on a greater population size assessing more accurate and precise insights on the applicability and reproducibility of GP atlas.
背景 在法医能力鉴定中,用于年龄估计的不同模型包括体格检查,即对身体成熟度和青春期后特征的评估、牙齿发育以及通常对手部和腕部骨骼成熟度的放射学评估。格吕利希和派尔(GP)骨骼年龄(SA)测定方法被认为更快、更容易,预测误差百分比更低。许多研究都概述了GP图谱的特异性和适用性。本研究旨在评估GP图谱在北方邦东部(UP)人群样本中的适用性和可重复性。结果 考虑整个研究人群,男性受试者的骨骼年龄比实际年龄滞后0.89岁或9.03个月,而女性受试者的骨骼年龄比实际年龄分别滞后0.36岁或4.33个月。结论 根据本研究,得出结论:GP图谱可能不适用于北方邦东部地区的男性和女性。导致骨骼生长和成熟延迟的因素可能因人口统计学、种族和基因而异。此外,一项针对更大人群规模的详细研究将得出关于GP图谱适用性和可重复性更准确和精确见解的结论。