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[通过评估胸骨骨化过程进行法医年龄诊断]

[Forensic age diagnosis by assessment of sternum ossification processes].

作者信息

Zolotenkova G V, Shigeev S V, Tareeva T A, Vershinina E K

机构信息

I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.

Bureau of Forensic Medical Expertise of Moscow Healthcare Department, Moscow, Russia.

出版信息

Sud Med Ekspert. 2024;67(4):47-53. doi: 10.17116/sudmed20246704147.

Abstract

OBJECTIVE

To study the sternum ossification processes that take place over time as well as the possibilities of sternum X-rays application to evaluate the age on the modern Russian population in forensic terms.

MATERIAL AND METHODS

Sternum X-rays with fragments of ribs' chondral parts were obtained from 369 male and female corpses aged 12-96 years without pathological and traumatic changes. The X-rays were done in frontal projection. The set of examined parameters included: complete and partial synostosis of manubrium and body, induration along the synostosis (or on the articulated edges of manubrium and body), complete and partial synostosis of body segments, traces of body segments union, complete and partial synostosis of body and xiphoid process, induration along the synostosis (or on the articulated edges of manubrium and body), form of costal notches, induration of articular edges of body, presence of calcification foci in sternal edge of II-VII ribs' cartilages, depth of sternum notches, overgrowths on articular edges of body, presence of union between body's costal notches and calcification centers of ribs' cartilages. Mean values, standard deviation and correlation coefficient were determined.

RESULTS

The maximal correlation with age was found in such parameters such: overgrowths on articular edges of body (=0.6), presence of calcification foci in sternal edge of II-VII ribs (=0.6), induration of body's articular edges (=0.5), presence of union between costal notches and calcification centers of ribs cartilages (=0.5), synostosis of body and xiphoid process (=0.4).

CONCLUSION

A subsequent construction of linear model for age diagnosis has its details when comparing the predicted age with the real.

摘要

目的

研究胸骨随时间推移的骨化过程,以及从法医角度应用胸骨X线评估现代俄罗斯人群年龄的可能性。

材料与方法

从369具年龄在12 - 96岁、无病理和创伤性改变的男女尸体获取带有肋骨软骨部分碎片的胸骨X线片。X线片为正位投照。所检查的参数包括:胸骨柄与胸骨体的完全和部分融合、融合处(或胸骨柄与胸骨体的关节边缘)的硬结、胸骨体各节段的完全和部分融合、胸骨体节段联合的痕迹、胸骨体与剑突的完全和部分融合、融合处(或胸骨柄与胸骨体的关节边缘)的硬结、肋切迹的形态、胸骨体关节边缘的硬结、第II - VII肋软骨胸骨边缘钙化灶的存在、胸骨切迹的深度、胸骨体关节边缘的增生、胸骨体肋切迹与肋软骨钙化中心之间联合的存在。确定了平均值、标准差和相关系数。

结果

在以下参数中发现与年龄的最大相关性:胸骨体关节边缘的增生(=0.6)、第II - VII肋胸骨边缘钙化灶的存在(=0.6)、胸骨体关节边缘的硬结(=0.5)、肋切迹与肋软骨钙化中心之间联合的存在(=0.5)、胸骨体与剑突的融合(=0.4)。

结论

在将预测年龄与实际年龄进行比较时,后续构建年龄诊断线性模型有其细节之处。

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