[Value of radiographic evaluation of the second metacarpal in the determination of bone age]

J Radiol. 2008 Dec;89(12):1930-4. doi: 10.1016/s0221-0363(08)74789-9.
[Article in French]

Abstract

Purpose: Age determination based on bone maturate evaluation is routinely used in forensic science and anthropology. The aim of this study was to purpose a quantitative method of age determination on the second metacarpal in a population of children and adolescents by measurements of the epiphyso-metaphysal ratio (REM) (epiphysal diameter divided by metaphysal diameter) and the cortical index (IC).

Material: and methods. We evaluated the REM and the IC on 417 hand radiographs of 2 from aged 20-year-old children.

Results: The correlation between REM and age for males (R2=0.62; p<0.001) and females (R2=0.68; p<0.001) was a good and significant. The correlation between IC and age for males (R2=0.34; p<0.001) and females (R2=0.30; p<0.001) was also significant but poor.

Conclusion: Measurement of IC should not be used for age assessment. Measurement of REM is simple, reproducible and poor X-ray exposing technique. It should be very useful for age determination.

MeSH terms

  • Adolescent
  • Age Determination by Skeleton / methods*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Metacarpal Bones / diagnostic imaging*
  • Retrospective Studies
  • Young Adult