Variables affecting the probability of complete fusion of the medial clavicular epiphysis

In this study, we have combined data on clavicle fusion from different studies and applied a binomial logistic regression analysis. As such, we aimed to assess whether or not variables such as sex, socioeconomic status, and ethnicity influence the probability of having mature, i.e., completely fused clavicles at a given age. We further explored whether the method of clavicle examination, i.e., diagnosis from either a dry bone specimen, an examination of X-rays, or an examination of computed tomography scans, affects the probability of being diagnosed with mature clavicles. It appeared that only ethnicity did not significantly affect this probability. Finally, we illustrated how the logit model may be used to predict the probability of being diagnosed with mature clavicles.

[1]  K. Watkins Human Development Report 2006 - Beyond Scarcity: Power, Poverty and the Global Water Crisis , 2006 .

[2]  K Terazawa,et al.  [Estimation of age from epiphyseal union degrees of the sternal end of the clavicle]. , 1994, [Hokkaido igaku zasshi] The Hokkaido journal of medical science.

[3]  A. Schmeling,et al.  Effects of ethnicity on skeletal maturation: consequences for forensic age estimations , 2000, International Journal of Legal Medicine.

[4]  T. Riepert,et al.  Bone age determination based on the study of the medial extremity of the clavicle , 1998, European Radiology.

[5]  Thomas W. McKern,et al.  SKELETAL AGE CHANGES IN YOUNG AMERICAN MALES ANALYSED FROM THE STANDPOINT OF AGE IDENTIFICATION , 1957 .

[6]  I. Jit,et al.  Times of appearance and fusion of epiphysis at the medial end of the clavicle. , 1976, The Indian journal of medical research.

[7]  J M Suchey,et al.  Epiphyseal union of the anterior iliac crest and medial clavicle in a modern multiracial sample of American males and females. , 1985, American journal of physical anthropology.

[8]  Ronald Schulz,et al.  The influence of slice thickness on assessment of clavicle ossification in forensic age diagnostics , 2005, International Journal of Legal Medicine.

[9]  Louise Scheuer,et al.  Age Changes in the Clavicle: from the Early Neonatal Period to Skeletal Maturity , 1996 .

[10]  Ronald Schulz,et al.  Studies on the time frame for ossification of the medial epiphysis of the clavicle as revealed by CT scans , 2005, International Journal of Legal Medicine.

[11]  James M. Tanner,et al.  Worldwide Variation in Human Growth: Worldwide Variation in Human Growth , 1991 .

[12]  Alex F. Roche,et al.  Worldwide Variation in Human Growth , 1978 .

[13]  S. Black,et al.  Comparison of ages of epiphyseal union in North American and Bosnian skeletal material. , 2005, Journal of forensic sciences.

[14]  M. Heiland,et al.  Correlation of age and ossification of the medial clavicular epiphysis using computed tomography. , 2006, Forensic science international.

[15]  Ronald Schulz,et al.  The impact of economic progress and modernization in medicine on the ossification of hand and wrist , 2006, International Journal of Legal Medicine.

[16]  James M. Tanner,et al.  Worldwide Variation in Human Growth: Contents , 1991 .

[17]  C. Hall,et al.  Developmental Juvenile Osteology , 2000 .

[18]  Peter Dangerfield,et al.  Developmental Juvenile Osteology. By LOUISE SCHEUER and SUE BLACK. (Pp. x+587; fully illustrated; $159 hardback; ISBN 0 12 624000 0.) San Diego: Academic Press. 2000 , 2001 .

[19]  Ronald Schulz,et al.  Studies on the time frame for ossification of the medial clavicular epiphyseal cartilage in conventional radiography , 2004, International Journal of Legal Medicine.

[20]  T. Todd,et al.  The clavicular epiphyses , 1928 .

[21]  Paul H. Stevenson,et al.  Age order of epiphyseal union in man , 1924 .