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Bone age assessment by epiphyseal fusion of the distal end of the femur by using radiographs of 10-22 years age subjects at Gezira State, Sudan

Author: 
Amir Mohamed Ali
Subject Area: 
Health Sciences
Abstract: 

Background: Age estimation in the living is one of the most important tasks of a forensic practitioner especially in developing countries where birth records are often not well-maintained. Objective: Prospective cross-sectional study was carried out in Wad Medani Teaching Hospital, Wad Medani orthopedic Center and Gezira National Center for Pediatric Surgery with the objective to assess the bone age by epiphyseal fusion of the distal end of the femur by using radiographs of Sudanese subject at Gezira State. Methods: A total of 113 Subjects comprising of 62 females and 51 males, free from any musculoskeletal, nutritional and endocrinal disorder and confirmed dates of births were enrolled in the current study, The Subjects were divided into 12 groups on the basis of their age. Radiographs of knee joint were taken and a classification into four group on fusion base was applied, Stage I: No fusion; Stage II: Partial fusion; Stage III: Recent fusion; Stage IV: Complete fusion. Results: It was found that the lower end of femur united completely with shaft in age group of 19- 20 years in males and 17- 18 years in females. The epiphysis average age of fusion is higher in males as compared to females. Conclusion: The sequence of fusion of distal end of femur was almost similar with other workers.

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