The impact of economic progress and modernization in medicine on the ossification of hand and wrist |
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Authors: | Andreas Schmeling Ronald Schulz Bettina Danner Friedrich W Rösing |
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Institution: | 1. Institut für Rechtsmedizin, Charité–Universit?tsmedizin Berlin, Hittorfstr. 18, 14195, Berlin, Germany 2. Abteilung Biometrie und Medizinische Dokumentation, Universit?tsklinikum Ulm, Schwabstrasse 13, 89070, Ulm, Germany 3. Institut für Humangenetik und Anthropologie, Universit?tsklinikum Ulm, Parkstrasse 11, 89070, Ulm, Germany
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Abstract: | One of the main criteria used for age estimations of young living subjects is the developmental status of the ossification
of hand bones. The impact of economic progress and modernization in medicine on ossification rates in a given population still
requires further clarification. We selected 36 samples from literature for which the ossification status had been determined
with the Greulich–Pyle method and analyzed specific economic data (per capita income) and demographic data (life expectancy
at birth) as parameters of modernization. To describe the influence of these parameters on the rate of ossification, we performed
a regression analysis and found that a relatively high level of economic progress and modernization in medicine coincides
with high ossification rates, while relatively low modernization seems to delay ossification. When performing age estimations,
the expert opinion should therefore pay attention to the issue of different modernization levels. |
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Keywords: | Forensic age diagnosis Skeletal age Modernization |
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