Revue de Medecine Legale最新文献

{"title":"Agenda","authors":"","doi":"10.1016/S1878-6529(21)00023-7","DOIUrl":"https://doi.org/10.1016/S1878-6529(21)00023-7","url":null,"abstract":"","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"12 1","pages":"Page 50"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1878-6529(21)00023-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137354095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’expertise du syndrome douloureux régional complexe à travers la procédure CCI. Analyse de 32 dossiers étudiés à la commission de conciliation et d’indemnisation de Picardie","authors":"V. Cuypers ,&nbsp;F. Van Maris ,&nbsp;O. Jarde ,&nbsp;C. Manaouil","doi":"10.1016/j.medleg.2020.10.004","DOIUrl":"10.1016/j.medleg.2020.10.004","url":null,"abstract":"<div><p>Le syndrome douloureux régional complexe (SDRC – ex algoneurodystrophie) est une pathologie fréquemment rencontrée en expertise. Elle soulève de nombreuses difficultés tant sur le diagnostic que sur le pronostic, l’imputabilité à un fait unique ou la prise en charge. Dans cette étude, nous avons analysé les réponses d’expertises demandées par une commission de conciliation et d’indemnisation (CCI) après avoir reprécisé les principales caractéristiques de cette pathologie, et avons pu constater des discordances dans la pratique. Nous pensons avoir ainsi dégagé de potentiels outils qui pourraient être utiles pour répondre aux principales interrogations posées dans ce contexte : éléments de diagnostic, critères d’imputabilité, durée moyenne d’évolution avant consolidation.</p></div><div><p>Complex regional pain syndrome (CRPS–ex algoneurodystrophy) frequently occur within medical expertise. This pathology gives numerous troubles in term of diagnostic, prognostic, accountability or therapeutic. In this study, we gave the main characteristics of CRPS, then we analysed the answers in the medical expertises asked by a conciliation and compensation commission (CCI) and found some difference in the way of the attainment. We think we have thus found potential tools to answer the main questions in this context: diagnostic elements, accountability elements, mean evolution time before consolidation.</p></div>","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"12 1","pages":"Pages 3-9"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49219675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Le médecin légiste, un acteur indispensable aux débats en Cour criminelle","authors":"F. Savall,&nbsp;N. Telmon","doi":"10.1016/j.medleg.2020.10.001","DOIUrl":"10.1016/j.medleg.2020.10.001","url":null,"abstract":"","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 135-136"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.medleg.2020.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44337258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Un syndrome d’embolie graisseuse fatal deux mois après un traumatisme : est-ce possible ?","authors":"W. Ben Amar ,&nbsp;H. Dhouib ,&nbsp;M. Zribi ,&nbsp;O. Boudawara ,&nbsp;N. Karray ,&nbsp;T. Sellami ,&nbsp;S. Maatoug","doi":"10.1016/j.medleg.2020.08.002","DOIUrl":"10.1016/j.medleg.2020.08.002","url":null,"abstract":"<div><p>Dans la pratique médicolégale autopsique, les embolies graisseuses sont fréquemment observées lors de l’examen microscopique des organes surtout en cas de décès traumatiques. Néanmoins, pour admettre le syndrome d’embolie graisseuse comme cause de décès, le médecin légiste doit appuyer ses constatations autopsiques macroscopiques et microscopiques sur un faisceau d’arguments cliniques et une discussion médicolégale succincte, prenant en compte les données scientifiques disponibles. Dans ce travail, nous rapportons un cas litigieux de syndrome d’embolie graisseuse survenu plus de deux mois après une fracture isolée des os de l’avant-bras, et nous exposerons la démarche du médecin légiste dans l’établissement du lien d’imputabilité entre le traumatisme initial et le décès par embolie graisseuse. Il s’agit du premier cas d’embolie graisseuse rapporté dans la littérature, succédant une fracture des os de l’avant-bras après un délai aussi long.</p></div><div><p>In Forensic practice, fat embolisms are frequently found during organs’ microscopic examination, especially in cases of traumatic death. However, to admit fat embolism syndrome as a cause of death, forensic pathologist must support his macroscopic and microscopic autopsy findings, through a bundle of clinical arguments and forensic discussion, taking into account available scientific data. In this paper, we report a litigious case of fat embolism syndrome occurring over two months after an isolated forearm's fracture and we aim to explain forensic approach in establishing the link of accountability between initial trauma and death. The originality of this case lies in the fact that this is the first case reported in the literature of fat embolism resulting from forearm's fracture after such a long delay.</p></div>","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 170-174"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.medleg.2020.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49477360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agenda","authors":"","doi":"10.1016/S1878-6529(20)30096-1","DOIUrl":"https://doi.org/10.1016/S1878-6529(20)30096-1","url":null,"abstract":"","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Page 178"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1878-6529(20)30096-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89999574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age estimation and sex determination by CT-scan analysis of the hyoid bone: Application on a Tunisian population","authors":"N. Haj Salem ,&nbsp;M. Amine Mesrati ,&nbsp;M. Belhadj ,&nbsp;S. Saadi ,&nbsp;S. Ben Jomaa ,&nbsp;D. Ouelha ,&nbsp;R. Dhouieb ,&nbsp;S. El Mhamdi ,&nbsp;S. El Jerbi ,&nbsp;A. Aissaoui ,&nbsp;A. Chadly","doi":"10.1016/j.medleg.2020.09.001","DOIUrl":"https://doi.org/10.1016/j.medleg.2020.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The hyoid bone is of great importance in forensic medicine and it has been studied for various forensic purposes. However, there have been few studies dealing with age and sex estimation using the hyoid bone, especially the radiographic methods.</p></div><div><h3>Objective</h3><p>To analyze the relationship between age, sex and metric parameters of hyoid bone in Tunisian population sample, using CT scan.</p></div><div><h3>Materiel and methods</h3><p>A prospective study was conducted in the department of Forensic Medicine of Fattouma Bourguiba Hospital of Monastir-Tunisia during 4 years. A total of 240 samples of hyoid bone were studied. The age of cases ranged from 18 days to 81 years. The specimens were collected only from the deceased of known age. Once dried, each hyoid bone was scanned using CT scan. For each specimen, 10 measurements were taken using a computer program. The measurements consisted of 6 lengths and 4 widths. A regression analysis was used to estimate the relationship between age, sex and different measurements. For age estimation, a multiple logistic regression was carried out for samples<!--> <!-->≤<!--> <!-->35 years. For sex determination, ROC curve was performed. Discriminant value finally retained was based on the best specificity with the best sensitivity.</p></div><div><h3>Results</h3><p>The correlation between real age and estimated age was good (r² <!-->=<!--> <!-->0.72) for samples aged 35 years or less. The unstandardized canonical function equation was estimated using three variables: maximum length of the right greater cornua, length from the middle of the left joint space to the middle of the right joint space and perpendicular length from the center point of a line between the distal ends of the right and left greater cornua to the center point of the anterior view of the body of the hyoid bone. For sex determination, the ROC curve analysis reveals that the area under curve was at 81.8%. Discriminant value was 0.451 with a specificity of 73% and sensibility of 79%. The equation function was estimated based on two variables: maximum length of the greater cornua and maximum length of the hyoid bone.</p></div><div><h3>Conclusion</h3><p>The findings of the current study suggest that metric analysis of the hyoid bone may predict the age<!--> <!-->≤<!--> <!-->35 years. Sex estimation seems to be more reliable. Further studies dealing with the fusion of the hyoid bone and the current study could help to achieve more accurate age estimation rates.</p></div><div><h3>Introduction</h3><p>L’os hyoïde est d’une grande importance en médecine légale. Cependant, il y a eu peu d’études traitant de l’estimation de l’âge et la détermination du sexe à partir de l’os hyoïde, en se basant sur les méthodes radiographiques.</p></div><div><h3>Objectif</h3><p>Analyser la relation entre l’âge, le sexe et les paramètres scannométriques de l’os hyoïde à partir d’un échantillon de la population tunisie","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 137-144"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89998802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les violences volontaires chez l’enfant : données épidémiologiques et conséquences médicolégales : étude rétrospective de 247 cas colligés au service de médecine légale de Sfax-Tunisie","authors":"S. Bardaa ,&nbsp;J. Kammoun ,&nbsp;H. Dhouib ,&nbsp;N. Karray ,&nbsp;H. Ennouri ,&nbsp;Z. Hammami ,&nbsp;S. Maatoug","doi":"10.1016/j.medleg.2020.06.003","DOIUrl":"10.1016/j.medleg.2020.06.003","url":null,"abstract":"<div><h3>But de l’étude</h3><p>La fréquence des violences volontaires chez l’enfant a nettement augmenté. Le but de notre travail est de relever les caractéristiques socioépidémiologiques des enfants victimes de violence et de préciser les conséquences de ces violences sur leur développement. Nous rappelons les différents textes légaux destinés à la protection des enfants et à l’élimination des violences à leur égard ainsi que les conséquences juridiques sur l’agresseur.</p></div><div><h3>Patients et méthodes</h3><p>C’est une étude rétrospective descriptive et analytique effectuée dans le service de médecine légale du CHU Habib Bourguiba, Sfax–Tunisie sur une durée de trois mois (octobre 2019–décembre 2019) concernant les enfants âgés de moins de 18 ans accomplis.</p></div><div><h3>Résultats</h3><p>Nous avons colligé 247 cas de violences contre l’enfant. La majorité des victimes sont des élèves de sexe masculin. L’agresseur est un voisin ou un membre de la famille dans la plupart des cas. Nous avons noté quelques cas de violence commise par un instituteur. L’arme contondante est la plus utilisée et la région céphalique est le siège privilégié des lésions qui sont surtout des ecchymoses ou des écorchures. L’incapacité totale de travail est de 7<!--> <!-->jours en moyenne. Une incapacité permanente partielle est prévue dans 15 % des cas.</p></div><div><h3>Conclusion</h3><p>L’enfant, étant vulnérable, a suscité l’intérêt des législateurs en Tunisie pour le protéger. Mais à notre avis, ceci ne peut pas être la seule solution pour lutter contre ce phénomène. Le combat de la violence passe par la prévention.</p></div><div><h3>Aim of the study</h3><p>The frequency of voluntary violence against children has increased significantly. The aim of our work is to identify the socio-epidemiological characteristics of child victims of violence and to specify the consequences of this violence on their development. We recall the various legal texts intended for the protection of children and the elimination of violence against them, as well as the legal consequences for the aggressor.</p></div><div><h3>Patients and methods</h3><p>This is a retrospective descriptive and analytical study carried out in the forensic department of Habib Bourguiba Hospital, Sfax–Tunisia over a period of three months (October 2019–December 2019) concerning children under 18 years of age made.</p></div><div><h3>Results</h3><p>We collected 247 cases of violence against children. The majority of the victims are male students. The perpetrator is a neighbor or family member in most cases. We noted some cases of violence by a teacher. The blunt weapon is the most used and the cephalic region is the predictive seat of lesions, which are mainly bruises or abrasions. Total temporary disability is 7 days on average. Partial permanent disability is expected in 15% of cases.</p></div><div><h3>Conclusion</h3><p>The child, being vulnerable, has aroused the interest of legislators in Tunisia to protec","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 158-164"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.medleg.2020.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49109667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consommation de stupéfiants et de nouvelles substances psychoactives par le biais des e-liquides. Description d’un cas et analyse de cheveux de deux expérimentateurs","authors":"A. Ameline ,&nbsp;E. Feisthauer ,&nbsp;N. Arbouche ,&nbsp;J.-S. Raul ,&nbsp;P. Kintz","doi":"10.1016/j.medleg.2020.07.002","DOIUrl":"10.1016/j.medleg.2020.07.002","url":null,"abstract":"<div><p>Souvent présentée comme une alternative moins nocive au tabac, la cigarette électronique, également appelée <em>e-cigarette</em>, <em>vapoteuse</em> ou <em>vaporette</em>, est un dispositif électronique générant un aérosol destiné à être inhalé et produisant une vapeur visuellement proche de la fumée produite par la combustion du tabac. Les liquides à vapoter, appelés <em>e-liquides</em>, considérés comme le carburant des cigarettes électroniques, sont composés d’un mélange de propylène glycol, de glycérine végétale, d’arômes et de nicotine à des concentrations variables. Plusieurs cas décrivant des e-liquides mélangés à des stupéfiants, notamment à du cannabis et des cannabinoïdes de synthèse, parfois coupés avec de l’acétate de vitamine E, ont récemment été publiés dans la littérature. Nous rapportons ici le cas d’une mère inquiète, dont le fils et la belle-fille, jeunes majeurs, pourraient avoir consommé des e-liquides mélangés à des stupéfiants, qui auraient entraîné des changements de comportement. Plusieurs nouvelles substances psychoactives ont été identifiées dans les trois e-liquides retrouvés à leur domicile, en très faibles quantités : étizolam, 3-fluororphenmetrazine et 3-MeO-PCP. L’analyse des cheveux des deux jeunes consommateurs a mis en évidence la présence de plusieurs stupéfiants (cocaïne, amphétamines, kétamine et cannabis), à hautes concentrations, démontrant un usage régulier de stupéfiants usuels, mais ne retrouve pas les trois nouvelles substances psychoactives. Si la cigarette électronique peut être un support de consommation de nouvelles substances psychoactives, il semble, selon notre expérience quotidienne, que les stupéfiants classiques restent privilégiés par les consommateurs.</p></div><div><p>Often presented as a less harmful alternative to tobacco, the electronic cigarette, also named e-cigarette, vaping or vaporette, is an electronic device generating an aerosol intended to be inhaled and producing a vapor visually close to the smoke produced by the combustion of tobacco. E-liquids, or vaping liquids, considered to be the fuel of electronic cigarettes, are composed of a mixture of propylene glycol, vegetable glycerin, flavors and nicotine, in variable concentrations. Several cases describing e-liquids mixed with narcotic drugs, in particular cannabis and synthetic cannabinoids, sometimes diluted with Vitamin E acetate, have been recently reported in the literature. We report the case of a distraught mother, reporting her son and her daughter-in-law, young adults, could have consumed e-liquids mixed with narcotics, which would have produced to changes in their behavior. Several new psychoactive substances were identified in three e-liquids found at their home, in very low quantities: etizolam, 3-fluorophenmetrazine and 3-MeO-PCP. Analysis of the hair of the two young consumers highlighted the presence of several narcotic drugs (cocaine, amphetamines, ketamine and cannabis), at high concentrations, demonstra","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 145-149"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43509701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contribution of post-mortem Computed Tomography in a case of manual strangulation: An example of “gas bubble sign”","authors":"M. Ducloyer ,&nbsp;G. Visseaux ,&nbsp;A. Bruniau ,&nbsp;R. Clement ,&nbsp;D. Ben Salem ,&nbsp;E. Dumousset ,&nbsp;G. Gorincour ,&nbsp;F. Dedouit","doi":"10.1016/j.medleg.2020.06.002","DOIUrl":"10.1016/j.medleg.2020.06.002","url":null,"abstract":"<div><p><span>We report an example of “gas bubble sign”, a specific and little-known sign of laryngohyoid fractures at post-mortem computed tomography, in a case of manual strangulation. It reinforces the role of post-mortem computed tomography to highlight </span>laryngeal injuries in case of fatal pression of the neck.</p></div><div><p>Nous rapportons un exemple de « <em>gas bubble sign</em> », un signe spécifique et méconnu de fracture laryngée en scanner post-mortem, dans un cas de strangulation manuelle. Cet exemple renforce le rôle important du scanner post-mortem pour mettre en évidence des lésions laryngées en cas de pression fatale du cou.</p></div>","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 175-177"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42940463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applicabilité des stades de Demirjian et de l’indice de maturation de la troisième molaire (IM3) de Camérière dans l’estimation de l’âge majeur dans une population sénégalaise","authors":"M.L. Ndiaye ,&nbsp;S. Soumboundou ,&nbsp;H. Douch ,&nbsp;P.A. Lecor ,&nbsp;A. Ly-Ba ,&nbsp;B. Toure","doi":"10.1016/j.medleg.2020.07.001","DOIUrl":"10.1016/j.medleg.2020.07.001","url":null,"abstract":"<div><h3>Objectif</h3><p>L’objectif de cette présente étude était d’évaluer l’âge majeur de jeunes sujets sénégalais, avec les stades de maturation de Demirjian et l’indice de maturation de la troisième molaire (IM3) de Camérière.</p></div><div><h3>Matériels et méthodes</h3><p>L’étude portait sur 299 radiographies panoramiques de sujets âgés de 14 à 24 ans. L’IM3 est le rapport entre la somme des largeurs des ouvertures apicales des racines de la troisième molaire et la longueur du plus grand axe. La valeur seuil de l’IM3<!--> <!-->=<!--> <!-->0,08. Un sujet est considéré majeur (âgé de 18 ans ou plus) si l’IM3<!--> <!-->˂<!--> <!-->0,08. La méthode de Demirjian est basée sur les stades de maturation de la troisième molaire mandibulaire de A à H. La sensibilité et la spécificité étaient évaluées pour chaque méthode.</p></div><div><h3>Résultats</h3><p>Les 53 % (<em>n</em> <!-->=<!--> <!-->158) de l’échantillon étaient constitués de sujets de sexe masculin alors que le sexe féminin représentait 47 % (<em>n</em> <!-->=<!--> <!-->141). Le stade H présentait une sensibilité et une spécificité respective de 92 % et de 85 % chez les hommes, de 89 % et 70 % chez les femmes. La sensibilité de l’IM3 à identifier un majeur comme tel était respectivement de 93 % chez les hommes et 86 % chez les femmes. La spécificité de 82 % chez les hommes contre 75 % chez les femmes.</p></div><div><h3>Conclusion</h3><p>En somme, les deux méthodes utilisées sont fiables dans l’évaluation de l’âge de la majorité des sujets sénégalais.</p></div><div><h3>Objective</h3><p>The purpose of this study was to evaluate the majority age of young Senegalese subjects, according to Demirjian's maturation stages and Camérière's third molar maturation index (IM3).</p></div><div><h3>Materials and methods</h3><p>The study involved 299 panoramic X-rays of subjects aged 14 to 24<!--> <!-->years. IM3 is the ratio between the sum of the widths of the apical openings of the third molar roots and the length of the longest axis. The cutoff value for estimating age 18<!--> <!-->years or older is IM3<!--> <!-->˂<!--> <!-->0.08. Demirijian's method is based on the stages of maturation of the mandibular third molar from A to H. Sensitivity and specificity were evaluated for each method.</p></div><div><h3>Results</h3><p>Fifty-three percent (<em>n</em> <!-->=<!--> <!-->158) of the sample was male and 47% (<em>n</em> <!-->=<!--> <!-->141) were female. Stage H had a sensitivity and specificity of 92% and 85% in males and 89% and 70% in females, respectively. The sensitivity of the IM3 to identify a middle finger as such was 93% in men and 86% in women, respectively, with a specificity of 82% in men and 75% in women.</p></div><div><h3>Conclusion</h3><p>The two methods used are reliable in assessing the age of the majority of Senegalese subjects.</p></div>","PeriodicalId":39100,"journal":{"name":"Revue de Medecine Legale","volume":"11 4","pages":"Pages 150-157"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.medleg.2020.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45165188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}