孟加拉Chattogram地区女孩肱骨下端骨化年龄的放射学研究

Raju Chowdhury, M. Ashrafuzzaman, Arunima Datta, Nazmun Nur E Azam, Urmila Chowdhury, Md Shamsudduha Chowdhury
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摘要

背景:从外观和骨化中心的融合来估计一个人的年龄被认为是医学界和法律界公认的一种合理的方法。年龄估算在就业、结婚、刑事责任认定、司法处罚、行使成人选举权等诸多目的中都是必不可少的。通过骨骺与骨干的外观和融合来研究长骨的骨化中心,可以确定骨年龄。根据地理地形、气候、饮食、遗传、疾病和其他因素,估算骨骼年龄的挑战因地而异。因此,本研究旨在观察肱骨下端骨化中心融合的状况,为Chattogram中女孩年龄的估计提供依据。材料与方法:本横断面观察研究于2018年7月至2019年6月对Chattogram Prabartak学校和吉大港医学院12至20岁的正常健康学生进行。以50名女生为研究对象,按年龄分为8组。对所有患者的右肘关节进行前后位和侧位x线片检查。对x线片进行放射学研究和解释,通过骨化中心的结合来估计年龄。结果:图示骨骺愈合的平均年龄为:女孩外侧上髁与头状骨融合的年龄为12 ~ 13岁。12-13岁女童小头与滑车融合。12-13岁女孩远端骨骺与骨干融合。13-14岁女孩内上髁与骨柄融合。结论:女孩骨化中心愈合一般发生在12 ~ 14岁。Jcmcta 2021;32 (2): 100-104
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Radiological Study of Ossification at the Lower End of Humerus for Estimation of Age among Girls in Chattogram, Bangladesh
Background: Estimation of the age of an individual from the appearance and the fusion of the ossification centers is considered as a reasonable well accepted method in the field of medical and legal professions. Age estimation is essential during employment, marriage, fixation of criminal responsibility, judicial punishment, exercise of adult franchise and many other purposes. Bony age can be determine by the study of ossification centers of long bones through the appearance and fusion of epiphysis with diaphysis. The challenges during estimation of bony age are varying from place to place depending on geographic terrain, climatic, dietetic, hereditary, disease and other factor. So this study aimed to look out the status of fusion of ossification centers at the lower end of humerus for estimation of age among girls in Chattogram. Material and methods: This cross sectional observational study was performed in the period of July 2018 to June 2019on normal healthy student of 12 to 20 year age from the Prabartak School and College, Chattogram and Chittagong Medical College, Chattogram. The students (50 girls) were taken as subject and they were divided in eight groups according to their age. X-ray of the right elbow joint of each and every subjects were taken in antero-posterior and lateral view. The x-ray films were studied radiologicallyand interpreted to estimate the age byunion of ossification centers. Results: The average age of epiphyseal union in Chattogram was found as follows:Fusion of lateral epicondyle with capitulum in girls at 12-13 years. Fusion of capitulum withtrochlea in girlsat 12-13 years. Fusion of distal conjoint epiphyses with shaft in girls at 12-13 years. Fusion of medial epicondyle with shaft in girls at 13-14 years. Conclusion: In general the union of the ossification centers occurwithin 12-14 years in girls. JCMCTA 2021 ; 32 (2) : 100-104
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