1 - Age Estimation of the Human Skeleton Flashcards

(45 cards)

1
Q

What forms the basis for age estimation in the human skeleton?

A

1) Age results in linear increases in bone dimensions
2) Appearance and fusion of ossification centres occurs at similar points in development
3) Predictable / averaged eruption of teeth, their loss and also their replacement

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2
Q

What features can help identify juvenile bones?

A

1) Size
2) Proportions
3) Texture (undulating, granular articulating surfaces)
4) Fusion - or lack thereof

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3
Q

What 3 skeletal features provide accurate age estimation in fetal / infant skeletons?

A

Femur length (in utero)

Dental development (infant)

Bone fusion

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4
Q

What are 5 features of deciduous teeth?

A

Small
Constricted neck
Bulging crown

Roots of ANTERIOR teeth are elongated.

Roots of POSTERIOR teeth are flared.

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5
Q

In the context of ageing, which 3 categories of fusing bones are useful age estimation tools up until early adult life?

A

Midline fusions:

  • Mandible (6-9 months)
  • Frontal bone (1-2 years)

Epiphyseal fusion:
- Femur / hip bone (13-20 years) [puberty]

Late-fusing centres

  • Medial clavicle
  • Sacral bodies
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6
Q

What 3 aspects make up dental development?

A

Crown formation
Root formation
Eruption

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7
Q

What are the chronological changes that occur at the medial surface of the pubic symphysis?

Adolescent
Increasing age
Adult

A

Adolescent:

  • Horizontal grooves
  • No margin

Increasing age:

  • Infilling of grooves
  • Thicker margin
  • Rim around joint surface

Old age:

  • Irregular margin
  • Pitted / porous surface
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8
Q

Which two groups of individuals developed pubic symphysis age estimations?

A

Suchey and Brooks

Todd, McKern and Stewart

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9
Q

Describe the functionality of Suchey and Brook’s age estimation method?

A

6 stages of sequential increasing age

Variation within each stage is accounted for with ‘early’ and ‘late’ examples.

**Separate age estimations exist for male and female.

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10
Q

Each phase in Suchey and Brooks has variation in age estimation. What happens to this variation with increasing phase number?

A

Increases.

Greater scatter, and becomes more positively skewed.

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11
Q

What age ranges are covered in Suchey and Brook’s symphysis age estimation tool?

A

10-80 years

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12
Q

Why might the data of higher phases within Suchey and Brooks have occurred?

A

Mismatch between chronological age and skeletal age - greater extent.

Environmental factors, lifestyle etc.

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13
Q

What two reasons explain why the first molar usually more worn in comparison to the third molar?

A

1) Eruption occurs 6 years apart.

M1 = 6
M2 = 12
M3 = 18

2) Usually a greater occlusal load on M1

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14
Q

What 3 factors can also rate of molar wear?

A

Diet
Disease
Non-dietary usage

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15
Q

What 3 causes of dental wear exist? And what is each one?

A

Attrition - inter-tooth contact

Abrasion - hard particulates

Erosion - chemical dissolution

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16
Q

What two microscopic dental markers within enamel can provide estimation into age at death?

A

Perikymata on enamel

Striae of retzius

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17
Q

How frequently do striae of Retzius occur?

A

7-8 day intervals

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18
Q

In bones, what radiological finding can show periods of halted growth?

A

Harris lines

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19
Q

Periods lacking in tooth development results in what finding?

A

Linear enamel hypoplasia

20
Q

What type of process is most commonly used to determine age of adult skeletons?

A

Degenerative processes

21
Q

What issue occurs with age estimation and increasing age however?

For what reasons?

A

Becomes less accurate with increasing age.

Greater variability due to factors such as diet, physical activity, trauma and disease.

22
Q

What 4 features are analysed when age-estimating the auricular surface of the ilium?

A

1) Transverse organisation
2) Granularity
3) Porosity
4) Joint surface margin

23
Q

What is the Spitalfield’s Known-age collection?

A

Sum of 5 scores to give a total score and subsequent age estimate.

24
Q

What 5 scores are used within the revised auricular surface method?

A

1) Transverse organisation
2) Surface texture
3) Microporosity
4) Macroporosity
5) Apical changes

25
What ages do the skull fontanelles close in the infant?
1) Posterior: 3-6 months 2) Anterolateral: ~6 months 3) Posterolateral: 6-12 months 4) Anterior: 12-36 months
26
What two methods of age-estimation are there for assessing molar wear?
Mile's molar wear Brothwell
27
What changes are visible in the trabeculae of the humeral / femoral head that occur with ageing?
Cortical thinning Trabecular cavitation
28
Suchey and Brooks has what feature that caters for the whole population?
Male and female ageing standards.
29
What age does S1-S2 fusion occur?
25-30 years old
30
What stages of clavicular fusion are there, and what ages do they occur?
Not fused: <18 Partially: 16-21 Fused: 24-29
31
Name 4 microscopic methods of age estimation
Root dentine transparency Cementum growth Osteon accumulation Amino acid racemisation
32
What variables should be considered when undergoing age-estimation?
Malnutrition Infection Nutrition / infection interplay Taphonomic factors
33
What are 3 age-progressive diseases that can act as indirect indicators of longevity?
Osteoporosis Osteoarthritis Paget's disease
34
What is osteoporosis?
Loss of bone mineral
35
What is osteoarthritis?
Degeneration of joint surfaces
36
What is paget's disease?
A disease of bone remodelling / recycling process.
37
How does root dentine transparency work?
Microscopic tubules in the dentine are progressively infilled. Start at root apex. Ratio then made between translucent:length of dentine
38
What occurs in amino acid racemisation for it to be used as an age-estimation method?
Racemisation of amino acids in COLLAGEN from 100% L-isomer into 50% D and 50% L-isomers.
39
What factor increases rate of racemisation?
Temperature
40
Define racemisation
Conversion of optically active compound into optically inactive compound.
41
Advanced Glycation end products are made of what?
Post-translational non-enzymatic modifications of collagen in vivo.
42
What changes occur in the sternal ends of the upper ribs with ageing? In young? In old?
Young: - Smooth - Straight-walled - Slightly indented OLD: - Deeper - Wider - Scalloping of walls. - Irregularity of margins
43
What is a potential limitation to having modern standards of age-estimation?
Cultural, healthcare and evolutionary changes - may not mimic the patterns of growth / ageing in the time of the skeletal specimen.
44
What sign is Cribra orbitalia and what is it a marker of?
Active healing in orbital roof. Anaemia
45
Periostitis is a marker of what disease presence?
Infection