Forensic Medicine · Forensic Age Estimation and Radiology (Ossification, Dental, Epiphyseal Union)

In forensic radiology for age estimation in adolescents, the Greulich and Pyle atlas is based on radiographs of which anatomical site?

  • A Anteroposterior view of the pelvis
  • B Lateral knee joint
  • C Left hand and wrist (posteroanterior view)
  • D Right shoulder including proximal humerus
Correct answer: C. Left hand and wrist (posteroanterior view)

Explanation

The Greulich and Pyle atlas (1959) is the gold standard radiological atlas for skeletal age estimation in individuals up to approximately 19 years. It uses standard PA radiographs of the LEFT hand and wrist, assessing ossification and epiphyseal fusion of carpal bones, metacarpals, and phalanges. The left hand is used by convention to minimize dominant-hand use differences. Bone age is compared to reference standards established from a US population. The TW3 (Tanner-Whitehouse) method is an alternative scoring system for the same site.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

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