Clavicle fractures

LeBel, Marie‐Eve

doi:10.1016/b978-1-78242-449-9.00009-1

Cited by 1 publication

(1 citation statement)

References 107 publications

(202 reference statements)

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“…Typically, certain sub-regions of the human skeleton such as the pelvis, sternal end of the fourth rib and medial clavicle are matched with a "score" or "phase" from an established classification system (Schmeling et al, 2004;Franklin, 2010;Kellinghaus et al, 2010). It has been customary to use the clavicle, which provides information for estimating age-at-death when other elements of the skeleton are fused, because of its protracted maturation period (Schmeling et al, 2004;Kellinghaus et al, 2010;Milenkovic et al, 2013;Wittschieber et al, 2014Wittschieber et al, , 2016LeBel, 2015;Rudolf et al, 2018;Doyle et al, 2019). There has been a gradual transition to radiographic imaging modalities but established scoring systems continue to be implemented (Schmeling et al, 2004;Kellinghaus et al, 2010;Wittschieber et al, 2014Wittschieber et al, , 2016Rudolf et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Age-Related Trends in the Trabecular Micro-Architecture of the Medial Clavicle: Is It of Use in Forensic Science?

McGivern

Greenwood

Márquez‐Grant

et al. 2020

Front. Bioeng. Biotechnol.

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The mechanical and structural properties of bone are known to change significantly with age. Within forensic and archaeological investigations, the medial end of the clavicle is typically used for estimating the age-at-death of an unknown individual. Although, this region of the skeleton is of interest to forensic and clinical domains, alterations beyond the macro-scale have not been fully explored. For this study, non-destructive micro-computed tomography (µ-CT) was employed to characterize structural alterations to the cancellous bone of the medial clavicle. Fresh human cadaveric specimens (12-59 years) obtained at autopsy were utilized for this study, and were scanned with a voxel size of ∼83 µm. Morphometric properties were quantified and indicated that the bone volume, connectivity density, mineral density, and number of trabeculae decreased with age, while the spacing between the trabeculae increased with age. In contrast to other sub-regions of the skeleton, trabecular thickness, and degree of anisotropy did not correlate with age. Collectively, this could suggest that the network is becoming increasingly perforated with age rather than exhibiting trabecular thinning. These results are used in the context of deriving a potential protocol for forensic investigations by using this particular and largely unexplored region of the skeleton, and provide inspiration for future experiments concerning micro-architectural and small scale changes in other regions of the human skeleton.

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