FORENSICMEDICINEANDTOXICOLOGY
UNIT1:INTRODUCTION
Medicineisunderstandingthefunctioningofthehumanbodyandit'sreactiontodifferent
chemicals.
Forensicmedicine:applicationofmedicalknowledgeinadministrationofcriminal
justice.
Jurisprudence:knowledgeofthelaw
Medicaljurisprudence:understandingoflawfromamedicalperspective.
Basically,forensicmedicineandmedicaljurisprudenceareviseversatoeachother.
LikeinF.medicinewelookintomedicalknowledgeofinjury,death,andsoon. Whereas
medicaljurisprudencedealswiththingslikeconsent, physician-patientrelationship,
professionalmisconduct,medicalethics,andsoon.
Toxicology-thestudyofpoisons.
Forensictoxicology -examinationofallaspectsoftoxicitythatmayhavelegal
implications.
Occupationaltoxicology-dealswithchemicaltoxicityandchemicalhazardsina
workplacelikeanindustrialworkplace.
environmentaltoxicology:astudyoftoxinsandtheireffectsontheenvironment.
Applicationofforensictoxicology:
1.Postmortemdrugtesting:anexaminationoftoxiccontentonpost-deathofan
individual.(medico-legalautopsy)
2.Workplacedrugtesting:MNCsandgovtjobslikeArmedForcesandcivilservices
conductingdrugtestsonemployeestoensurethereisn'tanyabuseofdrugs.
3.Investigationofcontrabandmaterials:allthedruginvestigationsweredoneunderthe
NDPSact(narcoticdrugsandpsychotropicsubstances)likecannabis, cocaine,andso
on.
History:-
1.In7thBCCharakaSmithaelaboratesandgivesadetaileddescriptionofthecode
regardingthetraining,future,privileges, andsocialstatusofphysicians.Alsogavea
descriptionofdifferenttypesofpoisonandtheirtreatments.
2.In4thBC,Manusmritilaidvariouslawsincludingpunishmentforvarioussexual
offensesandotheroffenses, anditalsorecognizedmentalincapacityduetointoxication,
illness,andage.
3.ArthashasthraofKautilyadefinedpenallawsandregulatedmedicalpractice.Helaid
downstrictrulesformedicalnegligence.Italsomentionsexaminationofdeadbodiesdue
tounnaturaldeath,sexualoffense,abortion,andsoon.Allwerepunishableoffenses.
DuringthistimewesawVishKanyawhereindividualsweregivensmalldosesofpoison
regularlyandmadeaccustomedtoitandtheseindividualswereusedasmercenaries.
4.RigVedaandotherVedasmemesaboutcrimeslikeincest,adultery,killinganembryo,
murder,frankness,andsoon.Here,physicianswereidentifiedasprofessionalpeople
AtharvaVedhagivesdetailsaboutremediesforvariousconditions.
5.LawmedicineproblemsareobservedinwrittenrecordsofEgypt,China, Babylon,
Indiawhichdatebackto3000-4000BC
6.Hippocrates(fatherofwesternmedicine) discussedlethalityofthewoundwhere
effectandseverityofwoundwereseen. Hetalkedaboutmedicalethicslikeyouhaveto
treatanyinjuredpersonandemotionsshouldbeseparatedfromwhiletreating.
7.ThecodeofHammurabiistheoldestknownmedico-legalcodegivenbythekingof
Babylonin2200BC.
SushrutadealtwithvariousmedicoLegalproblemslikefractures(usingbamboo)andso
on.Helaiddowndutiesofphysicians,classifiedwoundsandfractures, classifiedvarious
poisonandsnakesandtheirrespectivetreatment.alsoincludedmodesofadministration
ofpoisonweredescribedlikecyanideshouldbeconsumed,airpoison,andsoon.This
bookwascalledSushrutaSamhita.
8.PaulusZacchias(fatheroflegalmedicineandforensicpsychiatry)wrotequestions
medico-legal,abookwhichconsistsofhisresearchandobservationonthecaseshecame
acrossincourtcases.Hewasanexpertinacourtofappeals(rotaRoman's) andwas
principalphysiciantopopeinnocentX,AlexanderVII.
Fatherofforensictoxicology:MathuieOrfila
Hewasachemistryprofessor.Heintroducedprecisechemicalmethods.
Inquest:
itisaninquiryorinvestigationintothecauseofdeathlikesuicide,murder,accident,
torture,animalattack,suspectedmedicalnegligence, occupationalillness,andsoon.
Hereweevenconsiderunidentifiedbodiesorskeletons.
InIndia, therearetwotypesofinquest:
1.Policeinquest:-
Herethepolicestationconductstheinquest(S174ofCrPC).Thepoliceinchargeof
casesarecalledinvestigationofficers,usually,thesearesub-inspectors.
Firstly, theymakeareportoftheinformationreceivedandfurthergoandinvestigateif
anunnaturaldeathisobserved.
Secondly,theygotothelocationandsealtheareaandstarttheinvestigationbymakinga
detailedreport(initialreport)ofthecrimesceneincludingtheareaaroundthecrime
sceneandthebodyandtheinjuriesinthebody.Thisisthefirstinvestigatingreportandis
signedbytheinvestigationofficer, 3-5witnesses(panchmahaorspotMahajan).
Thirdly,thebodyisnowsentformedico-legalautopsytofindCorroborativeevidence
andfindthecauseofdeath.Here,itissenttothenearestauthorizedgovtmourger. The
firstinvestigationreportandrequisitionforpostmortemareforwardedtothemagistrate.
Onlyaftertherequisitionissigned,apostmortemcanbecarriedout.
Hereduringtheautopsyreportfirstexternalisthoroughlycheckedthentheymoveto
internalorgansandit'ssystem.Andthesevisceralorgansaresentforforensicsanalysis.
Allthesearerecordedinareportandacopyofitissenttothemagistrate.
Here, theoverallexecutivemagistratehasthepowertointerfereandobserveandtake
overthecase.
2.Magistrateinquest:
collector/deputycommissioner/tahsildarorany executivemagistratecandotheinquest
inthefollowingconditions:
A. Deathinpolicecustodyandworkunderpoliceinterrogation.
B. Deathduetopolicefiring
C. Deathinprison,reform, borstalschool(schoolforjuvenile)
D. Deathinapsychiatryhospital
E. Dowrydeath
F. Exhumation:removalofthebodyfromtheburiedground
G. Rape, murder,anddisappearanceofthepersonincustodyofpoliceorauthorized
custodybythecourt.
Here,theprocessofinvestigationisthesameasitisinpoliceinquestwithmakingthe
firstinvestigationreportandthenfurtherpostmortem.
Coroner'sinquest(notdoneinIndia):
AtypeofinquestisdoneintheUKandsomestatesoftheUS.Theforensicdoctorsand
medicalexamineractsasanexpertandperformpostmortemandgivesitasevidenceAt
theinquest.Thispersoniscalledacoronerandisanexpertwhogiveshisopiniontothe
jury.hence,wecouldsayhehaslittlejudicialpower
Medicalexaminer'ssystem:
ThisisusuallyseeninJapan, American, Canada,andsoon.Here,themedicalexaminer
conductstheautopsyandthisreporthashighervalueincourt.Here,theexaminerdoesn't
haveanyjudicialpowerbutthereportisconsideredtobeofhighervaluethanthatof
policeandmagistrateinvestigation.
Jury:ajuryisagroupofresponsible, educatedindividualswithgoodsocialpositions.
Thesepplarecalledjurorsandareusuallyinevennumbers.Theymakeaverdictand
theirverdictisbindingonthejudge.Hereifthejudge'sopiniondiffers,thenthecasegoes
tothehighcourt.
TrialbyjuryisabolishedinIndia.ItisseentobeabolishedinmanyAsiancountriesas
theyaren'twellversedwithlegallawsandthisleadsthedecisionofjuriestobeusually
biased.
TheNanavaticasewastheonethatbroughtabolishmentofthejurysysteminIndia. (the
moviewasdoneonthiscase-Rustom)
Personalidentificationoftheliving:
Itisthedeterminationofindividualityofapersonbasedoncertainphysical
characteristicslikeexactfixationofpersonality.Alsoinpartialorincomplete
identification,certainfactsaredeterminedlikeage,race,sex,andsoon.
Identificationsarenecessaryincaseslike:
1.Livingperson
2.Recentlydeadperson
3decomposedbody
4.Mutilatedandburntbodies.(usuallyseenindisastervictimidentification-DVI)
5.Skeleton
Necessaryofpersonalidentificationsareseenin:
1.Incriminalcaseslikethepersonaccusedofassault,murder,rape,andsoon.
2.Alsoseeninchangingofnewbornbaby, impersonationandsoon
3.Incivilcaseslikemarriage,inheritance,passport,insuranceclaims, disputedpaternity,
missingperson,andsoon.
Hereatleast2identificationmarksshouldbenotedbythedoctorinallmedico-legal
cases.
Identificationdetailsconsidered/identificationData
1.Raceandreligion
2.Sex
3.Age:Thiscanbedonethroughdentalexamination.
4.Generaldevelopmentalandstature:themorphologicalgrowthhelpinapprox
identifyingadeandalsogender
5.complexionandfeature:aidswithidentificationofgenderandrace
6.Externalpeculiarities-moles, birthmark, malformation,scar,occupationmark,tattoo,
andsoon.
7.Anthropometricmeasurement:measurementoflongbonelikefemur,humerus,etcthru
caliper.
8.Fingerprintandfootprint
9.Teeth:estimateage[milkteeth,permanentteeth,molarteeth]andrace.bitemarksaids
intheidentificationoftheperson
10.Personaleffects-clothes,pocketcontent, jewelry,andsoon
11.Handwriting
12.Speechandvoice:usingLVA[layeredvoiceanalysis]wecanidentifytheindividual
13.Gait, tricksofmannerandhabit:walkingpatternsandtheirotherhabitshelpinthe
identification
14.Memoryandeducation:candetermineandestimatetheindividualbasedontheir
behaviorwhichisusuallyformedthroughmemoryandeducation.
Here,sexage,andstatureareprimarycharacteristicsofidentification.
Inthis14,atleast5to7identificationdataisnecessarytoprovetheidentificationofthe
individual.(living,missing,ordead).11th-14thdatacanbeappliedonlytoliving
individuals.
Whileexaminationofdeathwepreferthesameidentificationdatabutdifferentmeasures
ormethodsofidentification.
Odontology:thescientificstudyofthestructureanddiseasesofteethandjaw
● whenwesearchforanindividualorwhenwegoforidentification,welookforthe
followingtypesofevidence:
a.Circumstantialevidence:evidencewhichweacquireorgetonthespot. itismostlythe
externalexaminationlikecloth,jewelry,andsoon,intheidentificationoftheindividual.
b.Physicalevidence:here,wedobothexternalandinternalexaminationoftheindividual
likeexternalanalysisofanindividualincludingfingerprint.Andtheinternalexamination
isusuallydoneondeadbodies.
I.Identificationofrace:
Here, weneedtohaveknowledgeofallthethingsandtheexceptionsinthemtomakea
properidentification.
Asians:originfromsoutheastandIndiansubcontinentlikeBangladesh,India,China,
Columbiaandsoon
Negroids:originfromSoutheastAsiaandisolatedpartsofAsiaandAfrica
mongoloids:theyoriginatedfromEastAsia,SoutheastAsia,arcticandpacificsidelike
Eskimo,Tibet,Korean,Japanese.
Caucasian:originfromregionsbetweentheblackseaandCaspiansealikeAmerican,
Georgia,southernRussia,andsoon.
1.Skincomplexion:itisthecomplexionorthecoloroftheskin.Thisisoflimitedvalue.
Asians:- wheatish,moreofduskcolorOrbrownshades.
Negroids:-dark-skinnedlikeblackcolorRangingfromdarkbrowntoblack.
mongoloids:-fairskin
Caucasian:-UsuallyRangefromwhite-skinnedTodarkbrown.
2.Eyes-here,weobservetheshape/sizeandthecoloroftheeye.
Asians:-VerysimilartoNegroidsrangingfrombrowntoblack
Negroids:-usuallyRangesfromdarkbrowntoblack.
mongoloids:-havetinyandpeculiareyestructure
Caucasian:-light-coloredeyelikehazel,blue.
Rarelydoweseeexceptionslikealbinoswhohaveanabsenceofmelaninpigmentation
inhairandskin.
3.Hair-Here,welookintothecolorandthetextureofthehair.Usually,thetextureof
hairlikewavy/straight/curlyandalsothedensitylikethickandthinaredeterminedbythe
medulla.
Asians:-dark-coloredhairlikeblack/darkbrown.Usuallyeithercurlyorwavyhair.rarely
itisseentobestraight.Andoftenseentobethin.
Negroids:-darkjetblackcolorhairwiththickCurlyhairLikewooltype.Usuallyhave
densehair
mongoloids:-mostlystraighthairOrWavyhair.butmostlystraightandsmooth.
Caucasian:-Usuallyovalinshapeandcanbewavy,straight,orcurlywiththickdensity
4.Physicalappearance-itishowanindividualappearsorlooks.here,welookintothe
followingfactors:
A. Jawshape:itistheshapeofthemouth,thatislowerjaw(mandible)andupperjaw
(maxilla)boneshape.here,usually,weobservethestructureofthemaxillaasit
prominentlyformsajawline
Asians:- jawisnotprotrudedandthemaxillaisproperlyfixed
Negroids:-widejawandmandibleisprotrudingandformslikeaU-shapejawandchin
structure
mongoloids:-morelikearectangularprotrudingjawandchinshapeastheyhave
squarish/rectangleshapemaxilla
Caucasian:-sharpornarrowjawandmandibleisprotrudingandformslikeaV-shapejaw
andchinstructure.
B. Skullshape-itistheshapeoftheskullwhichisdeterminedbytheshapeofthe
foreheadoftheindividual.
Asians:-mediumshapedskullanditisn'tprotrudingoutnorisflat
Negroids:-prominentprotrudingskullforehead
mongoloids:-flatskullforehead
Caucasian:- mediumshapedanddoesnothaveprotrudingnorflatskull
C.Occipitalhole/foramenmagnum(theareaaroundtheeye):thisisouroccipitalor
externallytheareaofoureyeortheopeningoftheskullorthetwoholesoftheskull
whereoureyesexist.Thisisusuallyusedwhenobservingaskeletonaswecanobserveit
moreprominently.
Asians:-similartomongoloids,itisalmostcircular,ovalshape
Negroids:-itisofrectangleshape
mongoloids:-itisalmostcircularin shape
Caucasian:-theshapeoftheholegoesfromnarrowfromthenosesidetobroadertothe
earside
D.WidthofNasalaperture/pyriformaperture:itisthetipboneofthenasalwhich
givesapearshapeofthenose.
Asians:-itissimilartocaucasian,havealongnasalaperturethatextendsdownand
doesn'tgetbroader
Negroids:- reallybroadnasalaperture
mongoloids:-looksmorelikeacircularshapeandaninvertedV-shapenasalaperture.
Caucasian:- widthofthetipofnose/nasalapertureislongandoftenextendsdownthan
gettingbroad
cephalicindex=
(maxbreadthofskull/maxlengthofskull)*100.
Thisisusuallydonewhiledoingskeletonanalysisewhichcanusuallyidentifytheage,
raceandgenderoftheskeletonusingtheskull.
II.Identificationofage
itisimportantasithelpsin:
1.Determiningthecriminalliabilityorresponsibilityoftheactcommitted.
AcctoS
82ofIPC:saysanycrimecommittedbyachildbelow7yearsisnotanoffense.
Hence,heisheldresponsiblebutnoactionistaken.
S83 ofIPC:AnyChildfrom7-12yearsofageiscapableofcommittingacrime.
“presumedtobecapableofcommittinganoffense,ifheattainedsufficientMaturityof
understandingtojudgethenatureandconsequencesofhisconduct.”Here,inthetrial,
itisobservedifheisabletounderstandhisactionandtheconsequencesofhisaction. If
yes,thenpunished.Ifno, thenhewilljustbeheldresponsiblebutnotpunished.
S89ofIPC:anychildofagebelow12yearscannotgiveconsentofdoinganyactthat
canleadtoORdoneingoodfaith. Likeifachildbelow12yearsneedssurgeryto
surviveandisn'twillingtolive.here,hisdecisionandconsentaren’tvalid.
S87ofIPC:anyChildAbove18yearscangivevalidconsenttosufferanyharmorpain
oractwhichmayresultindeath. Here,hewillbeonlyheldreliableonlyifheisawareof
theconsequencesofhisactionleadingtogrievoushurt.
ItisobservedthatindividualswithXYYchromosomestendtobemoreaggressiveIn
nature.Hence,aremorepronetocommitcrime.
2.Toabort/carryoutjudicialpunishment.
Thisisimportanttoknowastheagedeterminesthetypeoftrialandjudicialpunishment
fortheoffenderlookingintothesituationofthecaseandalsotheageoftheoffenderand
thevictim.ThisaidsincarryingoutJudicialpunishmentincasesinvolvingthefollowing
aspects:
a.Juvenile:Thatisiftheoffenderisajuvenileoranadult.
Ifjuvenile,itfallsunderJJact,2000[juvenilejusticeact]. Thejuvenilejusticecareand
protectionofchildrenamendmentbill,2006 statesjuvenilesareindividualswhoare
belowtheageof18whohavecommittedanoffense.
Here, juvenilesinconflictwiththelawaretrialeddifferentlyindifferenttypesofcourts;
wheretheenvironmentofthecourtisn’tcruelandtraumatizing.
Thejuvenilesareusuallymadetoparticipateingroupcounselingandaretoperform
communityserviceandfurtheraresenttospecialhomesandreformatoryschoolsor
rehabilitationcentersandcorrectionalinstitutions.
Here, nojuvenileshallbesentencedtodeathorlifeimprisonment,orcommittedto
prison.But,afternirbhayacasetheJJamendmentbill,2021cameforthsayingifany
juvenilefromage16-18yearscommitsaseriousoffense(likerapeormurder),thenthe
juvenilewillbechargedwithamaxpunishmentof7yearsofprison.
b.Underagedsexualintercourse:Here,theagedetermineswhetherornotitisrape.
LikeinS
375ofIPC-sexualintercoursebyamanundertheageof15yearsevenifshe's
awifeandbelow18years,evenwiththeconsentisrape.
c.Kidnappingandabduction-here,theagedetermineswhetheritisakidnapor
abductionwhichfurtheraidsinjudiciallypunishingtheoffenderaccordingly.
S369ofIPC: kidnapachildwiththeintentionofdishonestlytakinganymovable
property,fromthechildortheparentofthechild.
S361ofIPC:tokidnapminorsfromlawfulguardianship(boy-below16yearsand
girl-18years.
S363AofIPC:kidnapandmakethembegbymakingthemlooklikebeggars(Miam)
S366ofIPC:kidnapandcompeltomarry
S366AofIPCtoprocureagirlforprostitution.(below18yearsofage)
S366BofIPC:toimportforeignerorNRItoIndiaforillicitintercourse.(girlbelow21
years).
Abduction:S
362ofIPC:compellingbyforceorinducingbydeceitfulmeansonperson
togotoanyplace.
Simpletermsanyadultgettingkidnapped.
d.Employment:Heretheidentificationofagehelpsusidentifyifthecasecomesunder
childlaborornot.
Achildbelow14yearscannotbeemployedforanytypeofwork.
Apersoncompleting15yearscanworkasanadultinthefactoryafitnesscertificateis
issuedbyacertifiedsurgeon
e.Attainmentofmajority:thisaidsinjudicialpunishmentbyfindingoutifthe
individualisminorormajor.Further,ithelpswithconsentandguardianship.
Individualattainsmajorityafterreaching18years.Butifheisundertheguardianshipof
thecourt,heattainsmajorityat21years.( S3,Indian.MajorityAct,1875).
f.Givingevidence-here,theageaidsindetermininghowtogoaboutwiththeevidence
andindeterminingtheliabilityoftheevidence.Like,achild’stestimonyisusually
consideredafterfactcheckandifthechildknowswhatheistestifyingto.
Thecompetenceofgivingevidencedependsontheunderstandingbutnotonage.Achild
ofanyshecangiveevidenceifthecourtissatisfiedthatthechildistruthful( S118,IEA).
g.Marriagecontract:theidentificationhereaidsinensuringthereisn’tanychild
marriageandhelpsinchildmarriagecases.
InIndia,agirlbelow18yearsandaboybelow21yearscan'tgetmarried(child
marriagerestraintact,1978)
h.Infanticideandfoeticide:Here, theagedeterminationaidsasapieceofevidencefor
casesinvolvinginfanticidesandfoeticides.
Usually,itisconsideredtobefoeticidefromthe8thmonthofintrauterinelife/pregnancy.
Belowthatinfanticide/foeticide,Theprocedureisn'tconsidered.
i.Criminalabortion:theidentificationofagehelpsincasesinvolvingcriminalabortion.
Here,Awomanwhohaspassedchildbearingagecannotbechargedwithprocuring
Criminalabortion.
j.Identification:a napproximateageisimportantinanychainofidentitydatalike in
caseswhenachildisfoundbutheisn'tawareofhisageandsoon
k.Impotenceorsterility:theagecanbesometimesdeterminedbyknowingthesterility
ofanindividual.Likeanoldwomanwhenmenopause,theybecomeSteriliteandMenare
Sterilitebeforepuberty.
Here,italsoaidsThecaseswhichinvolvesterilityandimpotence.
IIA.TheprocedureofDeterminationofAgethroughexaminingbones
[BRIEFEXPLANATION,INDETAIL,WILLBEDONEDURINGSKELETAL
EXAMINATION]
GENERALBONETERMSTOKNOWHERE:
HAND:
a. Humerus:itis alongboneinthearmthatrunsfromtheshouldertotheelbow.It
connectswiththescapulaatthetopandUlnarandradialboneattheelbow.
b. Bonesoflowerarm:Ulnarbone andradialBone[runsfromthelowerendof
thehumerus[elbowjoint]tothewrist[radiocarpaljoint]
c. Wrist/Radiocarpaljoint:theboneswhichmakethetransitionofjoiningarmand
fingers.
SHOULDER:
a. Scapula:itistheshoulderblade
b. Sternum:itisabreastbone.Itislongandflatandislocatedatthecentralpartof
thechest.
c. Clavicle:itisacollarbone.ItisinS-shapeandisbetweenSternumandscapula
HIPANDLEG:
a. Pelvis: itisthehipregionandthesearethebonesbetweentheabdomenand
thigh.
b. Ilium/IliacCrestistheuppermostandlargestpartofthehipbonewhichisin
theshapeofanelephantear.
c. Acetabulum[socket]:itisaconcavesurfaceofthehipbonewhichislikea
socket.Itiswherethefemurjoinsorfitswiththehipbone.
d. Femur:itisathighbone[akalongestboneofthebody].
e. Bonesof lowerlegJoint:tibiaandfibula[fromkneetoankle]
● Epicondyle:Bulbousformationatthesideendsofbones[usuallyjoints]which
providessitesforattachmentofmuscle[cartilages].
● Condyle:itisroundprominenceattheendofthejointswhichhelpsin
articulatingbonestomakejoints[likeelbowjoint,kneejoint,andsoon].This
makesthejointseitherimmovable,movable,orslightlymovable.
Here,beforethestartoftheexamination,thenameofthemedicalexaminer,andnurseis
noted.Further,beforeexaminingtheindividual’sconsent,name,age,weight,scars,
tattoo,andsoonarenoted.Thatisbeforemovingtoradiologicalexamination[X-rays],
thephysicalexaminationoftheindividualisdone.
A.6-12years:
Here,theX-raysaretakenatthe E
lbowjointandWristJoint.Thisisdonetoanalyzethe
developmentofboneaschildren’sbonestendtobemoretenderandthesuturesaren’t
fusedfully.
Iftheindividualis6 -9years,thedevelopmentofUlnarboneandtheEpicondiofthe
Humerusboneestimatesit.
For9 -12years,thehumerusisexaminedandanalyzed[developmentofthehumerusand
whattypeofcartilagesareforming]toestimate.
B.13-16years:
Here,theX-raysaretakenatE
lbowJointandPelvis.
Ifthepersonisaround13years,thedevelopmentoftriradiatecartilageandAcetabulum
[socket]estimatesit.
For1 2-14years,epicondyleofthehumerusandtheexaminationofthedevelopmentof
ilium/iliaccrestestimatesit.
Aroundtheageof15-16years,thelowerendofthehumerus,epicondyleofhumerus,and
thefusionoftriradiatecartilagesneartheacetabulumdetermineit.Also,thefusionof
cartilagesneartheulnarbone.
C.Aftertheageof16years:
Here,usually,theX-rayistakenofthep elvis,elbow,andlegjoint.
Foraround1 6-17years,thefusionofthetibiaandfibulaa reanalyzedtodetermineit.
For1 7-18years,th
echangesinthehipjointareconsidered.
For1 8-19years,theknee,shoulder,andwrista reexamined
Atandabove2 0-21years,thehipjoint[iliaccrest] andfusionoftheinnerendofthe
claviclewithrespecttothesternumareanalyzed.
Here,wecanonlyestimate,notperfectlydeterminejustbyradiographasitmightvaryif
apersonworksout.Hence,withradiography,wealsoconsiderdentalexamination,
physicalexamination,andothermultiplecriteriatogethertogiveanopiniononthe
accurateestimationoftheage.