AGE ESTIMATION BASED ON
OSSIFICATION CENTRES OF
UPPER LIMB JOINTS
X-Rays
• SHOULDER JOINT
• ELBOW JOINT
• WRIST JOINT
S.No OSSIFICATION AGE OF AGE OF APPEARED / FUSED / INFERENCE
. CENTRE APPEARANCE FUSION NOT NOT
1.
2.
3.
4.
5.
6.
LESSER TUBERCLE
APP: 5 YRS
GREATER
3 1 COMPOSITE EPIPHYSIS
TUBERCLE APP: 5-6 YRS
FUSE: 18-19 YRS
ACROMION PROCESS
APP: 14-15 YRS
FUSE: 17-18 YRS
Ossification Age of Age of fusion Appeared/ Fused/Not Age
centre appearance Not fused
appeared
Head of 1 year -- A -- > 1 year
humerus
Greater 3 years -- A -- > 3 years
turbercle
Lesser 5 years -- A -- > 5 years
turbercle
Composite 5-6 years 18-19 years A F > 18 years
epiphysis
Acromion 14-15 years 17-18 years A F > 17 years
process
Age of the individual based on radiological examination > 18 years
TROCHLEA
LATERAL
EPICONDYLE
11 9-11
1 CAPITULUM
COMPOSITE EPIPHYSIS MEDIAL EPICONDYLE
APP: 14-16 YRS APP: 5-6 YRS
FUSE: 16-17 YRS FUSE: 16-17 YRS
HEAD OF RADIUS
APP: 5 YRS
FUSE: 16-17 YRS
APP: 9 YRS
OLECRANON PROCESS
OF ULNA
Ossification Age of Age of fusion Appeared/ Fused/Not Age
centre appearance Not fused
appeared
Capitulum 1 year -- A -- > 1 year
Trochlea 9-11 years -- NA -- < 11years
Lateral 11 years -- NA -- < 11 years
epicondyle
Composite 14-16 years 16-17 years Not formed NF < 16 years
epiphysis
Medial 5-6 years 16-17 years NA NF < 6years
epicondyle
Head of 5 years 16-17 years NA NF < 5 years
radius
Olecranon 9 years 16-17 years NA NF < 9 years
process
Age of the individual based on radiological examination >1 year and < 5 years
L S
P T
H C Tz Tm
CAPITATE - 2 Months 5 – 6 Years
2 Years
HAMATE - 3 Months L S
P T
TRIQUETRAL - 3 Years H C Tz Tm
17 – 18 Years
LUNATE - 4 Years
SCAPHOID
TRAPEZIUM 4 -5 Years
TRAPEZOID
PISIFORM – 10 -12 Years
2 – 3 Years
15 – 17 Years
Ossification centre Age of Age of Appeared/Not Fused/ Age
appearance fusion appeared Not
fused
Capitate 2 mo -- A --
Hamate 3 mo -- A --
Triquetral 3 years -- A --
Lunate 4 years -- A --
Scaphoid 4-5 years -- A --
Trapezium 4-5years -- A --
Trapezoid 4-5 years -- A --
Pisiform 10-12 years -- NA --
Base of 1st 2-3 years 15-17 A NF
metacarpal years
Lower end of ulna 5-6 years 17-18 A NF
years
Lower end of radius 2 years 17-18 A NF
years
Age of the individual based on radiological examination
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