Postnatal ontogenesis of the tibia. Implications for age and sex estimation

The growth of five variables of the tibia (diaphyseal length, diaphyseal length plus distal epiphysis, condylo-malleolar length, sagittal diameter of the proximal epiphysis, maximum breadth of the distal epiphysis) were analysed using polynomial regression in order to evaluate their significance and capacity for age and sex determination during and after growth. Data were collected from 181 (90♂ and 91♀) individuals ranging from birth to 25 years of age and belonging to three documented collections from Western Europe. Results indicate that all five variables exhibit linear behaviour during growth, which can be expressed by a first-degree polynomial function. Sexual significant differences were observed from age 15 onward in the two epiphysis measurements and condylo-malleolar length, suggesting that these three variables could be useful for sex determination in individuals older than 15 years. Strong correlation coefficients were identified between the five tibial variables and age. These results indicate that any of the studied tibial measurements is likely to serve as a useful source for estimating sub-adult age in both archaeological and forensic samples.     

Pubis growth study: applicability in sexual and age diagnostic

The growth of five variables of the ischiopubic area was analyzed from bone material from birth to old age. The main purpose was to evaluate its significance and capacity for age and sex determination during and after growth. The material used consisted of 327 specimens from four documented Western European collections. Growth curves were calculated by polynomial regression for two classical variables of the ischiopubic area (pubis length and ischiopubic index) and three new variables of the pubic acetabular area (horizontal and vertical diameter of the pubic acetabular area and the pubic acetabular index). None of the curves showed lineal growth, with the exception of the ischiopubic index and the masculine vertical diameter of the pubis acetabular area. Pubis length has the most complicated growth, expressed by a five-degree polynomial. All the variables are useful for adult sex determination, except the pubic acetabular index. The ischopubic index, vertical diameter of the pubic acetabular area and the pubic acetabular index seem to be good variables for sub-adult sex determination. For age estimation the best variables, in both archaeological and forensic remains, are the absolute measurements (pubic length, vertical and horizontal diameter of the pubis). However, pubis length is the best variable for age estimation because it can be applied until 25 years of age.     

Sex determination of Chinese femur by discriminant function

The objective of this study was to provide a method of sex determination for Chinese femur, especially for fragmentary remains. Statistical analysis of 17 measurements based on 141 northeastern Chinese femora shows that all measurements have significant sex differences. Sex determination by the midpoint method of a single measurement can obtain an average accuracy of 76.8%. The results indicate that of all dimensions the maximum head diameter is the best discriminator of sex. It alone can determine the sex of a femur with 85.1% accuracy. The results also show that maximum head diameter, transverse head diameter, epicondylar breadth, upper breadth, and medial condylar length have higher sexual dimorphisms than the dimensions of length. According to the result to stepwise discriminant analysis and the need for sexing fragmentary remains, 22 discriminant functions composed of various combinations of variables were calculated which can determine the sex of the femur correctly 82.3 to 87.2%. The methods of sex determination provided by this paper can be used to sex poorly preserved femora.     

Determination of sex from femora

The determination of sex from bones or bone fragments considerably contributes to identifying unknown bodies or skeletal remains. Due to temporal change and regional differences anthropometric standards have to be constantly renewed. The present study provides measurements of femoral dimensions in a contemporary German population and analyses sexual dimorphism by discriminant analysis. Maximum length (male: 46.4+/-2.4 cm, female: 43.4+/-2.4 cm), maximum midshaft diameter (male: 3.1+/-0.2 cm, female: 2.8+/-0.2 cm), condylar width (male: 8.4+/-1.0 cm, female: 7.7+/-0.5 cm), vertical head diameter (male: 4.9+/-0.3 cm, female: 4.4+/-0.3 cm), head circumference (male: 15.7+/-0.8 cm, female: 13.8+/-1.0 cm) and transverse head diameter (male: 4.9+/-0.3 cm, female: 4.3+/-0.3 cm) were measured in 170 femora, 100 from male (age: 16-92 years, mean: 60.8 years; body height: 153-190 cm, mean: 171 cm) and 70 from female (age: 20-96 years, mean: 72 years; body height: 146-175 cm, mean: 161 cm) individuals. In the discriminant analysis (leave-one-out-method) 67.7% of cases could be grouped correctly with the maximum length alone, 72.4% with the maximum midshaft diameter, 81.4% with the condylar width, 86.8% with the vertical head diameter, 87.7% with the head circumference and 89.6% with the transverse head diameter. The stepwise procedure with all head measurements showed that the results for the transverse head diameter could not be improved. With all measurements subjected to stepwise procedure 91.7% of cases could be classified correctly combining midshaft diameter and head circumference (D=3.012xmidshaft diameter in cm+0.780xhead circumference in cm 20.569).     

Sex and age diagnosis by ischium morphometric analysis

The growth of four variables of the ischium was analysed by polynomial regression in order to evaluate its significance and its capacity for age and sex determination during and after growth. The material used was 327 specimens ranging from birth to 97 years of age from four documented west European collections. The growth curves were calculated for ischium length and three new variables of the acetabular surface (horizontal diameter of ischium acetabular surface, vertical diameter of ischium acetabular surface and ischium acetabular index). All curves, except those of the female series of vertical diameter of ischium acetabular surface and its index, showed a lineal growth corresponding to vertical variables. All variables studied, except the ischium acetabular index, can be used variables for adult sexual discrimination. Furthermore, ischium length and the horizontal and vertical diameters of the acetabular surface can be useful for sub-adult age determination in archaeological samples, as well as in forensic samples. However, the ischium length is the best variable, as it can be applied to all the growth ages.     

Sexual dimorphism in the humerus: a comparative analysis of Chinese, Japanese and Thais

Determination of sex from the skeleton is vital to medicolegal investigations. There is no longer any question that populations differ in size and proportions and these differences affect the metric assessment of sex. The extent of variation in sexual dimorphism among Asian Mongoloids within and between regions has not been quantified by discriminant function analysis, nor have standards for most groups been introduced for the humerus. Therefore, the purpose of this research is to establish metric standards for sex determination from the humerus of Chinese, Japanese and Thais, as well as to compare size and sexual dimorphism in these Asian Mongoloid populations. The database for this study consisted of documented skeletal samples from China (N = 87), Japan (N = 90), and Thailand (N = 104). Six standard dimensions, including maximum length, vertical head diameter, minimum midshaft diameter, maximum midshaft diameter, midshaft circumference, and epicondylar breadth were taken and subjected to stepwise and direct discriminant function analysis. Of dimensions selected by the stepwise function, vertical head diameter and epicondylar breadth were the only elements common to all three groups. Overall, mean accuracies were highest using formulae produced by the stepwise procedure and ranged from 86.8% in the Chinese to 92.4% in the Japanese to 97.1% in the Thais. Group comparisons also revealed that while the Chinese had the largest measurements, they were the least dimorphic. The reverse was true for the Thais and the Japanese were intermediate on both counts. In cross validation tests, classification accuracy decreased in all cases where a formula from one group was applied to another. It was therefore concluded even though all individuals were Asian Mongoloids, these regionally diverse populations exhibited significant metric differences that affect sex determination from the skeleton. These findings confirm those of previous studies that there is a need for group specific metric standards of assessment.     

Ilium growth study: applicability in sex and age diagnosis

The use of coxal elements for age and sex diagnosis from the skeleton is the primary and most widespread way of bringing us closer to the identity of dead individuals in archaeological and certain forensic scenarios. Diagnosis in sub-adults, especially in fetus and infant age, is not clear; and further studies are needed. This work presents the analysis of the growth of six variables in the ilium, from birth to 97 years of age, in order to evaluate its significance and its capacity for age and sex determination during and after growth. The materials used were 327 specimens from four documented Western European collections. Growth curves were calculated for the three classical variables of the ilium (width, length and index) and three new variables of the acetabulum area (horizontal and vertical diameter of the ilium acetabular surface and the ilium acetabular index). None of the curves showed a lineal growth, except those of the horizontal diameter of the ilium acetabular surface for the male series. The ilium width has the most complicated growth and it is explained by a four-degree polynomial. All the variables studied can be useful for adult sex discrimination with the exception of the ilium width and ilium acetabular index. Furthermore, the most useful variables for subadult and adult age estimation in archaeological samples, as well as in forensic samples, are the absolute measurements (ilium length and width, horizontal and vertical diameter of the ilium acetabular surface); however, the ilium width is the best variable, as this can be applied to all growth ages using both sexual series together up to 20 years of age.     

Evaluation of Purkait's triangle method for determining sexual dimorphism

The identification of sex from the skeleton is an important demographic assessment in medicolegal investigations. Rama Purkait developed a method for estimating sex using measurements from a triangle defined by three points on the proximal end of the femur using skeletal material from Bhopal, India. This method was tested with measurements on 200 Indo-European and African American adult femora from the Terry collection using discriminant function analysis to determine if Purkait's method was valuable for determining sex in Americans. A side-by-side analysis was conducted of Purkait's "triangle method" and the maximum diameter of the femoral head to determine their relative value in assessing sexual dimorphism. In the study sample a single variable from Purkait's method provided 85.5% prediction accuracy, similar to 87% for the head diameter. Combining threshold values for a single variable from Purkait's method and the femoral head diameter raised the predictability to greater than 90% for both sexes.     

Discriminant function sexing of fragmentary and complete femora: standards for contemporary Croatia

Determining sex is one of the first and most important steps in identifying decomposed corpses or skeletal remains. Previous studies have demonstrated that populations differ from each other in size and proportion and that these differences can affect metric assessment of sex. This paper establishes standards for determining sex from fragmentary and complete femurs in a modern Croatian population. The sample is composed of 195 femora (104 male and 91 female) from positively identified victims of the 1991 War in Croatia. Six discriminant functions were generated. one using seven variables, three using two variables, and two employing one variable. Results show that complete femora can be sexed with 94.4% accuracy. The same overall accuracy, with slight differences in male/female accuracy, was achieved using a combination of two variables defining the epiphyses, and with the variable maximum diameter of the femoral head.     

Metric determination of sex from the humerus in a Guatemalan forensic sample

The absence of population-specific standards for sex, age and stature estimation for rural Guatemala is problematic for the forensic analysis of skeletal remains recovered from clandestine graves attributed to the recent armed conflict in that country. In order to increase the reliability of the forensic analyses being undertaken in Guatemala, standards for metric determination of sex were developed. Data was collected on several bones; the results for the humerus are presented here. A sample of 118 complete humeri (68 male and 50 female) was studied; maximum length, maximum diameter of the head, circumference at midshaft, maximum diameter at midshaft, minimum diameter at midshaft and epicondylar breadth were measured and subjected to discriminant function analysis. The classification accuracies for the univariate functions range from 76.8% for the maximum diameter at midshaft to 95.5% for the maximum diameter of the head. The classification accuracy for the stepwise procedure was 98.2%.     

Sex determination and estimation of stature from the long bones of the arm

The determination of sex and the estimation of stature from bones play an important role in identifying unknown bodies, parts of bodies or skeletal remains. In medico-legal practice statements on the probable sex of a decomposed body or part of a body are often expected even during autopsy. The present study was, therefore, restricted to few easily accessible dimensions from bones which were prepared only by mechanically removing soft tissues, tendons and ligaments. The specimens came from the Anatomical Institutes in Munich and Cologne from the years 1994-1998 including a total of 143 individuals (64 males and 79 females). The mean age was 79 years (46-108), the mean body height 161cm (134-189). The following measurements were taken: maximum humeral length (mean: 33.4cm in males; 30.7cm in females), vertical humeral head diameter (mean: 5.0cm in males, 4.4cm in females), humeral epicondylar width (mean: 6.6cm in males; 5.8cm in females), maximum ulnar length (mean: 26.5cm in males, 23.8cm in females), proximal ulnar width (mean: 3.4cm in males, 2.9cm in females), distal ulnar width (mean: 2.2cm in males; 1.8cm in females), maximum radial length (mean: 24.6cm in males; 22.0cm in females), radial head diameter (mean: 2.6cm in males, 2.2cm in females) and distal radial width (mean: 3.6cm in males; 3.2cm in females). The differences between the means in males and females were significant (P<0.0005). A discriminant analysis was carried out with good results. A percentage of 94.93% of cases were correctly classified when all measures of the radius were applied jointly, followed by humerus (93.15%) and ulna (90.58%). Applied singly, the humeral head diameter allowed the best distinction (90.41% correctly grouped cases), followed by the radial length (89.13%), the radial head diameter (88.57%) and the humeral epicondylar width (88.49%). The linear regression analysis for quantifying the correlation between the bone lengths and the stature led to unsatifactory results with large 95%-confidence intervals for the coefficients and high standard errors of estimate.     

Determination of sex from the metacarpals in a Thai population

Determination of sex using metacarpals was carried out on a sample of 249 skeletons from a Thai population (154 males and 95 females), ranging in age from 19 to 93 years. Six measurements were taken on each metacarpal, namely maximum length, medio-lateral base width, antero-posterior base height, medio-lateral head width, antero-posterior head height and mid-shaft diameter. Binary logistic regression equations were calculated for determining sex from these measurements. All metacarpals from both sides produced at least one equation that correctly allocated the skeletons with 80% or greater accuracy. In a comparative test using only individuals with no missing measurements (n=196), the most accurate equations for each metacarpal on the right side had pooled allocation accuracies ranging from 85.2% to 89.3%, with the best equation based on three measurements from the 5th metacarpal. On the left side, the most accurate equations for each metacarpal ranged from 83.2% to 89.8% correct allocation, with the best equation based on three measurements of the 2nd metacarpal. When the allocation accuracy for each sex is considered in addition to the pooled accuracy, the best equations involve the same three measurements of the 5th metacarpal on the right side, but shift to three measurements of the first metacarpal on the left side, with a pooled accuracy of 88.3%. The results of this study suggest that metacarpals can be used quite reliably for sexing in forensic contexts in Thailand.     

An evaluation of sex and body weight determination from the proximal femur using DXA technology and its potential for forensic anthropology

Dual energy X-ray absorptiometry (DXA) is a rarely used technology in forensic anthropology. These densitometers quantify bone mineral density (BMD) and bone mineral content (BMC) and thus introduce new variables which are important for the application of forensic anthropology. This study investigates the importance of these variables and of this technology using bone scans of the proximal femur in sex and body weight determination. Two data sets from studies conducted at the University of Alabama at Birmingham were examined. The first study had 41 White patients, of which there were 17 males and 24 females, ranging in age from 61 to 79 years and in weight from 99 to 242 lb. The following variables were utilized from the DXA scans: BMD in the femoral neck, greater trochanter and in Ward's triangle. A manual ruler in the software facilitated measurements on the minimum neck diameter and shaft diameter just below the lesser trochanter from each scan. The second study had 128 female patients, 71 of which were Black and 57 were White. They ranged in age from 23 to 47 1/2 years and they weighed between 31 1/2 and 98 1/4 kg. The same variables were examined on these DXA scans as in the first study, with the addition of BMC of the femoral neck and the deletion of the minimum shaft diameter below the lesser trochanter. The first study showed statistically significant sex determination relationships (p < 0.02, t-tests for equality of means) at the supero-inferior femoral neck and lesser trochanter diameters, and from BMD at the femoral neck, trochanter, and Ward's triangle. Discriminant function analysis correctly classified sex over 92% of the original grouped cases using these variables. Multiple regression analysis using body weight as the dependent variable and various measures of the proximal femur as independent variables shows that while they are statistically significant and they have reasonably high R2 values up to 0.49; nevertheless, their standard errors of the estimates are too wide to be of much forensic use. The second study examined ethnic differences, Blacks and Whites, and body weight relationships in a larger, all female data set. Statistically significant differences between Blacks and Whites of BMD were found at Ward's triangle. Multiple regression analyses were again run on body weight and various measures of the proximal femur. The results were also broken down by ethnicity. Some body weight relationships were again statistically significant such as between the BMC of the femoral neck and the BMD of the greater trochanter and the BMC of the neck and the minimum neck diameter, but again, the standard error of the estimate is too wide to be of much use. In addition, the square of the correlation coefficient (R2) is very low, for example, below 0.1 in all cases. Thus, there is very little variability in weight that can be accounted for with these variables. DXA technology offers the potential of a living skeletal data bank and of variables that are useful in cause-effect relationships between bone mineralization and skeletal loads.     

Discriminant function sexing of fragmentary femur of South African blacks

When fragmentary and incomplete bones are all that are available to the forensic anthropologist for use in sex determination, non-metric and metric sex discriminating parameters that have been derived from complete bones may be of little use. In such circumstances, sex discriminating metric methods that are of specific application to fragmentary bones will be more useful. Since such studies have not been systematically carried out in bones of South African blacks, the aim of this study was to begin to provide such data. Two hundred and twenty left femurs of black South Africans were obtained from the Raymond A. Dart Collection of African Skeleton, School of Anatomical Sciences, University of the Witwatersrand, South Africa. Five variables from the upper end of the femur and three variables from the lower end of the femur were measured and subjected to univariate and multivariate discriminant function analyses. The vertical head diameter and the medial condylar length were most successful in sex identification from the upper and lower ends of the femur respectively. The combined variables were more useful than the use of variables individually. Discriminant function score equations were derived for individual and combined variables from the upper and lower ends of the femur of the South African blacks.     

Identification of sex depending on radiological examination of foot and patella

Forensic anthropology involves the building of an antemortem profile of an individual from skeletal remains. This includes sex, race determination, and age and stature estimation. Because most bones that are conventionally used for sex determination are often recovered either in a fragmented or incomplete state, it has become necessary to use denser bones that are often recovered intact, eg, the patella, calcaneus, and talus. The present work was performed to investigate the possibility of estimation of sex from some radiologic measurements among a known cross-section of Egyptian population. In this study lateral and anteroposterior radiographs of the right foot and knee were made on 160 living unfractured and nonpathologic individuals comprising 80 males and 80 females aged 25 to 65 years referred to the Radiology Department of Assiut University Hospital. Two measurements on right patella (maximum height and maximum width) and 2 measurements of metatarsal bones (length and midshaft diameter), were used to determine sex by univariate and multivariate discriminant analysis. Eighty radiographs of foot and patella of individuals not used in the original sample were randomly selected to test the accuracy of this method. The study revealed that significant sex differences were demonstrated based on these measurements taken on metatarsal bones more than on patella. One function associating 2 parameters (length and midshaft) of the third metatarsal bone obtained the highest value of correct sex determination with rate of 100% accuracy. The multivariate function associating length of the first, third, and fifth metatarsal bones and midshaft of first, second, and fifth metatarsal gave 100% accuracy. Test of multivariate function on the independent sample revealed a correct classification of 87.5%.     

Determination of sex with a discriminant analysis of new pelvic bone measurements: Part II

The pelves of 100 white skeletons were measured on both sides for the following: (1) length from the superiormost aspect of the pubic symphysis to the nearest rim of the acetabulum (PS-A), (2) length from the highest point of the pubic tubercle to the nearest rim of the acetabulum (PT-A), (3) acetabular diameter (AD), (4) the vertical distance from the anterior aspect of the ischial tuberosity to the farthest rim of the acetabulum (IT-A), and (5) greatest femur head diameter. From these, three indices were derived: AD/PS-A (acetabulum/pubis index), AD/PT-A (acetabular diameter/pubic tubercle-acetabular rim index), and IT-A/PS-A (ischium-acetabulum height/pubic symphysis-acetabular rim index). The left AD/PS-A ratio and left IT-A height proved statistically to be of greatest discriminating value. Using these two variables, a discriminant function was derived which correctly separated 98% of our sample. The acetabulum/pubis ratio alone correctly assigned 95%. With either the discriminant function analysis of two variables or the acetabulum/pubis index as a single predictor, 97% of our sample of known sex was correctly identified if all specimens that fell within a doubtful or overlapping range of values were sorted by femur head diameter.     

Osteometric variation in the humerus: sexual dimorphism in South Africans

There has been a surge of research on forensic anthropology in South Africa. Differences between the populations of this country and others are demonstrated in many studies. Yet, many forensic osteometric techniques based on other populations are still in use. The purpose of the present study is to develop an osteometric sex determination technique using the humerus. The sample is composed of skeletons of 104 whites and 88 blacks from the Dart and Pretoria collections. Six humeral dimensions were initially analyzed using stepwise discriminant function statistics. Humeral head diameter, deltoid tuberosity circumference and epicondylar breadth were individually calculated in order to make the technique usable for fragmented remains. The results indicated that the head and epicondylar diameters are the best in whites to differentiate sexes from each other, while head diameter and maximum length are best in blacks. Accuracy of correct classification was as high as 96% in whites and 95% in blacks. Crossvalidation provided the same accuracy as the original classification. These accuracy percentages are as high as those expected from the femur and tibia. Posterior probability, which measures the percent affiliation of the sample with its original sex group, was also mostly 80% or better. South African collections are ideal for osteometric analysis, because they are still growing in numbers with cross-sectional representatives from the country.     

Reexamination of a measurement for sexual determination using the supero-inferior femoral neck diameter in a modern European population

The present study reexamines the accuracy of the supero-inferior femoral neck diameter for the determination of sex using a modern sample of French individuals. In 1998, Seidemann et al. used this univariate method for sex determination with the Hamann-Todd collection. Stojanowski and Seidemann in 1999 tested previous results on a modern sample taken from the University of New Mexico and concluded that the Caucasian male samples exhibited no significant differences between individuals born before and after 1900, but the Caucasian female subgroup did exhibit differences with an increase of the SID in the modern sample. The current study compares the previous results of the supero-inferior femoral neck diameter with a modern sample of elderly French individuals born after 1910. Both sides of the femur were measured. No statistical difference was found between the right and left side (p = 0.31). The results showed a significant difference between the pre-1900 and the modern sample, with an increase in femoral neck diameter in modern populations. The comparison of the SID values between the two modern samples (Mexico and Nice) showed no significant differences in the femoral neck diameter in the two male subgroups (p = 0.05), but the measurements of the SID in the female subgroup did exhibit significant differences with an increase of the neck femoral diameter (p < 0.01) in the modern French population. These results demonstrate an increase in the neck femoral morphology in the elderly European French females samples.     

Sex determination with the head of the radius

Analysis of a sample of 1108 radii corresponding to 567 black and white North Americans in the Terry Collection at the Smithsonian Institution demonstrates that the diameter of the radial head is an accurate sex discriminator for human remains. A simple "radial-head method" of sex determination consists of measuring the maximum and minimum diameters of the head and comparing such measurements with the test cutoff points. The subject is female when the maximum radial head diameter (either left or right) is less than or equal to 21 mm, and male when the maximum diameter (either left or right) is greater than or equal to 24 mm. The same decisions apply to the minimum diameters of 20 mm or less and 23 mm or more, respectively. When the maximum diameter is 23 mm or the minimum is 22 mm, the subject is more likely male; when the maximum diameter is 22 mm or the minimum is 21 mm, the subject is more likely female. The sample frequency of any one of these latter diameters is never more than 16%. Cross-validation of the method with a sample of 50 pairs of radii of the Terry Collection, different from the original specimens, resulted in 92% sexing accuracy when using the left radius singly, 94% accuracy when using the right radius singly, and 96% accuracy when using both radii jointly.     

Sexual Dimorphism in Ulna: An Osteometric Study from India

Determination of sex constitutes the most important element during the identification process of human skeletal remains. Several sex‐specific features of human skeleton have been exploited for sex determination with varying reliability. This study aims to obtain sexual dimorphic standards for ulnae of the north Indian population. Eight measurements were obtained on a sample of 106 ulnae (males‐80, females‐26) in the age range of 25–65 years. The sexual dimorphism index and demarking points were calculated for all the variables. The data were then subjected to stepwise and direct discriminant function analysis. The best discriminator of sex was the maximum length (84.9%) followed by radial notch width (84%). In stepwise analysis, these two variables were selected and provided an accuracy of 88.7% (M‐87.5%, F‐92.3%). The proximal end provided a classification rate of 81.1% (M‐80%, F‐84.6%) with selection of the notch length and olecranon width.