Examination of skeletal remains lower limbs By Dr
Examination of skeletal remains – lower limbs By Dr Rakesh Kumar
EXAMINATION REPORT �Requisition-Received one bone from Dept. of FM �Date, Time & Place of exam �Bone is dry, devoid of soft tissues & non-fouls smelling �Belongs to human being �Age Sl. NO Name of ossificatio n Centre �Sex Age of Fusion Finding Appearance in the given bone Inference
�Stature - Long bones- L x GF + FF �Injury �Time since death �Cause of death Opinion After examination of the given bone I am of the opinion that the given bone is a human male/female bone(Humerus) of right/left sided of aged >……. yrs & <……. . yrs. Date: Signature Place: Designation
Krogman’s degree of accuracy for SEX determination Entire skeleton 100% SKULL WITH PELVIS 98 % LONG BONES AND PELVIS 98 % SKULL AND LONG BONES 95 % PELVIS ALONE SKULL WITH MANDIBLE 95 % 90 % LONG BONES 85 %
Rule of thumb for stature �- Humerus – 20% - Femur - 27% - Tibia – 22% -Spine – 35%
FEMUR
Femur Sl. NO Name of ossification Centre Age of Appearance 1 Head of femur 0. 5 year to 1 year 2 Greater trochanter 4 yrs 3 Lesser trochanter 12 to 14 years 4 Lower end of femur 9 months of intra uterine life Age of Fusion 17 to 18 years 18 to 19 years Finding in Inference the given bone
12 -18 year old child
Less than 4 -18 years
(1 -4 year)
(1 -4 years)
FEATURE MALE IN MM FEMUR 1 NECK ANGLE < 40* (LOW ANGLE) > 50* (HIGH ANGLE) 2 VERTICAL DIAMETER OF HEAD >48 < 41 3 BICONDYLAR WIDTH > 79. 50 < 70. 50 4 POPLITEAL LENGTH > 145 < 106 5 TROCHANTERIC OBLIQUE LENGTH > 450 < 390 6 LENGTH 439 412
FEATURE 7 ANGULATION WITH THE SHAFT 8 HEAD 9 ARTICULAR SURFACE MALE IN MM FEMALE IN MM 80* 76* LARGE SMALL MORE THAN 2/3 rd OF A SPHERE LESS THAN 2/3 rd OF A SPHERE
Angle of the femur
VERTICAL DIAMETER of head of femur
BICONDYLAR WIDTH
POPLITEAL LENGTH �POPLITEAL LENGTH measured from apex of popliteal surface to the center of the intercondylar line.
POPLITEAL LENGTH TROCHANTERIC OBLIQUE LENGTH
ANGULATION WITH THE SHAFT
Tibia Sl. NO Name of ossification Centre Age of Appearance Age of Fusion 1 Upper end of tibia At birth 18 -19 years 3 Lower end of tibia 1 year 16 -17 years Finding in Inference the given bone
This 1 -18 year old
Tibia FEATURE MALE IN MM FEMALE IN MM 1 LENGTH 370 358 2 BICONDYLAR WIDTH 74 66
Fibula Sl. NO Name of ossification Centre Age of Appearance Age of Fusion 1 Upper end of fibula 4 years 18 -19 years 3 Lower end of fibula 1 year 16 -17 years Finding in Inference the given bone
Less than 4 -18 years
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T a h k n y u o
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