Geçirilmiş Gebeliğin Kemik Yaşına Etkisi

Abstract

Objective: Age estimation for forensic purposes has an important place among daily Forensic Medicine services. Although many factors affect skeletal development, hormonal factors are among the most influencing factors. With this study, it is aimed to contribute to the literature on this subject by detecting any changes in the development of bone age with the effect of hormonal changes during pregnancy.
 Materials and Methods: Cases referred to our Çukurova University Forensic Medicine Polyclinic between March 2017 and March 2021 with the request of the forensic authorities to estimate the bone age, and who declared that the date of birth in their official documents was correct; gender, identity age, age at marriage, having children, the reasons for asking for age estimation, the claim at which age they were, the bone ages determined were recorded, and the evaluations of the cases were made according to the Greulich-Pyle and Gilsanz-Ratib Atlases.
 Results: According to the bone age estimation examinations made, of the 70 cases included in the study in accordance with the criteria, 35 (50%) had children, 35 (50%) reported that they had no children and had never had a pregnancy. Consistently, it was observed that 9 (12.9%) cases were evaluated as larger than the population registry and 1 case was evaluated as younger than the population registry. It was determined that 7 cases whose bone age was found to be greater than the identification age were pregnant, 2 cases did not become pregnant, and 1 case who did not become pregnant among all cases was evaluated as younger than the population registry.
 Conclusion: It is very important to evaluate the age estimation cases in an objective, standardized, multidisciplinary and careful way. For this reason, we suggest that diseases that may affect bone development, situations that may affect body development such as pregnancy, personal factors should be evaluated, and that it should be evaluated with a multidisciplinary approach consisting of radiology and forensic medicine physicians.