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“Study on estimation of stature of adult from clavicle”
Dissertation submitted in partial fulfillment of
the requirements for the degree
M.D. (Forensic Medicine)
BRANCH – XIV
INSTITUTE OF FORENSIC MEDICINE
MADRAS MEDICAL COLLEGE
CHENNAI - 600 003
THE TAMIL NADU
DR.M.G.R.MEDICAL UNIVERSITY
CHENNAI
2016-2019
BONAFIDE CERTIFICATE
This is to certify that the work embodied in this dissertation entitled
“Study on estimation of stature of adult from clavicle” has
been carried out by Dr.Dhivya Prakash, a Post Graduate student under my
supervision and guidance for his study leading to branch XIV M. D. Degree in
Forensic Medicine during the period of May – 2016 to May – 2019.
Prof. Dr.R.Jayanthi, M.D., FRCP(Glasg) Prof. Dr.P.Parasakthi, M.D.,
Dean, Director & Professor,
Madras Medical College & Institute of Forensic Medicine,
Rajiv Gandhi Government General Hospital, Madras Medical College,
Chennai – 600 003. Chennai – 600 003.
Date:
Place:
DECLARATION
I, DR.DHIVYA PRAKASH, solemnly declare that this dissertation
entitled “Study on estimation of stature of adult from clavicle”
is the bonafide work done by me under the expert guidance and supervision of
Dr.P.Parasakthi, M.D., Profeesor and Director, Institute of Forensic
Medicine, Madras Medical College, Chennai - 3. This dissertation is submitted
to the Tamil Nadu Dr. M.G.R. Medical University towards partial fulfillment
of requirement for the award of M.D., Degree (Branch XIV) in Forensic
Medicine.
Place: Dr.Dhivya Prakash
Date:
ACKNOWLEDGEMENT
I am greatly obliged to the Dean, Dr.R.Jayanthi, M.D., FRCP(Glasg),
Madras Medical College and Rajiv Gandhi Government General Hospital,
Chennai – 3 for allowing me to complete this study. I express my warmest
respects and profound gratitude to Dr.P.Parasakthi, M.D., Director and
Professor, Institute of Forensic Medicine, Madras Medical College, Chennai
for her able guidance, constant encouragement, support and valuable time but
for which this dissertation could not have been made possible.
I would like to express my heartfelt gratitude to my esteemed Associate
Professor, Dr.T.Vedhanayagam, M.D., for his valuable guidance in
conducting this study.
I am especially thankful to my Assistant Professors,
Dr.S.Ramalingam, M.D., Dr. R.Narendar, M.D., Dr.M.Guhan, M.D.,
Dr.T.Ezhikothai,M.D., Dr.S.Sylvia M.D., and my tutors Dr.C.Anandhi,
MBBS, Dr.Venkat Raj, MBBS for their interest and encouragement in
bringing out this dissertation for my MD exam. I thank all my colleagues and
friends for their help in collecting material for my study. I also thank mortuary
workers for their help in collecting samples.
I express special thanks to my father Mr.R.Arul Prakasam , mother
Mrs.Malarvizhi Arul Prakash, and my husband Mr.G.Muhilan and other
family members for the moral support, encouragement and immense love
showered by them.
CERTIFICATE - II
This is to certify that this dissertation work titled ………………………………..
of the candidate ………………………………………… with registration Number
……………for the award of …………………………………………… in the branch of
………………….. . I personally verified the urkund.com website for the
purpose of plagiarism Check. I found that the uploaded thesis file
contains from introduction to conclusion pages and result shows ………
percentage of plagiarism in the dissertation.
Guide & Supervisor sign with Seal.
INDEX
S.NO. DESCRIPTION PAGE NO.
1 INTRODUCTION 1
2 REVIEW OF LITERATURE 4
3 AIMS AND OBJECTIVES 31
4 MATERIALS AND METHODS 32
5 ANALYSIS AND RESULTS 41
6 DISCUSSION 74
7 CONCLUSION 80
8 BIBLIOGRAPHY 81
9 MASTER CHART 89
LIST OF TABLES
TABLE NO. TABLE NAME PAGE NO.
1 STATURE FORMULAE GIVEN BY TROTTER AND
GLESSER 11
2 DIFFERENCE BETWEEN MALE AND FEMALE
CLAVICLE 19
3 SEX DISTRIBUTION AMONG THE STUDY
SAMPLE 41
4 AGE WISE DISTRIBUTION OF STUDY SAMPLE 42
5 AGE GROUP WISE DISTRIBUTION OF STUDY
SAMPLE 43
6 STATURE WISE DISTRIBUTION OF STUDY
SAMPLE 45
7 CROSS TABULATION OF STUDY SAMPLE
BASED ON AGE AND SEX 46
8 CROSS TABULATION OF STUDY SAMPLE
NASED ON STATURE AND SEX 48
9 MEAN AND STATNDARD DEVIATION OF
SELECTED VARIABLES OF STUDY SAMPLE 50
10
MEAN AND STANDARD DEVIATION OF
SELECTED VARIABLES OF MALE POPULATION
OF STUDY SAMPLE
52
11
MEAN AND STANDARD DEVIATION FOR
SELECTED VARIABLES IN FEMALE
POPULATION OF STUDY SAMPLE
53
12 DISTRIBUTION OF MEAN STATURE IN MALES
AND FEMALES 55
13 DISTRIBUTION OF STATURE AMONG
DIFFERENT AGE GROUPS 57
14 CORRELATION BETWEEN STATURE AND
LENGTH OF RIGHT CLAVICLE 59
15 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE 60
16 SUMMARY OF REGRESSION ANALYSIS 62
17 ANOVA TABLE FOR REGRESSION ANALYSIS 62
18 COEFFICIENTS OF REGRESSION ANALYSIS 63
19 CORRELATION BETWEEN STATURE AND
LENGH OF RIGHT CLAVICLE IN MALES 64
20 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE IN MALES 65
21 SUMMARY OF REGRESSION ANALYSIS –
MALES 66
22 ANOVA TABLE FOR REGRESSION ANALYSIS –
MALES 66
23 COEFFICIENTS OF REGRESSION ANALYSIS –
MALES 67
24 MEAN AND STANDARD DEVIATION FOR
SELECTED VARIABLES IN FEMALES 68
25 CORRELATION BETWEEN STATURE AND
LENGTH OF RIGHT CLAVICLE IN FEMALES 68
26 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE IN FEMALES 70
27 SUMMARY OF REGRESSION ANALYSIS -
FEMALES 71
28 ANOVA TABLE FOR REGRESSION ANALYSIS-
FEMALES 71
29 COEFFICIENTS OF REGRESSION ANALYSIS -
FEMALES 72
30
REGRESSION EQUATION FOR STATURE WITH
LENGTH OF RIGHT CLAVICLE IN MALE,
FEMALE AND BOTH SEXES TOGETHER
73
31 COMPARISON OF MEAN STATURE IN
DIFFERENT STUDIES 75
32 COMPARISON OF LENGTH OF CLAVICLE IN
DIFFERENT STUDIES 76
33 COMPARISON OF LENGTHIER SIDE OF
CLAVICLE AMONG DIFFERENT STUDIES 78
LIST OF FIGURES
FIGURE NO. TITLE PAGE NO.
1 SEX DISTRIBUTION AMONG THE STUDY
SAMPLE 41
2 AGE GROUP WISE DISTRIBUTION OF STUDY
SAMPLE 44
3 STATURE WISE DISTRIBUTION OF STUDY
SAMPLE 45
4 AGE AND SEX WISE DISTRIBUTION OF
STUDY SAMPLE 47
5 STATURE AND SEX WISE DISTRIBUTION OF
STUDY SAMPLE 49
6 MEAN AND STANDARD DEVIATION OF
SELECTED VARIABLES OF STUDY SAMPLE 51
7
MEAN AND STANDARD DEVIATION OF
SELECTED VARIABLES OF MALE
POPULATION OF STUDY SAMPLE
52
8
MEAN AND STANDARD DEVIATION OF
SELECTED VARIABLES OF FEMALE
POPULATION OF STUDY SAMPLE
54
9 MEAN STATURE OF TOTAL STUDY
SAMPLES, MALES AND FEMALES 55
10 DISTRIBUTION OF MEAN STATURE IN
MALES AND FEMALES 56
11 DISTRIBUTION OF STATURE AMONG
DIFFERENT AGE GROUPS 58
12 CORRELATION BETWEEN STATURE AND
LENGTH OF RIGHT CLAVICLE 59
13 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE 61
14 CORRELATION BETWEEN STATURE AND
LENGTH OF RIGHT CLAVICLE IN MALES 64
15 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE IN MALES 65
16 CORRELATION BETWEEN STATURE AND
LENGTH OF RIGHT CLAVICLE IN FEMALES 69
17 CORRELATION BETWEEN STATURE AND
LENGTH OF LEFT CLAVICLE IN FEMALES 70
LIST OF PICTURES
PICTURE NO.
TITLE PAGE NO.
1 THE CLAVICLE 18
2 MEDIAL TWO-THIRDS AND LATERAL ONE-
THIRD OF CLAVICLE 20
3 SURFACE ANATOMY OF CLAVICLE 24
4 MUSCULAR ATTACHMENTS OF CLAVICLE 24
5 LATERAL AND MEDIAL ENDS OF
CLAVICLE 26
6 OSSIFICATION CENTRES OF CLAVICLE 27
7 STATURE MEASUREMENT IN CADAVER 34
8 STERNOCLAVICULAR JOINT 36
9 ACROMIOCLAVICULAR JOINT 36
10 RIGHT AND LEFT CLAVICLES REMOVED
FROM CADAVER 37
11 CLAVICLES AFTER CLEANING 38
12 DIGITAL VERNIER CALIPER 39
13 MEASUREMENT OF LENGTH OF LEFT
CLAVICLE 40
14 MEASUREMENT OF LENGTH OF RIGHT
CLAVICLE 40
INTRODUCTION
REVIEW OF LITERATURE
AIMS AND OBJECTIVES
MATERIALS AND METHODS
ANALYSIS AND RESULTS
DISCUSSION
CONCLUSION
BIBLIOGRAPHY
MASTER CHART
Identification is the process of establishing an individual’s identity. In
medico-legal cases, identification is necessary in both living and dead. Both living and
dead can be identified through various features. These features include bones, body parts,
and marks over the body, things associated with the individual,
The role of physical anthropology is very important in identification
process. Anthropology is the study of human and human
the present and the past. Anthropology is broadly classified into 4 main branches which
are depicted in the following graph:
ANTHROPOLOGY
1
Identification is the process of establishing an individual’s identity. In
legal cases, identification is necessary in both living and dead. Both living and
dead can be identified through various features. These features include bones, body parts,
over the body, things associated with the individual, behavioral
The role of physical anthropology is very important in identification
process. Anthropology is the study of human and human behaviors
the present and the past. Anthropology is broadly classified into 4 main branches which
depicted in the following graph:
SOCIAL ANTHROPOLOGY
CULTURAL ANTHROPOLOGY
LINGUISTIC ANTHROPOLOGY
BIOLOGICAL / PHYSICAL ANTHROPOLOGY
ANTHROPOLOGY
Identification is the process of establishing an individual’s identity. In
legal cases, identification is necessary in both living and dead. Both living and
dead can be identified through various features. These features include bones, body parts,
behavioral pattern, etc.
The role of physical anthropology is very important in identification
and societies in both
the present and the past. Anthropology is broadly classified into 4 main branches which
SOCIAL ANTHROPOLOGY
BIOLOGICAL / PHYSICAL
2
Physical anthropology is further divided into many subfields, of which
forensic anthropology is a subfield which applies physical anthropology to the medico
legal issues. Forensic anthropology mainly involves the study and analysis of human
remains and assists in criminal investigative process. The four important parameters of
forensic anthropology are:
1. Sex
2. Age
3. Stature
4. Race
The establishment of all the above parameters together gives fair
information about the individual’s identity.
In this study, I have dealt with estimation of stature using the clavicle.
Stature literally means the length of the body of the individual. Stature estimation is an
important process of identification when the body parts are dismembered / mutilated or
only bones are recovered. Stature estimation is also useful in mass disasters like
earthquakes, tsunami, etc. where only bones or body parts of many people are found. In
early days, Karl Pearson, Trotter and Gleser derived regression formulae for estimation of
stature using the lengths of different long bones like humerus, femur, tibia, radius and
ulna. However these long bones may not be available in all cases. So efforts were also
made to estimate statue using other bones like clavicle, sternum, scapula and various
body parts.
3
Many studies have been conducted using clavicle in forensic context. The
most common studies include determination of age and sex from clavicle and its
radiographic estimation using various parameters like length of the clavicle, vertical
diameter, sagittal diameter, mid-clavicular circumference, weight, etc. However studies
on stature estimation using clavicle is limited. Certain studies have been conducted in
North India, but my study is first of its kind in Tamil Nadu.
4
Identification is defined as the establishment of individuality of a person.
This is done based on some physical characteristics. Identification is mandatory in:
1. Living individuals
2. Persons who died recently
3. Decomposed dead bodies
4. Mutilated and burnt bodies
5. Skeletonised bodies (1)
Identification of a dead victim is very important because it helps the police to
find victims past history, his daily routine, background, talk to his friends and relatives,
suspect the assailant, etc. If the victim’s identity is not established, the process of solving
the crime becomes tedious and sometimes impossible. Especially in murder cases,
sentence cannot be passed before the identification of the victim. There are various data
used in identification. Some important ones are as follows(2):
1. Sex
2. Age
3. General development and stature
4. Race
5. Complexion and features
6. Religion
7. External marks – moles, birthmarks, malformation, scars, wounds, occupation
marks
5
8. Anthropometric measurements
9. Fingerprints
10. Foot prints
11. Tattoo marks
12. Lip prints
13. Palate prints
14. Teeth
15. Personal things – clothes, pocket contents, jewellery, etc.
16. Gait
17. Handwriting
18. Speech
19. Voice
20. Memory and education
21. Habits
22. Handedness
The identification data can also be broadly classified into categories as
follows(2):
6
Identification methods
Biometric methods Non biometric method
Eg: physical characteristics
DNA profiling in living in dead living & dead
Retina scan behavioural superimposition dactylography
No single identification data is completely reliable except fingerprinting.
So four or five criteria are taken into consideration for identification of an individual.
Increased number if criteria increased accuracy of identification
FORENSIC ANTHROPOLOGY:
Forensic anthropology is a subfield of physical anthropology that involves
the application of our knowledge and techniques of human skeletal biology to solve
medico-legal issues. It mainly involves the study of human remains that are recovered(3).
Forensic anthropology includes the examination of soft tissue but examination of skeletal
remains gives more valuable information. Thus the aim of forensic anthropology is
identification of human remains establishing the identity of the person and cause of death.
The objectives of forensic anthropology are(4):
1. To recover the bones from forensic site.
7
2. To determine whether the recovered remains are bones or not.
3. To determine whether the bones are human or not.
4. To determine whether the bones belong to one or more individuals.
5. To establish the biological profile of the individual.
6. To find any evidence of trauma.
7. To determine the length of postmortem interval.
8. Providing information to assist with positive identification of the deceased.
The four main factors that help anthropologist to assist in human identification
are sex, race, age and stature of skeletal material(5).
STATURE:
Stature originated from latin word “statura”= height or size of the body(6).
Stature latin verb “stare” to stand.
CLASSIFICATION OF STATURE IN ADULTS:
There are two main classifications of an adult person by stature(7):
Schmidt’s Classification:
In males:
Very short - <152.9 cm
Short - 153 cm -162.9 cm
8
Lower medium – 163 cm – 166.9 cm
Medium – 167 cm – 169.9 cm
Upper medium – 170 cm – 172.9 cm
Tall – 173 cm – 182.9 cm
Very tall – 183 cm – 203.9 cm
Giants - >= 240 cm
In females:
Very short - <141.9 cm
Short - 142 cm -150.9 cm
Lower medium – 151 cm – 154.9 cm
Medium – 155 cm – 157.9 cm
Upper medium – 158 cm – 159.9 cm
Tall – 160 cm – 169.9 cm
Very tall – 170 cm – 188.9 cm
Giants - >= 189 cm
Martin’s classification:
9
In males:
Very short – 130 cm - 149.9 cm
Short - 150 cm - 159.9 cm
Lower medium – 160 cm – 163.9 cm
Medium – 164 cm – 166.9 cm
Upper medium – 167 cm – 169.9 cm
Tall – 170 cm – 179.9 cm
Very tall – 180 cm – 199.9 cm
Giants - >= 200 cm
In females:
Very short – 121 cm – 139.9 cm
Short - 140 cm - 148.9 cm
Lower medium – 149 cm – 152.9 cm
Medium – 153 cm – 155.9 cm
Upper medium – 156 cm – 158.9 cm
Tall – 159 cm – 167.9 cm
10
Very tall – 168 cm – 186.9 cm
Giants - >= 187 cm
STATURE ESTIMATION:
Many researches have been made on estimation of stature by
measuring the length of different bones of the body. In early days, stature was estimated
by rearticulating the skeleton and measuring it. For this method, all bones are needed to
rearticulate the skeleton and measure it which is a very difficult method since all the
bones are not available in most of the forensic cases. Another disadvantage of this
method is that it omits the space occupied by cartilage and soft tissues.
The most common method to estimate stature is using long bones of the
body. The earliest studies in estimation of stature were conducted by Trotter and Gleser.
They conducted two studies in a gap of 6 years. First study was conducted in black and
white male World War II military deceased and in Terry anatomical collections which
included a large sample of both black and white males and females. In the first study
conducted in 1952(8), they measured the length of humerus, ulna, radius, femur, tibia,
fibula and the bicondylar length of femur. They used bones from both sides and obtained
an average length. Trotter and Gleser derived regression formula for estimation of stature
from the above mentioned long bones and concluded that maximum length of femur and
stature had a linear relationship. Their study also concluded that lower limb bones are
better than upper limb bones to estimate stature since they had smaller standard errors.
11
In the second study conducted by Trotter and Gleser in 1958(9), they collected
samples from Korean war deceased. All were males of varying ancestry. They used the
height that was recorded by military during their enrollment. The same measurements
that were taken in the previous study were taken. The only difference was that this time,
they did not pair the bones from both the sides of the body instead measured them
individually. Their study also concluded that the lower limb bones were more useful in
estimating stature than the upper limb bones. With the help of new measurements they
reevaluated the original regression formulae for both black and white males. But
according to Jantz(10), there was no comparable reevaluation of regression formulae for
black and white female since Trotter and Gleser’s 1952 study included only black and
white males and not females.
TABLE 1: STATURE FORMULAE GIVEN BY TROTTER AND GLESER
Bone whites Negroes Mongoloids
Humerus Right 2.88 L + 77.70
(±4.61)
2.88 L + 75.52
(±4.26)
2.69 L + 82.80
(±4.32)
Left 2.89 L + 77.47
(±4.54)
2.89 L + 75.10
(±4.21)
2.68 L + 83.27
(±4.18)
Radius Right 3.77 L + 79.13
(±4.66)
3.28 L + 86.22
(±4.65)
3.58 L + 80.71
(±4.64)
12
Left 3.73 L + 80.62
(±4.59)
3.36 L + 84.63
(±4.50)
3.51 L + 83.40
(±4.55)
Ulna Right 3.59 L+ 76.95
(±4.71)
3.13 L + 84.42
(±4.73)
3.50 L + 76.07
(±4.84)
Left 3.64 L + 76.14
(±4.57)
3.28 L + 80.85
(±4.76)
3.46 L + 78.84
(±4.49)
Femur Right 2.25 L + 68.40
(±4.04)
2.07 L + 73.78
(±3.83)
2.12 L + 74.03
(±3.92)
Left 2.30 L + 65.82
(±3.97)
2.14 L + 70.19
(±3.99)
2.18 L + 71.11
(±3.67)
Tibia Right 2.40 L + 82.24
(±3.97)
2.20 L + 84.90
(±3.88)
2.42 L + 80.36
(±3.26)
Left 2.43 L + 80.98
(±3.95)
2.18 L + 85.82
(±4.04)
2.36 L + 82.54
(±3.28)
Fibula Right 2.57 L + 76.13
(±3.86)
2.38 L + 78.48
(±3.96)
2.39 L + 81.10
(±3.20)
Left 2.59 L + 75.37
(±3.83)
2.29 L + 82.02
(±4.08)
2.40 L + 80.38
(±3.28)
L=Length of the bone
13
In 1970, Trotter summarized the results of her both studies, including
formulae with standard errors for estimating stature on long bones. She also came to a
conclusion that precise stature of cadaver can be obtained by adding 2.5 cm to the living
stature derived from long bone measurements.
In 1992, Jantz reevaluated Trotter and Gleser’s regression equations for
females. He obtained samples from Forensic Anthropology Database(FADB) at the
university of Tennessee, and compared his measurements with those of Trotter and
Gleser. He found that all the measurements of his sample were larger than those of
Trotter and Gleser in both blacks and whites. This increase in length was attributed to
secular changes in the bone growth. Based on his research, he modified the stature
estimation for white females. He did not modify the equation for black females since
changes in bone growth were isometric in them. The disadvantage of studies conducted
by Trotter and Gleser were:
1. The measuring techniques were unclear.
2. Most formulae require information about sex and ancestry, which is not always
possible in forensic context.
Researchers continued to derive formulae for estimating stature based on
the lengths of long bones. Most of these new studies consider secular changes in different
population before arriving linear regression formulae.
Duyar and Pelin(11) hypothesized that “estimation of stature are more
accurate if different regression formulae are used for specific stature group”. They
14
obtained samples from Turkish males and grouped them into 3 stature groups: short-
<1652mm, medium- 1653-1840mm and tall- >1841mm. they generated different linear
regression formulae for each stature group using the length of tibia. Their work shows
that different regression formulae are not needed between males and females but it is also
possible for different stature grouping.
In 1967, study conducted by Genoves(12), in Mesoamerican population,
proved that femur and tibia are the best predictors of stature. De Mendonca(13)
conducted a similar study in adult portugese sample and Hauser et al.(14) conducted a
study in polish sample population and found that femur is the best predictor of stature
estimation.
In 2003, Ozaslan et al.(15) conducted study in Turkish population that
derived stature from length of leg. In 2007, Petrovecki et al.(16) conducted stature
estimation study using radiographs of long bones in Croatian population and found that
tibia is the best predictor in males and humerus is the best predictor in females.
STUDIES ON STATURE ESTIMATION USING FOREARM BONES:
Athawale(17) conducted a study of Indian population to obtain regression
formulae for estimation of stature using forearm bones. His study concluded that there
was more significant linear relationship between forearm length and stature than
individual forearm bones and stature.
In 2006, a study conducted in Turkish population by Celbis and
Agritmis(18) stated that stature can be estimated more accurately with radius and ulna.
15
This study also indicated that measurements taken from the cadaver is as useful as
measurements taken from dried specimens.
A contrast result was obtained in study by Mall et al.(19) in German
population which found a weak correlation between forearm bones and living stature.
STUDIES ON STATURE ESTIMATION USING VERTEBRAL COLUMN:
In South Indian population, Nagesh and Kumar(20) estimated the
cadaveric stature using crown-heel length. They measured each of three segments of
vertebra- cervical, thoracic and lumbar and also the entire length of vertebral column.
This study stated that total length of vertebral column is more reliable parameter in
estimating the stature than the length of each segment or combination of segments. The
study also concluded that if only one segment of vertebral column is to be used for
determining stature, lumbar segment is the best. From Terry’s anatomical collection,
Tibbetts(21) conducted a study in 1981 to estimate the stature from the vertebral column.
He found that though vertebral column is useful for estimating stature, long bones are the
best predictors.
Various studies have been conducted to correlate stature with foot
length, foot bone length, metacarpal and metatarsal length. In his study, Robbins found
that foot’s outline is 15% of stature while foot print length is 14% of stature. Giles and
Vallandigham(22) studied that the measurement of shoeprint length and linear regression
formulae are also useful in estimating stature. In 1992, Gordon and Buikstra(23)
expanded the above study and found that if sample population is broken into different
16
groups depending on race and sex, and formulae derived for each group, shoeprint length
gives more valuable information.
Using Terry anatomical collection and modern sample Meadows and
Jantz(24) derived regression formulae for estimating stature from metacarpal length.
They found that 2-5 metacarpals are best predictors for male.
Oftentimes, bones are fragmented in modern forensic cases, which
make it difficult to estimate stature. Several studies have attempted to use bone fragments
to estimate long bone length and, thus, the living stature of an individual. Steele and
McKern(25) used long bone fragments from prehistoric American populations in their
study. They measured the maximum lengths of the femur, humus, and tibia, and applied
regression formulae to bone segment lengths.
Steele and McKern found that, utilizing specific segments of the humerus, femur, and
tibia, they could estimate the corresponding long bone lengths and provide a reasonable
estimate of living stature. Simmons et al.(26) revised Steele and McKern’s technique.
Simmons et al. used standardized landmarks on the femur which are easy to both define
and locate and found that their estimates test better than Steele and McKern’s.
Holland(27) used the Hamann-Todd Osteological Collection to measure a sample of
black and white males and females. He took five measurements of the tibial condyles
based on the known linear relationship between “stature and dimensions of the proximal
end of the tibia”. Holland found that every attempt should be made to estimate stature
17
from fully intact long bones, but if this is not possible, then measurements from the
proximal tibia may be reliable.
Similarly, Chibba and Bidmos(28) concluded that fragmentary tibia may
be useful for estimating stature in the absence of long bones. Based on measurements of
maximum skull length of a Central Indian population, Patil and Mody(29) determined
that height could be estimated from the skull using separate regression formulae for
males and females. They took measurements from lateral cephalograms and adjusted the
cephalograms accordingly to account for the percent of magnification from the x-rays.
This technique proved highly reliable for both males and females in the sample
population.
Today, this type of research is still important to the forensic sciences.
With 206 bones in the human body, there are still so many new ways that stature might
be estimated. Any investigations that aim to build a better and more complete biological
profile may be deemed useful in the forensic context because there is always the potential
for identification of a missing person based on these studies. This research aims to add to
the current body of knowledge on stature estimation.
ANATOMY OF CLAVICLE:
Clavis = a key; the roman key was S shaped
Clavicle is one of the long bones of the body(30). Clavicle is the only
horizontally lying long bone of the body. It differs from other long bones in the fact that
18
it has no medullary cavity. It lies at the root of the neck acts as a connection between the
acromion process of the scapula and the upper end of the sternum. Clavicle is directed
laterally and somewhat backwards.
The clavicle is subcutaneous throughout its whole length. The clavicle acts as a
strut which braces back the shoulder and allows the upper limb to swing clear of the trunk
and thus helps in transmitting part of the upper limb weight to the axial skeleton.
PICTURE 1: THE CLAVICLE
The difference between male and female clavicle are given below:
19
TABLE 2: DIFFERENCE BETWEEN MALE AND FEMALE CLAVICLE
Male clavicle Female clavicle
Longer Shorter
Thicker Thinner
More curved Less curved
Rougher Smoother
Acromial end is carried higher than the
sternal end
Acromial end is carried lower than the
sternal end
Heavier Lighter
The best indicator of sex in clavicle is its midshaft circumference.
When it is used in combination with other parameters like length, weight, sagittal length
etc, best results are obtained.
Clavicle can be divided into medial two-third and lateral one-third for
anatomical understanding. Clavicle is a “S” shaped bone which is convex forwards in its
medial two-third and concave forwards in lateral two-third(31).
20
PICTURE 2: MEDIAL TWO-THIRDS AND LATERAL ONE-THIRD OF
CLAVICLE
The lateral third of the clavicle is flattened anteroposteriorly. This
part of clavicle has two surfaces and two borders.
Superior anterior
Surfaces borders
Inferior posterior
Anterior border:
� Thin, concave and roughened.
� Has deltoid tubercle which gives attachment to the deltoid muscle.
Medial 2/3 Lateral 1/3
21
Posterior border:
� Convex backwards; roughened by muscular attachments.
� Gives attachment to trapezius muscle.
Superior surface:
� Smooth central surface and roughened margins
� Subcutaneous in the central region.
Inferior surface:
� Has a ridge and a tubercle.
� The ridge is the trapezoid line which runs forwards and laterally from the
lateral side of the conoid tubercle to the acromial end.
� It gives attachment to the trapezoid part of coracoclavicular ligament.
� The conoid tubercle is at the junction of the lateral fourth with the rest of the
bone, close to the posterior border.
� It gives attachment to the conoid part of the corococlavicular ligament.
� There is a groove for subclavius muscle. This groove also gives attachment to
the clavipectoral fascia at its ends.
� The posterior edge of the groove ends in the conoid tubercle when conoid
ligament and fascia merge together.
� There is nutrient foramen which is inclined laterally.
22
Medial two-thirds of clavicle:
� This part of the clavicle is cylindrical in shape.
� It has 4 surfaces.
Anterior surface:
� It is convex forwards.
� Roughened throughout the extent except at its lateral end where it is smooth
and forms the upper border of infraclavicular fossa.
� Gives attachment to the clavicular head of the pectoralis muscle.
Superior surface:
� Smooth at its lateral end.
� Roughened in the medial segment.
� Gives attachment to the clavicular head of sternocleidomastoid muscle in its
medial half.
Inferior surface:
� Has a roughened oval impression near the sternal end – costal tuberosity.
� Gives attachment to costoclavicular ligament and its margins which connects
the clavicle to the upper surface of first rib and its costal cartilage.
23
� At the lateral side of the inferior surface, there is subclavian groove for
insertion of the subclavius muscle. The nutrient foramen lies at the lateral side
of the subclavian groove.
Posterior surface:
� It is a smooth surface.
� It is devoid of muscular attachments except at its lower part near the sterna end
where it gives attachment to the lateral fibers of sternohyoid muscle.
� Medially it is related to the beginning of the brachiocephalic vein, termination
of subclavius vein and the lower end of internal jugular vein.
� Laterally it is related to the trunk of brachial plexus and third part of subclavian
artery.
� Superiorly it is related to suprascapular vessels.
PICTURE 3: SURFACE ANATOMY OF CLAVICLE
PICTURE 4: MUSCULAR ATTACHMENTS OF CLAVICLE
24
PICTURE 3: SURFACE ANATOMY OF CLAVICLE
PICTURE 4: MUSCULAR ATTACHMENTS OF CLAVICLE
PICTURE 3: SURFACE ANATOMY OF CLAVICLE
PICTURE 4: MUSCULAR ATTACHMENTS OF CLAVICLE
25
Lateral end of the clavicle:
� The lateral end is also known as acromial end.
� Has a small oval articulating facet for articulation with the acromian process
forming acromio-clavicular joint.
� The facet faces laterally and downwards.
� The area surrounding the facet gives attachment to the joint capsule.
Medial end of the clavicle:
� Also known as the sternal end.
� Quadrangular in shape.
� Directed medially, downwards and forwards.
� Articulates with the clavicular notch of manubrium sterni and first costal
cartilage.
� Gives attachment to fibrocapsule joint.
� Gives attachment to interclavicular ligament superiorly and articular disc
superoposteriorly.
26
PICTURE 5: LATERAL AND MEDIAL ENDS OF CLAVICLE
OSSIFICATION OF CLAVICLE:
Clavicle is the first bone to ossify in the body(31). It has three ossification
centres. There are 2 primary centres – medial and lateral. They appear on the 5th-6th week
of intrauterine life and fusion takes place on the 45th day of life. The shaft of the clavicle
is ossified in condensed mesenchyme from these 2 centres. Then occurs the development
of cartilaginous mass at the ends of the clavicle. The cartilagenous mass at the medial end
contributes more to the growth in length than the cartilage at the lateral end. The 2
primary centres meet at the middle and lateral thirds of clavicle.
27
The secondary centre at the medial end appears at about 18-19 years and
fusion takes place at 20-22 yrs. there is no ossification at the lateral end of the clavicle or
it is rudimentary and rapidly joins the shaft.
PICTURE 6: OSSIFICATION CENTRES OF CLAVICLE
FUNCTIONS OF CLAVICLE:
� Attaches upper limb to trunk
� Protects underlying structures supplying upper limb
� Transmits force from upper limb to axial skeleton
The weight of the upper limb is transmitted to the clavicle through
coracoclavicular ligament that is attached to the conoid tubercle and trapezoid line. This
weight is counteracted by trapezium aupporting the lateral part. Then the weight is
transmitted fron the conoid tubercle to the axial skeleton through the medial 2/3 rd of the
shaft of clavicle.
28
MEDICOLEGAL IMPORTANCE OF CLAVICLE:
Clavicle is useful in estimation of:
1. Age of the individual
2. Age of the fetus
3. Sex of the individual
4. Stature of the individual
Many studies have been done in estimation of age and sex from clavicle but
only fewer studies have been conducted in estimation of stature from clavicle.
STUDIES USING CLAVICLE:
Natalie Renee Shirley(32) conducted a study of age and sex estimation
from the human clavicle in American population. This study compared the traditional
methods of estimation of age and sex to the novel approaches. In 2012, Megan Kathleen
Cleary conducted a study on American population and estimates sex from clavicle.
In 2015, C.G.Falys and D.Prangle(33) carried on a study to estimate age
in 40+ from sternal end of the clavicle and found that sternal end of the clavicle is more
reliable factor for estimation of age. This study was again tested by Blom and Anne in
2016(34) which also found sternal end of clavicle to b a reliable factor in estimation of
29
age above 40 years. Price Meghan(35) also tested Falys and Prangle’s study and stated
that sternal end of clavicle is an useful parameter for estimation of age of the individual.
In 2002, Kaur et al(36) conducted a study on length and curves of
clavicles in Northwest Indians. Makander et al.(37) conducted a study on determination
of sex and race from adult clavicle in South Indian population.
Various studies were conducted using radiographic images of the
clavicle. In 2014, Marjan Mansorvar(38) conduted a study on bone age assessment using
hand and clavicle x-ray images. Robert and owen(39) conducted a study on radiographic
changes in the clavicle and proximal end of femur and their use in determination of
skeletal age at death. They used samples from Hamann- Todd collection. They found that
clavicle had most consistent relationship with age of the individual.
STUDIES ON ESTIMATION OF STATURE OF CLAVICLE:
There are only very few studies on estimation of stature from clavicle. This
is because long bones proved to be reliable parameter for estimation of stature. But in
forensic context, long bones may not be available in every case. So it is important to
estimate stature from other bones like clavicle.
In 1952, Singh and Sohal(40) conducted a study to estimate stature from
clavicle in Punjabi population. Imrie and Wyburn carried a study in Glasgow university.
They estimated age, sex and height from immature human bones in which they also
estimated stature from clavicle.
30
Balvir et al.(41) estimated stature from the length of clavicle in Vidarbha
region of Maharashtra. They derived regression formula for estimating stature from
clavicle. Rani et al.(42) conducted a study on correlation of stature of adult with length
of clavicle and derived regression formulae for both males and females separately.
31
1. To find out correlation between length of right and left clavicle with stature of
an individual.
2. To estimate the stature of individual with maximum length of clavicle.
3. To obtain the regression formulae to estimate stature from adult clavicle for
both sexes.
32
STUDY SETTING:
The present study was carried out in Institute of Forensic Medicine, Madras
Medical College & Rajiv Gandhi Government General Hospital, Chennai-3.
STUDY DESIGN:
The present study was a cross-sectional study with descriptive and analytical
components. The descriptive component was used to determine mean stature, length of
right and left clavicle in both male and female subjects. The analytical component was
used to find the correlation between the stature and length of clavicle and to formulate
regression equation for stature from clavicle length in both males and females.
SUBJECT SELECTION:
This study was conducted on cases in the age group 23-70 years subjected for
medico-legal autopsy in the mortuary attached to Rajiv Gandhi Government General
Hospital, Chennai - 600003.
STUDY PERIOD:
The data collection was spread over a time period of one year extending from the
month of April 2017- March 2018.
33
INCLUSION CRITERIA:
All cases in the adult age group (>22 years) subjected for medico-legal autopsy.
EXCLUSION CRITERIA:
1. Cases with fracture of clavicle.
2. Pathological deformity of clavicle.
3. Cases with skeletal deformity.
4. Age less than 22 yrs since medial end of clavicle fuses between 20 – 22 years.
5. Cases not from Tamil Nadu
DATA COLLECTION:
The stature of the cadaver was measured initially after noting down the
particulars of the deceased. The cadaver is placed in supine position on the autopsy table.
The cadaver is placed in such position that the head was opposed to the upper end of the
table. A ruler was placed at the level of sole. The measurement from upper and of the
table to the ruler was made using measuring tape. The living stature is obtained from
cadaveric stature by deducting 15 mm for males and 20 mm for females(43),(44).
34
PICTURE 7: STATURE ESTIMATION IN CADAVER
35
REMOVAL OF CLAVICLE:
� The cadaver was placed in supine position. I shaped incision was made and flaps
were raised over the neck and chest region.
� The important steps in removal of clavicle includes dissection of sternoclavicular
joint and acromioclavicular joint.
� Dissection of sternoclavicular joint:
• The articulation of the sternal end of the clavicle with the manubrium
sterni was located.
• The anterior sternoclavicular ligament and the interclavicular ligament
were identified.
• With the scalpel blade turned horizontally, the anterior sternoclavicular
ligament was shaved off until both the joint surfaces and articular disc
can be seen.
• Then all the soft tissues underlying the sterna end of the clavicle were
dissected.
36
PICTURE 8: STERNOCLAVICULAR JOINT
� Dissection of acromioclavicular joint:
• The fibres of anterior an dmiddle deltoid were released from the lateral
end of the clavicle and then the deltoid was turned distally.
• The acromioclavicular ligament is identified between the acromial end
of the clavicle and the acromion and then dissected.
• The corococlavicular ligament passing from corocoid process of scapula
to the clavicle was identified and dissected thenand all the soft tissues
underlying are dissected to release the lateral end of the clavicle.
PICTURE 9: ACROMIOCLAVICULAR JOINT
37
� All the muscular attachments of the clavicle are dissected and is removed from the
body.
� The same procedure is carried out for the other side of the clavicle.
PICTURE 10: RIGHT AND LEFT CLAVICLES REMOVED FROM CADAVER
38
� The remaining soft tissues attached to the clavicles were removed.
clavicles were cleaned.
PICTURE 11: CLAVICLES AFTER CLEANING
� The length of the clavicle is measured using digital vernier caliper.
PICTUR
39
The length of the clavicle is measured using digital vernier caliper.
RE 12 : DIGITAL VERNIER CALIPER
The length of the clavicle is measured using digital vernier caliper.
: DIGITAL VERNIER CALIPER
40
� The external jaws of the caliper were brought together and the reading was
adjusted to zero.
� The clavicle was placed in between the external jaws of the caliper and the values
are measure in millimeter
PICTURE 13: MEASUREMENT OF LENGTH LEFT CLAVICLE
PICTURE 14: MEASUREMENT OF LENGTH OF RIGHT CLAVICLE
In this study,
mortuary attached to Institute of Forensic Medicine, Madras Medical College were taken
as study sample. In all these cases, stature and lengths of both right and left clavicle were
measured using appropriate methods.
TABLE 3: SEX DISTRIBUTION
FIGURE 1: SEX DISTRIBUTION AMONG THE STUDY SAMPLE
Sex
Male
Female
Total
41
200 cases which were subjected to medico legal
mortuary attached to Institute of Forensic Medicine, Madras Medical College were taken
as study sample. In all these cases, stature and lengths of both right and left clavicle were
measured using appropriate methods.
: SEX DISTRIBUTION AMONG THE STUDY SAMPLE
FIGURE 1: SEX DISTRIBUTION AMONG THE STUDY SAMPLE
158 cases
79%
42 cases
21%
Males Females
Frequency Percentage
158 79
42 21
200 100
medico legal autopsy in
mortuary attached to Institute of Forensic Medicine, Madras Medical College were taken
as study sample. In all these cases, stature and lengths of both right and left clavicle were
AMONG THE STUDY SAMPLE
FIGURE 1: SEX DISTRIBUTION AMONG THE STUDY SAMPLE
ercentage
42
According to Table 3 and Figure 1, the distribution of sex among the total
number of 200 cases is as follows: Male – 158 cases which is 79 percentage of total study
sample; Female – 42 cases which is 21 percentage of total study sample.
TABLE 4: AGE WISE DISTRIBUTION OF STUDY SAMPLE
Age in years Frequency Percentage
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53
10 5 4 4 7 8 13 4 4 2 8 - 11 4 1 2 2 4 2 6 7 2 19 7 3 4 3 1 2 5 2
5 2.5 2 2 3.5 4 7.5 2 2 1 4 - 5.5 2 0.5 1 1 2 1 3 3.5 1 9.5 3.5 1.5 2 1.5 0.5 1 2.5 1
43
54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70
- 18 - - 6 - 1 5 - 2 3 6 - - - - 3
- 9 - - 3 - 0.5 2.5 - 1 1.5 3 - - - - 1.5
total 200 100
Table 4 shows the age wise distribution of cases taken for study starting from
23 years up to 70 years. While collecting study samples cases below 23 years of age were
excluded since the developmental process would not have been completed and clavicle
would have not fused completely.
TABLE 5: AGE GROUP WISE DISTRIBUTION OF STUDY SAMPLE
Age group Frequency Percent
23-30 years 52 26.0
31-50 years 93 46.5
51-70 years 55 27.5
Total 200 100.0
44
FIGURE 2: AGE GROUP WISE DISTRIBUTION OF STUDY SAMPLE
The number of cases in the 23 – 30 years age group constitutes 26%
of total study sample i.e. 52 cases of total 200 cases. The number of cases in the 31 – 50
years age group constitutes 46.5% of total study sample i.e. 93 cases of total 200 cases.
Likewise the 51-70 years age group constitutes 27.5% of total study sample i.e. 55 cases
of total 200 cases.
26%
46.5%
27.5%
23-30 years
31-50 years
51-70 years
45
TABLE 6: STATURE WISE DISTRIBUTION OF STUDY SAMPLE
Stature group in cm Frequency Percent
139.0-145.0 4 2.0
145.1-150.0 3 1.5
150.1-155.0 17 8.5
155.1-160.0 19 9.5
160.1-165.0 78 39.0
165.1-170.0 51 25.5
170.1-175.0 28 14.0
Total 200 100.0
FIGURE 3: STATURE WISE DISTRIBUTION OF STUDY SAMPLE
2%2%
8%
10%
39%
25%
14%139-145
146-150
151-155
156-160
160-165
165-170
170-175
46
The total no of cases were classified into 7 groups according to their stature.
There were 4 cases in stature group 139.0 - 145.0 which constituted 2% of total sample
size. There were 3 cases in stature group 145.1 – 150.0 which constituted 1.5% of total
sample size. There were 17 & 19 cases in stature group 150.1 – 155.0 & 155.1 – 160.0
respectively which constituted 8.5% & 9.5% of total sample size. The stature group with
highest number of cases was 160.1 – 165.0 with 78 cases which constituted 39% of total
sample size. There were 51 & 28 cases in stature group 165.1 – 170.0 & 170.1 – 175.0
respectively which constituted 25.5% & 14% of total sample size.
TABLE 7: CROSS TABULATION OF STUDY SAMPLE BASED ON AGE & SEX
Age group SEX Total Male Female
23-30 years Count 46 6 52
% within SEX 29.1% 14.3% 26.0% 31-50 years Count 64 29 93
% within SEX 40.5% 69.0% 46.5% 51-70 years Count 48 7 55
% within SEX 30.4% 16.7% 27.5% 23-70 years Count 158 42 200
% within SEX 100.0% 100.0% 100.0%
Pearson Chi-Square=10.887** p=0.004
FIGURE 4: AGE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
A cross tabulation was
female cases. The age group 23
of total male cases and 6 female cases which constituted 14.3% of total female ca
age group 31-50 consisted of 64 male cases which constituted 40.5% of total male cases
and 29 female cases which constituted 69% of total female cases. The age group 51
consisted of 48 male cases which constituted 30.4% of total male cases and
cases which constituted 16.7% of total female cases. The p value calculated for the above
data was 0.004 which was statisti
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male
29%
41%
30%
47
FIGURE 4: AGE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
A cross tabulation was made dividing each age group
female cases. The age group 23-30 consisted of 46 male cases which constituted 29.1%
of total male cases and 6 female cases which constituted 14.3% of total female ca
50 consisted of 64 male cases which constituted 40.5% of total male cases
and 29 female cases which constituted 69% of total female cases. The age group 51
consisted of 48 male cases which constituted 30.4% of total male cases and
cases which constituted 16.7% of total female cases. The p value calculated for the above
hich was statistically significant.
Female
29%
14%
41% 69%
30%
17%
FIGURE 4: AGE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
made dividing each age group into male and
46 male cases which constituted 29.1%
of total male cases and 6 female cases which constituted 14.3% of total female cases. The
50 consisted of 64 male cases which constituted 40.5% of total male cases
and 29 female cases which constituted 69% of total female cases. The age group 51-70
consisted of 48 male cases which constituted 30.4% of total male cases and 7 female
cases which constituted 16.7% of total female cases. The p value calculated for the above
51-70 years
31-50 years
23-30 years
48
TABLE 8: CROSS TABULATION OF STUDY SAMPLE BASED ON STATURE
AND SEX
Pearson Chi-Square=47.525** p<0.001
Stature group SEX Total
Male Female
139.0-145.0 Count 2 2 4
% within SEX 1.3% 4.8% 2.0%
145.1-150.0 Count 0 3 3
% within SEX 0.0% 7.1% 1.5%
150.1-155.0 Count 6 11 17
% within SEX 3.8% 26.2% 8.5%
155.1-160.0 Count 11 8 19
% within SEX 7.0% 19.0% 9.5%
160.1-165.0
Count 70 8 78
% within SEX 44.3% 19.0% 39.0%
165.1-170.0 Count 43 8 51
% within SEX 27.2% 19.0% 25.5%
170.1-175.0 Count 26 2 28
% within SEX 16.5% 4.8% 14.0%
Total Count 158 42 200
% within SEX 100.0% 100.0% 100.0%
FIGURE 5: STATURE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
Another cross tabulation was made dividing each stature groups into
male and female cases. The stature group 139.0
which constituted 1.3% of total male cases and 2 female cases which constit
total female cases. The stature group 145.1
female cases which constituted 7.1% of total female cases. The stature group 150.1
155.0 consisted of 6 male cases which constituted 3.8% of total male
cases which constituted 26.2% of total female cases.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Male
1%0%4%
7%
44%
27%
17%
49
FIGURE 5: STATURE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
Another cross tabulation was made dividing each stature groups into
male and female cases. The stature group 139.0 - 145.0 cm consisted of 2 male cases
which constituted 1.3% of total male cases and 2 female cases which constit
total female cases. The stature group 145.1 – 150.0 cm consisted of nil male cases and 3
female cases which constituted 7.1% of total female cases. The stature group 150.1
155.0 consisted of 6 male cases which constituted 3.8% of total male
cases which constituted 26.2% of total female cases. The stature group 155
Female
5%
7%
26%
19%
44%
19%27%
19%
17%
5%
FIGURE 5: STATURE AND SEX WISE DISTRIBUTION OF STUDY SAMPLE
Another cross tabulation was made dividing each stature groups into
145.0 cm consisted of 2 male cases
which constituted 1.3% of total male cases and 2 female cases which constituted 4.8% of
150.0 cm consisted of nil male cases and 3
female cases which constituted 7.1% of total female cases. The stature group 150.1 –
155.0 consisted of 6 male cases which constituted 3.8% of total male cases and 11 female
The stature group 155.1 – 160.0
170.1-175.0
165.1-170.0
160.1-165.0
155.1-160.0
150.1-155.0
145.1-150.0
139.0-145.0
50
consisted of 11 male cases which constituted 7% of total male cases and 8 female cases
which constituted 19% of total female cases. The stature group 160.1 – 165.0 consisted of
70 male cases which constituted 44.3% of total male cases and 8 female cases which
constituted 19% of total female cases. The stature group 165.1 – 170.0 consisted of 43
male cases which constituted 27.2% of total male cases and 8 female cases which
constituted 19% of total female cases. The stature group 170.1 – 175.0 consisted of 26
male cases which constituted 16.5% of total male cases and 2 female cases which
constituted 4.8% of total female cases. The p value calculated for the above data was
<0.001 which was statistically significant.
TABLE 9: MEAN AND STANDARD DEVIATION OF SELECTED VARIABLES
OF STUDY SAMPLE
Selected variables Mean
Std.
Deviation N
Stature (in cm) 163.9050 6.56976 200
Right clavicle length (in mm)
145.8490
11.92696
200
Left clavicle length (in mm)
150.4250
12.32379
200
51
FIGURE 6: MEAN AND STANDARD DEVIATION OF SELECTED VARIABLES
OF STUDY SAMPLE
Table 9 and figure 7 shows descriptive statistics for the statue and lengths of
right and left clavicle for all the samples. The mean stature of the total sample was 163.9
cm. The mean right clavicle length of total sample was 145.8 mm and the mean left
clavicle length of total sample was 150.4 mm.
145.80
150.40
143.00
144.00
145.00
146.00
147.00
148.00
149.00
150.00
151.00
RIGHT CLAVICLE LEFT CLAVICLE
len
gth
in
mm
variables
RIGHT CLAVICLE
LEFT CLAVICLE
52
TABLE 10: MEAN AND STANDARD DEVIATION OF SELECTED VARIABLES
OF MALE POPULATION OF STUDY SAMPLE
Variables Mean Std. Deviation N
Stature in cm 165.3101 cm 5.46780 158
Right clavicle length in mm
147.4127 mm
11.13996
158
Left clavicle length in mm 152.4475 mm 11.64737 158
FIGURE 7: MEAN AND STANDARD DEVIATION OF SELECTED VARIABLES
OF MALE POPULATION OF STUDY SAMPLE
144.00
145.00
146.00
147.00
148.00
149.00
150.00
151.00
152.00
153.00
RIGHT CLAVICLE LEFT CLAVICLE
len
gth
in
mm
variables
RIGHT CLAVICLE
LEFT CLAVICLE
53
Table 10 and figure 8 shows descriptive statistics for male population of
the statistics. The mean stature of the total male population was 165.3 cm. The mean right
clavicle length of total male population was 147.4 mm and the mean left clavicle length
of total male population was 152.4 mm.
TABLE 11: MEAN AND STANDARD DEVIATION FOR SELECTED
VARIABLES IN FEMALE POPULATION OF STUDY SAMPLE
variables Mean Std. Deviation N
STATURE 158.6190 cm 7.66669 42
RIGHT CLAVICLE 139.9667 mm 13.05255 42
LEFT CLAVICLE 142.8167 mm 11.94187 42
54
FIGURE 8: MEAN AND STANDARD DEVIATION OF SELECTED VARIABLES
OF FEMALE POPULATION OF STUDY SAMPLE
Table 11 and figure 8 shows descriptive statistics for male population
of the statistics. The mean stature of the total female population was 158.6 cm. The mean
right clavicle length of total female population was 139.9 mm and the mean left clavicle
length of total female population was 142.8 mm.
Figure 9 shows the distribution of mean stature among the total study
sample, male and female population of study sample.
139.97
142.82
138.50
139.00
139.50
140.00
140.50
141.00
141.50
142.00
142.50
143.00
143.50
RIGHT CLAVICLE LEFT CLAVICLE
len
gth
in
mm
variables
RIGHT CLAVICLE
LEFT CLAVICLE
55
FIGURE 9: MEAN STATURE OF THE TOTAL STUDY SAMPLE, MALES AND
FEMALES
From the descriptive statistics, it is clear that all the values including the
stature, length of right clavicle and length of left clavicle are higher in males when
compared to females. It is also noted that length of left clavicle is more than right clavicle
in both male and female.
TABLE 12: DISTRIBUTION OF MEAN STATURE IN MALES AND FEMALES
163.9
165.3
158.6
154
156
158
160
162
164
166
total study sample male female
sta
ture
in
cm
SEX
N Mean Std. Deviation
Std. Error Mean
t value P value
STATURE Male 158 165.3101 5.46780 .43499
6.435** <0.001
Female 42 158.6190 7.66669 1.18300
56
FIGURE 10: DISTRIBUTION OF MEAN STATURE IN MALES AND FEMALES
Table 12 and figure 10 shows independent sample test for stature in
both male and female. The mean stature for male was 165.3 cm and female was 158.6
cm. the p value was calculated for this data and found to be <0.001 which proves that the
data is statistically significant.
165.31
158.62
154.00
156.00
158.00
160.00
162.00
164.00
166.00
Male Female
sta
ture
in
cm
sex
Male
Female
57
TABLE 13: DISTRIBUTION OF STATURE AMONG DIFFERENT AGE
GROUPS
Age
in
year
s N
Mean
stature
Std.
Deviatio
n
Std.
Error
95% Confidence
Interval for
Mean
Minimu
m
Maxim
um
Lower
Bound
Upper
Bound
f value
23-
30 52 167.32
69 4.67249 .64796
166.02
61
168.627
8 150.00 174.00
16.792**
31-
50 93 164.01
08 5.70373 .59145
162.83
61
165.185
4 152.00 175.00
51-
70 55 160.49
09 7.73609 1.04313
158.39
96
162.582
3 139.00 170.00
Tot
al 200 163.90
50 6.56976 .46455
162.98
89
164.821
1 139.00 175.00
The table 13 shows descriptive statistics for age group wise distribution of
stature in the study sample. The study group is divided into 3 groups: 23-30 yrs, 31-50
yrs, 51-70 yrs. The mean stature of 23-30 yrs group is 167.33 cm with minimum stature
of 150 cm and maximum stature of 174 cm. The mean stature of 31-50 yrs group is
164.01 cm with minimum stature of 152 cm and maximum stature of 175 cm. The mean
58
stature of 51-70 yrs group is 160.49 cm with minimum stature of 139 cm and maximum
stature of 170 cm. in total the mean stature of total population is 163.90 cm with
minimum stature of 139 cm and maximum stature of 175 cm.
FIGURE 11: DISTRIBUTION OF STATURE AMONG DIFFERENT AGE
GROUPS
Figure 11 shows the distribution of mean stature in different age groups of
the study population.
167.33
164.01
160.49
156.00
158.00
160.00
162.00
164.00
166.00
168.00
23-30 31-50 51-70
sta
ture
in
cm
age in years
23-30
31-50
51-70
59
TABLE 14: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT
CLAVICLE
Correlations RIGHT CLAVICLE **P value
Pearson Correlation STATURE .586** <0.001
FIGURE 12: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT
CLAVICLE
50
70
90
110
130
150
170
190
120 130 140 150 160 170 180
Rig
ht
Cla
vic
le l
en
gth
in
mm
STATURE in cm
60
The correlation between stature and right clavicle length was calculated using
Pearson’s correlation formula and the correlation coefficient was found to be 0.586 and p
value was <0.001. This proves that there is positive correlation between the stature and
length of right clavicle, i.e., when length of right clavicle increases stature of the
individual increases and vice versa.
TABLE 15: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE
Correlations LEFT CLAVICLE **P value
Pearson Correlation
STATURE .550** <0.001
61
FIGURE 13: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE
Similarly, the correlation between stature and left clavicle length was
calculated using Pearson’s correlation formula and the correlation coefficient was found
to be 0.586 and p value was <0.001. This proves that there is positive correlation between
the stature and length of left clavicle, i.e., when length of left clavicle increases stature of
the individual increases and vice versa.
50
70
90
110
130
150
170
190
120 130 140 150 160 170 180
Left
Cla
vic
le l
en
gth
in
mm
Stature in cm
62
STATURE PREDICTION:
. TABLE 16: SUMMARY OF REGRESSION ANALYSIS
Model
R R Square Adjusted R Square
Std. Error of the
Estimate
1 -
.590a .348 .341 5.33225
a. Predictors: (Constant), left clavicle length, right clavicle length
TABLE 17: ANOVA TABLE FOR REGRESSION ANALYSIS
ANOVAb
Model
Sum of Squares df Mean Square F Sig. 1 Regression 2987.906 2 1493.953 52.543 .000a
Residual 5601.289 197 28.433
Total
8589.195
199
a. Predictors: (Constant), Left clavicle length, Right clavicle length b. Dependent Variable: Stature
63
TABLE 18: COEFFICIENTS OF REGRESSION ANALYSIS
Coefficientsa
Model
Unstandardized
Coefficients
Standardized
Coefficients
T Sig. B Std. Error Beta
1 (Constant)
115.506 4.772
24.205 .000
Right clavicle
length
.251 .068 .456 3.694 .000
Left clavicle
length
.078 .066 .146 1.186 .237
a. Dependent Variable: Stature
From the above tables, it is clear that length of right clavicle is a good
predictor of stature with p value <0.05. On the other hand, the length of left clavicle is not
a good predictor of stature since the p value is >0.05.
Thus from above values, a regression formula for estimation of stature
of an individual from maximum length of right clavicle irrespective of gender is
formulated as below:
STATURE = 0.251(RIGHT CLAVICLE LENGTH) + 115.506
64
STATURE PREDICTION INMALES:
TABLE 19: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT
CLAVICLE IN MALES
Correlations Right clavicle
length
**p value
Pearson Correlation stature .498** <0.001
FIGURE 15: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT
CLAVICLE IN MALES
50
70
90
110
130
150
170
190
120 130 140 150 160 170 180
Rig
ht
Cla
vic
l le
mg
th i
n m
m
Stature in cm
65
The correlation between stature and right clavicle length was
calculated using Pearson’s correlation formula and the correlation coefficient was found
to be 0.498 and p value was <0.001. This proves that there is positive correlation between
the stature and length of right clavicle, i.e., when length of right clavicle increases stature
of the individual increases and vice versa.
TABLE 20: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE IN MALES
Correlations Left clavicle length **p value
Pearson Correlation Stature .450** <0.001
FIGURE 16: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE IN MALES
50
70
90
110
130
150
170
190
120 130 140 150 160 170 180
Left
Cla
vic
le l
em
gth
in
mm
stature in cm
66
The correlation between stature and left clavicle length was calculated
using Pearson’s correlation formula and the correlation coefficient was found to be 0.450
and p value was <0.001. This proves that there is positive correlation between the stature
and length of left clavicle, i.e., when length of left clavicle increases stature of the
individual increases and vice versa.
TABLE 21: SUMMARY OF REGRESSION ANALYSIS - MALES
Model
R R Square
Adjusted R
Square
Std. Error of the
Estimate
1 .499a .249 .240 4.76790
TABLE 22: ANOVA TABLE FOR REGRESSION ANALYSIS - MALES
ANOVAb
Model Sum of
Squares df Mean Square F Sig.
1 Regression 1170.208 2 585.104 25.738 .000a
Residual 3523.595 155 22.733
Total 4693.804 157
a. Predictors: (Constant), Left clavicle length, Right clavicle length
b. Dependent Variable: Stature
67
TABLE 23: COEFFICIENTS OF REGRESSION ANALYSIS - MALES
Coefficientsa
Model Unstandardized
Coefficients
Standardized
Coefficients t Sig.
B Std. Error Beta 1 (Constant) 128.662 5.194 24.769 .000
Right clavicle
length
.214 .069 .437 3.097 .002
Left clavicle
length
.033 .066 .071 .500 .617
a. Dependent Variable: Stature
From the above tables, it is clear that length of right clavicle is a good
predictor of stature with p value <0.05. On the other hand, the length of left clavicle is not
a good predictor of stature since the p value is >0.05.
Thus from above values, a regression formula for estimation of stature
of an individual from maximum length of right clavicle for male population is formulated
as below:
STATURE = 0.214(RIGHT CLAVICLE LENGTH) + 128.662
68
STATURE PREDICTION IN FEMALES:
TABLE 24: MEAN AND STANDARD DEVIATION FOR SELECTED VARIABLES IN FEMALES
Variables Mean Std. Deviation N
Stature 158.6190 7.66669 42
Right clavicle length 139.9667 13.05255 42
Left clavicle length 142.8167 11.94187 42
TABLE 25: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT CLAVICLE IN FEMALES
Correlations Right clavicle
length
**p value
Pearson Correlation
Stature
.663**
<0.001
69
FIGURE 17: CORRELATION BETWEEN STATURE AND LENGTH OF RIGHT
CLAVICLE IN FEMALES
The correlation between stature and right clavicle length was calculated
using Pearson’s correlation formula and the correlation coefficient was found to be 0.663
and p value was <0.001. This proves that there is positive correlation between the stature
and length of right clavicle, i.e., when length of right clavicle increases stature of the
individual increases and vice versa.
50
70
90
110
130
150
170
120 130 140 150 160 170 180
Rig
ht
Cla
vic
e l
en
gth
in
mm
Stature in cm
70
TABLE 26: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE IN FEMALES
Correlations Left clavicle length
**p value
Pearson Correlation Stature .592** <0.001
FIGURE 15: CORRELATION BETWEEN STATURE AND LENGTH OF LEFT
CLAVICLE IN FEMALES
50
70
90
110
130
150
170
190
120 130 140 150 160 170 180
Left
Cla
vic
le l
en
gth
in
mm
stature in cm
71
The correlation between stature and left clavicle length was calculated
using Pearson’s correlation formula and the correlation coefficient was found to be 0.592
and p value was <0.001. This proves that there is positive correlation between the stature
and length of left clavicle, i.e., when length of left clavicle increases stature of the
individual increases and vice versa.
TABLE 27: SUMMARY OF REGRESSION ANALYSIS - FEMALES
Model
R R Square Adjusted R Square
Std. Error of the
Estimate
1 .663a .439 .411 5.88544
TABLE 28: ANOVA TABLE FOR REGRESSION ANALYSIS - FEMALES
ANOVAb
Model
Sum of Squares
df
Mean
Square F Sig.
1 Regression 1059.008 2 529.504 15.287 .000a
Residual 1350.897 39 34.638
Total 2409.905 41
a. Predictors: (Constant), Left clavicle length, Right clavicle length
b. Dependent Variable: Stature
72
TABLE 29: COEFFICIENTS OF REGRESSION ANALYSIS - FEMALES
Coefficientsa
Model Unstandardized
Coefficients
Standardized
Coefficients
t Sig. B Std. Error Beta
1 (constant) 104.883 11.032 9.507 .000
Right clavicle
length
.412 .166 .702 2.484 .017
Left clavicle
length
-.028 .181 -.043 -.152 .880
a. Dependent Variable: Stature
From the above tables, it is clear that length of right clavicle is a
good predictor of stature with p value <0.05. On the other hand, the length of left clavicle is
not a good predictor of stature since the p value is >0.05.
Thus from above values, regression formulae for estimation of stature of
an individual from maximum length of right clavicle for females is formulated as below:
STATURE = 0.412(RIGHT CLAVICLE LENGTH) + 104.883
73
TABLE 230: REGRESSION EQUATION FOR STATURE WITH LENGTH OF
RIGHT CLAVICLE IN MALE, FEMALE AND BOTH SEXES TOGETHER
SUBJECTS CORRELTION
COEFFICIENT
REGRESSION EQUATION P VALUE
Both sexes
together
0.586 STATURE= 0.251(RIGHT
CLAVICLE LENGTH)+115.506
<0.001
Male 0.498 STATURE= 0.214(RIGHT
CLAVICLE LENGTH)+128.662
<0.001
female 0.663 STATURE= 0.412(RIGHT
CLAVICLE LENGTH)+104.883
<0.001
74
Stature estimation is an important part of identification process of
unknown individuals, especially in case where human bodies are found as skeletal
remains or in mutilated conditions.(42) Several researches have been made to estimate
stature from different long bones like femur, tibia, humerus, ulna, radius, fibula. But
these long bones may not be available in all cases. So studies have also been conducted to
determine stature from other bones, body parts, etc. Clavicle is a long bone which is least
studied in context with stature estimation. In India very few studies have attempted to
determine stature of an individual from various measurements of clavicle. This study was
conducted to estimate stature from length of the clavicle and obtain regression formula. A
total of 200 cases were studied of which 158 were male and 42 were female.
STATURE:
The mean stature of my study was found to be 165.3 cm in males and 158.6 in
females. In a study conducted by Balvir et al(45) in Vidarbha region of Maharashtra, the
mean stature of male was 162 cm and female was 154.2 cm. According to Nataraja
Moorthy et al(46), the mean stature of Tamil Nadu population was found to be 173.7 cm.
In a study conducted by Angus Deaton et al(47), the mean stature of Tamil Nadu
population was found to be 165.8 cm in males and 153.4 cm in females. According to
Jadav et al(48), the mean stature in Gujarat was 165.92 cm. these values are compared in
the table give below:
75
TABLE 31: MEAN STATURE IN DIFFERENT STUDIES
S.NO STUDY REGION MEAN STATURE
MALE FEMALE
1. My study Tamil Nadu 165.3 158.6
2. Balvir et al.(41) Maharashtra 162 154.2
3. Nataraja Moorthy et
al.(46)
Tamil Nadu 173.7 cm
4. Angus Deaton et
al.(47)
Tamil Nadu 165.8 153.4
5. Jadav et al.(48) Gujarat 165.9
LENGTH OF CLAVICLE:
The mean length of right clavicle in males in the present study was 147.4
cm and that of left clavicle was 152.4 cm and the mean length of left clavicle in females
in the present study was 139.9 cm and that of left clavicle was 142.8 cm. The mean
lengths of right and left clavicle in both the sexes in various studies are tabulated below:
76
TABLE 32: COMPARISON OF LENGTH OF CLAVICLE IN DIFFERENT
STUDIES
sex side Parson
(1916)
(49)
Oliver
(1956)
(50)
Jit &
singh
(1966)
(51)
Singh &
gangrade
(1968)
Jit &
sahni
(1983)
Kaur et
al.
(2002)
(36)
Nationality english french Indian
(amrits
ar)
Indian
(Varanasi)
Indian Indian
Sample size M B 50 110 236 97 280 748
F 50 60 112 80 2552
length of
clavicle
M R 152.0 154.2 145.6 141.5 148.0 149.4
L 152.0 155.0 147.6 144.2 149.8 151.1
F R 138.0 137.9 130.4 125.8 132.4 134.5
L 139.0 138.7 129.8 122.8 134.0 136.2
77
se
x
sid
e
Moham
med
(2006)
Patil et
al.
(2009)
(29)
Rani et
al.
(2011)
(42)
Ishwarkumar
et al.
(52)
Present study
Nationality Iraqi indian Indian South African Indian
(tamilian)
Sample size M B 63 107 70 66 158
F 37 109 30 34 42
Maximum
length of
clavicle
M R 155.2 141.8 149.7 153.5 147.4
L 155.7 142.3 146.2 151.8 152.4
F R 137.4 125.9 118.4 138.0 139.9
L 139.2 125.9 115.6 141.0 142.8
DIFFERENCE BETWEEN THE LENGTHS OF RIGHT AND LEFT CLAVICLE:
In the present study, the mean length of right clavicles is less than left
clavicles in both males and females. But in a study conducted by Sudha et al.(53) in south
Indian population the mean length of right clavicle was less than the mean lengths of left
clavicle. A study was conducted by Makandar(37) in south Indian population using
clavicle stated that mean length of left clavicle of south Indian population was greater
than the mean length of right clavicle. Previous studies by, Kaur et al(36), Haque(54),
78
Mays et al.(55), Jit and Singh(51) and Parsons(17) revealed that the mean length of the
left clavicles was greater than that of the right. Trotter et al, Singh and Gangrade differed
by saying that the mean length of right clavicles was greater than the left clavicles.
TABLE 33: COMPARISON OF LENGTHIER SIDE OF CLAVICLE AMONG
DIFFERENT STUDIES
Study
Population
Side of clavicle which has
higher mean length
Present study Tamil Nadu Left
Sudha et al. Tamil Nadu Left
Makandar et al. Tamil Nadu left
Kaur et al. Indian Left
Haque Nepal Left
Mays et al. English Left
Jit and Singh Amritsar Left
Parsons English Left
Trotter et al America Right
Singh and Gangrade Varanasi Right
79
REGRESSION EQUATION:
In the present study, the regression equation was determined to estimate the
stature from maximum length of right clavicle in both males and female.
For males:
STATURE = 0.214 (RIGHT CLAVICLE LENGTH) + 128.662
For females:
STATURE= 0.412 (RIGHT CLAVICLE LRNGTH) + 104.883
In a study conducted by Balvir et al.(14), regression formulae were
determined for both males and females from both right and left clavicles.
For males:
Right clavicle:
STATURE = 1630.58-0.0772 (MAX LENGTH OF RIGHT CLAVICLE)
Left clavicle:
STATURE = 1617.47 + 0.0157 (MAX LENGTH OF LEFT CLAVICLE)
For females:
Right clavicle:
STATURE = 1707.2-1.31 (MAX LENGTH OF RIGHT CLAVICLE)
Left clavicle:
STATURE = 1674.58 + 1.0385 (MAX LENGTH OF LEFT CLAVICLE)
80
In the present study, it has been concluded that
� The mean stature is more in males than females.
� The mean length of right clavicle is less than the mean length of left clavicle in
both males and females.
� The mean length of right clavicle is more in males than in females.
� The mean length of left clavicle is more in males than in females.
� There is a positive correlation between stature and length of right clavicle in both
males and females.
� There is a positive correlation between stature and length of left clavicle in both
males and females.
� Length of right clavicle proved to be a good predictor of stature (p value <0.05) in
both males and female
� On the other hand, length of left clavicle did not prove to be a good predictor of
stature (p value > 0.05) in both males and females.
� The multiplication factor for males and females showed considerable difference.
This shows that sex identification prior to stature estimation will give more
accurate results.
� The regression formulae obtained in this study can be used to estimate stature in
South Indian population.
81
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