Enes Emre Öztürk

Aim: Forensic age estimation plays a crucial role in various criminal and civil law contexts. In present study, we evaluated a cohort of 107 female and 109 male, aged 4 to 21 years. Ultrasonographic (USG) assessments were conducted on the sesamoid bone of the first metacarpophalangeal (MCP) joint and the distal epiphysis of the ulna. Material and Methods: We developed a USG staging system for the distal ulna comprising six stages, as well as criteria to determine the ossification of the sesamoid bone. Results: Notably, Stage 5 of the ulna epiphysis was absent in all individuals under 12 years of age, while Stage 6 was not observed in any individual under 15 years. In male, the earliest appearances of stages 2 through 6 occurred at ages 6.4, 8.2, 9.5, 13.8, and 17.2 years, respectively. For female, the earliest appearances of the same stages were noted at ages 4.7, 7.5, 8.6, 12.0, and 15.2 years, respectively. The inter-rater reliability for the ulna measurements demonstrated a high level of agreement (ICC=0.941, p<0.001), while the agreement for the sesamoid bone was substantial (Kappa=0.784) between the two researchers. Conclusion: These findings could provide a valuable tool for distinguishing between age groups pertinent to forensic age estimation. Specifically, stage 5 may serve as a quick test to verify that an individual is older than 12 years, while stage 6 could be utilized to indicate that an individual is over 15 years. Moreover, this method could function as a supplementary analytical tool within age estimation procedures.

Amaç: Çalışmada bir hastanenin çocuk izlem merkezinde değerlendirilen çocuk ve ergenlerin demografik özelliklerini, istismara ilişkin bilgilerini ve adli muayene bulgularını gözden geçirmeyi amaçladık. Yöntem: 2022-2023 yılları arasında cinsel istismar şüphesiyle adli muayenesi yapılmış olguların kayıtları geriye dönük tarandı. Olguların demografik bilgileri, bildirim şekilleri, şüphelinin yakınlık derecesi, şüphelinin yaşı, istismar tipi, mağdurun gebelik durumu ve adli muayene bulguları çalışma dosyasına kaydedildi. Bulgular: Çalışmaya toplam 121 olgu dahil edildi. Olguların %89,3’ü kız ve %10,7’si erkekti. Mağdurların yaş ortalaması 13,67 ± 3,186’idi. Şüphelilerin çoğunluğunu aile dışı bireyler oluşturdu (%70,2). Ergenlerde tekrarlı istismar (n=23, %92, p