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Forensic age-at-death estimation using the sternal junction in Thai adults: an autopsy study
Adisuan Kuatrakul1,2, Vijarn Vachirawongsakorn1
1Department of Forensic Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Anatomy & Cell Biology
|May 16, 2023
Summary
Age estimation using sternal fusion in the Thai population is unreliable. Sternal fusion shows high variability in adulthood, with many unfused joints observed across all ages, limiting its use in forensic anthropology.
Area of Science:
- Forensic Anthropology
- Human Osteology
- Age Estimation
Background:
- Accurate age estimation from skeletal remains is crucial in forensic anthropology.
- The sternum's fusion patterns have been proposed as an indicator of age.
- Variability in sternal fusion may impact its reliability across different populations.
Purpose of the Study:
- To investigate the correlation between age and sternal fusion status in the Thai population.
- To assess the utility of manubrio-sternal and sterno-xiphoidal joint fusion for age estimation.
- To determine if sternal fusion patterns differ between sexes and age groups.
Main Methods:
- Cross-sectional study of 184 sterna from known-age Thai cadavers (94 female, 90 male).
- Direct observation and classification of manubrio-sternal and sterno-xiphoidal joint fusion (unfused vs. fused).
- Analysis of fusion rates across different age ranges and sexes.
Main Results:
- A significant proportion of sterna remained unfused throughout adulthood in both sexes.
- Fusion was observed in both younger and older individuals, indicating high variability.
- No fusion of manubrio-sternal and sterno-xiphoidal junctions was observed in females under 30 and males under 32 years.
- Insignificant differences in fusion rates were found between sexes and across age groups.
Conclusions:
- Sternal fusion alone has a very limited role in age estimation for the Thai population.
- The high variability in sternal fusion patterns necessitates caution when using this parameter in forensic cases.
- Further research may be needed to identify more reliable skeletal indicators for age estimation in this demographic.

