Age estimation in South Indian adolescents and young adults: A retrospective radiological analysis of pelvic and femoral ossification centers

Background: The hip joint is widely regarded as a reliable anatomical indicator for age estimation in adolescents and young adults; however, its forensic applicability is moderated by region-and population-specific variations in skeletal development and maturation patterns. Aims and Objectives: This study aimed to establish a trustworthy radiographic technique for age estimation in South Indian adolescents and young adults by evaluating the fusion and appearance of specific pelvic and femoral ossification centers. Materials and Methods: A retrospective descriptive analysis was conducted on 100 anteroposterior pelvic radiographs of South Indian individuals aged 10–25 years. The Sankhyan classification was used to assess the ossification patterns of the pubic ramus, femoral head, greater and lesser trochanters, triradiate cartilage, iliac crest, and ischial tuberosity. Results: Results showed a strong correlation between chronological age and ossification patterns, with notable gender differences in skeletal development. Females exhibited earlier fusion of ossification centers compared to males. Conclusion: The radiological evaluation of pelvic and femoral ossification centers provides a reliable, population-specific method for forensic age estimation in South Indian adolescents and young adults. This study highlights the importance of considering gender differences in skeletal development patterns for accurate age estimation.