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  • A TEST OF THE CHRONOLOGICAL FEATURES THAT DETERMINE AGE CHANGES ON THE AURICULAR SURFACE OF THE ILIUM AS AN ESTIMATION OF AGE AT

    DEATH

    A Thesis by

    Angie Marie Rabe

    Bachelors Degree, Southern Illinois University Carbondale, 2004

    Submitted to the Department of Anthropology and the faculty of the Graduate School of

    Wichita State University in partial fulfillment of

    the requirements for the degree of Master of Arts

    August 2009

  • Copyright 2009 by Angie Marie Rabe

    All Rights Reserved

  • iii

    A TEST OF THE CHRONOLOGICAL FEATURES THAT DETERMINE AGE CHANGES ON THE AURICULAR SURFACE OF THE ILIUM AS AN ESTIMATION OF AGE AT

    DEATH

    The following faculty members have examined the final copy of this thesis for form and content, and recommend that it be accepted in partial fulfillment of the requirement for the degree of Master of Arts with a major in Anthropology.

    ______________________________

    Peer Moore-Jansen, Committee Chair

    ______________________________

    Robert Lawless, Committee Member

    ______________________________

    JoLynne Campbell, Committee Member

  • iv

    ACKNOWLEDGEMENTS

    I would like to thank my advisor, Peer Moore-Jansen, for his guidance and support

    throughout my academic career. I would also like to thank the other members of my committee,

    Robert Lawless and JoLynne Campbell, for their participation.

    I would also like to express my appreciation to Lyman Jellema at the Cleveland Museum

    of Natural History for making this research possible. I also want to acknowledge the Nancy

    Berner Fund, the Marvin Munsell Anthropology Fellowship, and the Friends of Anthropology

    Fellowship from Wichita State University for these generous awards, which have provided

    financial support.

    I would also like to thank my family for their love and support, because without them this

    would not have been possible!!

  • v

    ABSTRACT

    The study of age changes in the human pelvis has long been at the core of research in

    human osteology. Particularly, studies have focused on joint surfaces as the age during the

    lifetime of an individual. This study examines age changes in the posterior ilium, specifically the

    auricular surface. The auricular surface is defined as the semi-lunar sacral articulation on the

    medial surface of the ilium.

    A special focus is placed on the assessment of a previous aging technique applied to the

    auricular surface and the posterior ilium (Lovejoy et al. 1985). A second objective addresses the

    potential refinement of the proposed age groups defined by Lovejoy et al. (1985). Few studies

    have yet to test the use of qualitative scoring system on the auricular surface. This study was

    conducted using a sample of 102 Black females from the Hamann-Todd collection at the

    Cleveland Museum of Natural History. Both the left and right auricular surfaces were examined

    bringing the total number of surfaces recorded to 204.

    In addition to qualitative observations of the surfaces six measurements of the auricular

    surface were recorded to determine if the size and shape of the surface changes with age. To test

    age effects separate t-tests were applied to their right and left size dimensions of the surface to

    test for right and left symmetry and size differences between the surfaces of young and old

    specimens. The findings presented here suggest that the nature of qualitative morphological

    features change with age. As age increases the sacroiliac joint becomes less mobile and

    degenerative changes on the auricular surface that include lipping on the apical border increase,

    which may affect the shape and size of the auricular surface as age increases. The t-test results

    indicate that there are no significant differences between the left and right auricular surfaces.

    Age according to the t-test also indicates that there are no significant differences from young to

    old age, with the exception of one measurement. The inferior auricular surface length (IFASLT)

  • vi

    is the minimum width of the auricular surface between the apex and the posterior border of the

    auricular surface. The difference in this measurement from young to old is affected by the

    increase in apical and retro-auricular activity. As retro-auricular activity increases it affects the

    posterior border of the auricular surface causing the border to become less pronounced. The

    apex is affected by the increase of lipping as age increases. Increasing age causes this

    measurement to be slightly higher than in younger individuals, whether as a result of activity or

    less clarity in the measurement as age increases is unknown.

    The findings presented here suggest that the nature of qualitative morphological features

    change with age. To test these findings a chi-square analysis was applied to determine if the

    presence and absence of features are determined by age. Results concluded that all features, with

    the exception of porosity had significant results. Based on these results a revised age phase

    system limited to four phases is presented, which represents a less precise, but more consistently

    reliable indicator of age than that of the eight phase system proposed by Lovejoy et al. (1985).

    The findings suggest that morphological features are best seen within the decade rather than

    within half a decade, suggesting that it is better to include broader age ranges in order to account

    for a more accurate age estimation of an individual.

  • vii

    TABLE OF CONTENTS

    Chapter Page

    I. BACKGROUND 1

    Skeletal Aging Methods 1 Cranial Suture Closure 2

    Pubic Symphysis 2 Sternal Rib 3

    Auricular Surface 3 Adult Pelvic Girdle 4

    Anatomy 5 Pubis 5

    Ischium 5 Ilium 6

    Ilium of the Auricular Surface 6 Function of the Pelvis 7

    Variation of the Os Coxa 7 Sexual Dimorphism 8 Evolutionary Trend of the Adult Human Pelvis 9

    Previous Studies 10

    II. MATERIAL AND METHODS 17

    Introduction 17 Materials 17

    Hamann-Todd Collection 17 Recording Data 19

    Methods 19 Metric Observations 19

    Non-Metric Observations 20 Data Analysis 25

    III. RESULTS 27

    Summary Statistics 27 Analysis of Frequencies 31 Chi-Square 40 T-Test 43

    IV. DISCUSSION 47

    Introduction 47 Frequency Analysis and Chi-Square Tests 50 Symmetry 51

  • viii

    TABLE OF CONTENTS (continued)

    Chapter Page

    IV. DISCUSSION

    Results in Comparison to the Lovejoy et al. (1985) Study 51 Revised Age Phases 53 Preliminary Testing 54 Conclusion 56

    REFENENCES 57

    APPENDICES 63

    Appendix A. (A1-A6) Auricular Surface Measurements 64 Appendix B. Measurements of the Left Auricular Surface 67 Appendix C. Measurements of the Right Auricular Surface 70 Appendix D. Means and Standard Deviations for the Left and Right Auricular Surface 73 Appendix E. Frequencies and Percentages for the Left Auricular Surface 74 Appendix F. Frequencies and Percentages for the Right Auricular Surface 75 Appendix G. Qualitative Scores for the Left Auricular Surface 76 Appendix H. Qualitative Scores for the Right Auricular Surface 79 Appendix I. Hamann-Todd Test Sample used for comparison in Revised Method 82

  • ix

    LIST OF TABLES

    TABLE PAGE

    1. Sample Distribution by Age from the Hamann-Todd Collection 18

    2. Auricular Surface Measurements 20

    3. Summary of Eight Age Phases (Lovejoy et al. 1985) 24

    4. Means and Standard Deviations Age 20-24 27

    5. Means and Standard Deviations Age 25-29 28

    6. Means and Standard Deviations Age 30-34 28

    7. Means and Standard Deviations Age 35-39 28

    8. Means and Standard Deviations Age 40-44 29

    9. Means and Standard Deviations Age 45-49 29

    10. Means and Standard Deviations Age 50-59 30

    11. Means and Standard Deviations Age 60+ 30

    12. Means and Standard Deviations from All Age Groups 30

    13. Frequencies and Percentages for the Feature Billows 31

    14. Frequencies and Percentages for the Feature Striae 33

    15. Frequencies and Percentages for the Feature Fine Granulation 34

    16. Frequencies and Percentages for the Feature Coarse Granulation 35

    17. Frequencies and Percentages for the Feature Dense 35

    18. Frequencies and Percentages for the Feature Microporosity 36

    19. Frequencies and Percentages for the Feature Macroporosity 37

  • x

    LIST OF TABLES (continued)

    TABLE PAGE

    20. Frequencies and Percentages for the Feature Apical Activity 38

    21. Frequencies and Percentages for the Feature Retro-auricular Activity 39

    22. Chi-Square Data for the Left Auricular Surface 40

    23. Chi-Square Data for the Right Auricular Surface 41

    24. Chi-Square for the Feature Porosity 41

    25. Chi-Square Features for young, middle to old, and young to old 42

    26. Chi-Square for Retro-auricular activity for young, middle to old, and young to old 43

    27. Chi-Square for Apical changes from young, middle to old, and young to old 43

    28. t-Test Results for the Left and Right Auricular Surface 44

    29. t-Test Results for Age 20-24 to 60+ 45

    30. Correct Classification for Revised Method and Lovejoy et al. (1985) 55

  • xi

    LIST OF FIGURES

    FIGURE PAGE

    1. Pelvic Girdle 4

    2. Billows and Striae 21

    3. Fine Granulation 21

    4. Coarse Granulation and Microporosity 22

    5. Subchondral Destruction 22

    6. Apex and Retro-auricular Region (Lovejoy et al. 1985) 23

    7. Line Graph of Feature Billows and Striae 32

    8. Line Graph of Feature Granularity and Density 34

    9. Line Graph of Feature Porosity 37

    10. Line Graph of Feature Apical Changes 38

    11. Line Graph of Retro-auricular Activity 39

  • 1

    CHAPTER ONE

    BACKGROUND

    Introduction

    When estimating the age of an individual from skeletal remains alone, it is important to

    identify characteristics in the human skeletal anatomy that reflect developmental traits along with

    subsequent degenerative change because these effects are all critical to interpret the age at death.

    Any studies of documented juveniles, bone growth and dental eruption, particularly with

    the development and fusion of ossification centers, provide useful known age sequences in order

    to compare individuals of unknown age. In the adult human skeleton this becomes somewhat

    more difficult since age related changes become increasingly more variable. Although standards

    are currently available for the estimation of adult age at death from several skeletal areas many

    fall short of their expected levels of accuracy (Murray and Murray 1991). One probable reason

    for this is that the age ranges provided by some methods (e.g., auricular surface (Lovejoy et al.

    1985) and sternal rib end techniques (Iscan et al. 1984) do not describe the full range of age

    variation at defined stages (Osborne et al. 2004).

    Skeletal Aging Methods

    In the adult human skeleton the best indicators of age involve two types of methods,

    gross and specific analyses. Specific methods include dental thin sectioning and

    histomorphometry, which take thin cross sections of bone to be analyzed microscopically. This

    gives more accurate results when compared to gross methods, but require more time, equipment,

    and knowledge, and necessitate some destruction of the material (Charles et al. 1989, Robling

    and Stout 2000).

  • 2

    Gross methods on the other hand are faster and do not require destruction. These

    methods include age estimation from the morphological changes in the pubic symphysis,

    auricular surface, cranial suture closure, sternal rib ends, and degenerative changes in the spine,

    joints, and skull, including resorption of cancellous bone, and loss of teeth (Ubelaker 1989).

    Degenerative changes in the skeleton can be used as a general indicator of age at death.

    As age increases osteophytes, which are boney outgrowths, also increase (Stewart 1976). These

    boney outgrowths are common on the rounded center of the vertebra, the ischium, calcaneous,

    and sternal ends of the ribs, and where joints occur, developing through the ossification of

    cartilage (Stewart 1976).

    Cranial Suture Closure

    Cranial suture closure, though variable, is also an indicator of age estimation. In

    subadults cranial suture lines are clearly visible but as age increases sutures begin to close and in

    some older individuals suture lines can even become obliterated. Two common methods for

    aging cranial sutures are Acsadi and Nemeskeris (1970) endocranial phases and Meindl and

    Lovejoys (1985) ectocranial phases. Meindl and Lovejoys study (1985) found lateral-anterior

    sutures to be a better indicator than vault sutures, along with ectocranial suture verses

    endocranial sutures.

    Pubic Symphysis

    Age estimation using the pubic symphysis has become a popular aging method and has

    become the standard used to apply to other aging techniques such as the sternal rib ends, and the

    auricular surface. A technique which associates surface features of the pubic symphyseal face to

    age changes was tested and as a result a six phase analysis of pubic symphysis morphology was

    developed (Katz and Suchey 1986). This six phase age analysis was developed as a

  • 3

    modification to the ten phase system originally developed by Todd (1920), which was found to

    over age individuals and lacked distinct morphological phases leading to inconsistent assignment

    to an age range among different observers (Katz and Suchey 1986).

    Sternal Rib

    Sternal rib ends as an indicator of age estimation was similarly developed to form a phase

    system based on morphological changes (Iscan, Loth, and Wright 1984). This included a nine

    phase system, which was sex specific. Additional research suggests that age changes are also

    population specific (Iscan, Loth, and Wright 1987).

    Auricular Surface

    In a similar fashion to the pubic symphysis aging method, aging of the auricular surface

    of the ilium was developed by Lovejoy et al. (1985). This technique is based on the premise that

    age at death of an individual can be estimated by examining morphological features of the

    auricular surface of the ilium. This method was developed under the same assumptions of the

    pubic symphysis aging method, namely that surface morphology undergoes regular changes as

    the result of progressing age.

    Advantages of the auricular surface over the pubic symphysis are that qualitative

    changes in the auricular surface extend well beyond the age of 50, while they generally do not in

    the pubic symphysis (Lovejoy et al. 1985). Also the use of the auricular surface may improve

    age estimation in females since this joint is affected by stress during childbirth (Suchey 1979),

    whereas the pubic symphysis has been demonstrated to be a less accurate predictor in females

    than in males (Lovejoy et al. 1985).

    Another advantage of the auricular surface aging technique is that the survival rate of this

    region is higher than the pubic symphysis in archaeological populations (Lovejoy et al. 1985). In

  • 4

    addition Haglund (1997) reports that the public symphysis, iliac crest, and ischial tuberosity are

    the most frequently destroyed portions of the os coxa in cases involving carnivore activity. Also

    the ribs are commonly removed by animals as a result of carnivore activity, which is a common

    taphonomic agent in many forensic cases.

    The Adult Pelvic Girdle

    The pelvic girdle is positioned at the base of the spine with the sacrum and coccyx at the

    midline. The sacrum articulates posteriorly with the os coxa at the sacro-iliac joint and the two

    bones, the os coxae articulate anteriorly at the pubic symphysis, which is illustrated in Figure 1.

    The os coxa is made up of three separate bones, the ilium, the ischium, and the pubis. In adults

    these bones are fully united at the acetabulum and represent one bone (Scheuer and Black 2000).

    The pelvic girdle is supported by abdominal muscles anteriorly, the iliac fossa laterally, and the

    fifth lumbar posteriorly (Scheuer and Black 2000). The pelvis also supports and protects the

    internal organs such as the bladder, rectum, and internal genitalia (Scheuer and Black 2000).

    Figure1. Pelvic Girdle

  • 5

    Anatomy

    Pubis

    The pubis is the most anterior of the three bones of the os coxa. It articulates medially

    with the opposite pubis, inferiorly with the ischium, and superiorly at the acetabulum with the

    ilium and ischium, with the borders of the pubis forming the obturator foramen (Baker et al.

    2005).

    The pubis is the last of the pelvis elements to begin ossifying, which ossifies around the

    the 5th fetal month (Bass 2005). The narrow, flat inferior ramus of the pubis completes fusion

    with its ischial counterpart by 8 years of age (Baker et al. 2005). The pubic symphysis presents

    the typical appearance of an epiphyseal surface with its ridges and furrows that characterize it

    throughout childhood and early adulthood. The changes associated with aging of the pubic

    symphysis are due to secondary ossification that begins around the age of 20 (Baker et al. 2005).

    According to Scheuer and Black (2000) by age 20-23 the dorsal margin forms along the

    dorsal border of the pubic symphyseal surface, by age 23-27 the epiphysis appears for the pubic

    tubercle and delimitation of the upper and lower borders of the symphyseal face commence, by

    24-30 there is active ventral rampart formation and obliteration of the ridge and furrow

    appearance of the ventral and dorsal aspects of the pubis symphyseal face, and by age 35 the

    ventral rampart is complete and the symphyseal rim is mature. These features make the pubis a

    reliable indicator for determining age (Scheuer and Black 2000).

    Ischium

    The ischium is located laterally and inferiorly to both the ilium and the pubis. The

    ischium forms the posterior inferior aspect of the os coxa. The ischium contributes to the

    formation of the acetabulum and its superior border also forms the lateral and inferior margins of

  • 6

    the obturator foramen. The ischium consists of a ramus and a body. The ramus is an extension of

    the body and projects anteriorly, while the body projects posteriorly with the posterior aspect of

    the ramus bearing a thick and roughened oval known as the ischial tuberosity (Scheuer and Black

    2000).

    The ischium begins ossification between the 3rd and 5th fetal month from one ossification

    center and fuses with the pubis between 4 and 8 years of age (Baker et al. 2005). The ischium

    has one secondary ossification center beginning between the ages of 13 and 16 for the epiphysis

    of the ischial tuberosity, which begins to fuse between the ages of 16 and 18 and is fully fused by

    21 to 23 years (Baker et al. 2005).

    Ilium

    The first bone of the os coxa to ossify is the ilium. This begins at 2 to 3 fetal months

    (Baker et al. 2005). Two epiphyses generally develop for the ilium. A small cap for the anterior

    inferior iliac spine begins to ossify around ages 10 to 13, but this center is sometimes linked to

    the acetabular epiphysis and is not always found separately (Baker et al. 2005). This epiphysis

    fuses completely between the ages of 17 and 20 (Scheuer and Black 2000). A second epiphysis

    of the ilium is the iliac crest. This epiphysis begins ossifying from two separate centers around

    the age of 12 or 13 in females and 14 to 15 in males (Baker et al. 2000). These separate centers

    grow toward the midpoint of the crest and unite to form a single iliac crest epiphysis that begins

    to fuse to the blade of the ilium between 17 -20 years and is complete by age 23 (Baker et al.

    2005).

    Ilium and the Auricular Surface

    The ilium is the largest and most superior portion of the os coxa. It is a flat blade like

    bone. The superior border of the blade has a long metaphyseal surface called the iliac crest,

  • 7

    which changes in thickness throughout its length and is slightly S shaped (Baker et al. 2005). On

    the medial and posterior aspect of the blade is an articular surface shaped like an ear, which is

    named for its shape (Gray 1995). The auricular surface is the region on the ilium that articulates

    with the sacrum to the form the sacroiliac joint.

    Function of the Pelvis

    The function and shape of the pelvic girdle in modern humans serves to house and protect

    viscera, but the female has had to take into account the secondary function of the pelvis, which is

    its capability to house a fetus. Pregnancy releases certain hormones, particularly relaxin, which

    increases mobility in the sacroiliac joint allowing the joint to expand even further (Sashin 1930).

    Therefore the female pelvis is a functional compromise between providing a large enough birth

    canal and the necessary framework for attachment of the muscles that facilitate bipedal

    locomotion.

    Variation of the Os Coxa

    The os coxa is highly variable as a result of both genetic and environmental factors.

    Reasons for this variation are a result of childbirth, nutritional status, and locomotion. As a

    result differences in the os coxa are most visible when comparing males to females.

    Up to adolescence, the pelvic girdle is much the same size and shape in boys and girls

    (Reynolds 1947). Some authors suggest that the differences in form and morphological

    characteristics of the os coxa are a result of the differences in growth rates that are attributed to

    the growth hormones that begin in puberty (Coleman 1969). A study by Ellison (1982) and

    Worthman (1993) found that age at menarche is best predicted by bi-iliac width, the distance

  • 8

    between the iliac crests of the pelvis. They concluded that a median width of 24cm is needed for

    menarche. Moerman (1982) also demonstrated a relationship between growth in pelvic size and

    reproductive maturation. She found that the crucial variable for a successful first birth is the size

    of the pelvic inlet, the bony opening of the birth canal. Her study concluded that in an American

    sample of 90 well nourished girls ages 8-18, birth size of the pelvic inlet is reached at 17-18

    years of age.

    Sexual Dimorphism

    Several useful indicators for sexing the os coxa are that in general the male pelvis is more

    robust and has more distinct muscle markings, the obturator foramen is larger and oval shaped in

    males, whereas it is smaller and more triangular in females, and since the female pelvis is

    adapted for childbirth, the pelvic basin is more spacious and less funnel shaped, also the

    acetabulum is larger in males to accommodate the larger femoral head (Bass 2005). In general

    the female pelvis is longer horizontally and lower vertically than that of the male. Usually the

    male iliac blade is higher and narrower that of the female (Straus 1927).

    Many of the sex indicators in the os coxa are in response to the areas surrounding the

    auricular area (Iscan and Derrick 1984, St.Hoyme 1984). For instance females will have a raised

    and narrow iliac auricular surface, and they may have a wide and deep preauricular sulcus. The

    sciatic notch is wide and shallow and arthritic changes are more common in older women. In

    males the iliac auricular surface may be more depressed and wide with a narrow and shallow

    preauricular sulcus. The sciatic notch is deep and narrow and arthritic changes are seen more

    rarely (Iscan et al. 1984 and St.Hoyme 1984).

    The preauricular sulcus, when present is narrow and more shallow in children and males,

    and represents a growth scar, but studies have demonstrated that the preauricular sulcus in

  • 9

    females is a result of posterior iliac widening, which is a result of pregnancy (Houghton 1975

    and Kelley 1979). As a result of this it is reasonable to expect that the stresses of pregnancy to

    enlarge or alter the auricular surface will also affect the area around it, such as the sciatic notch.

    A wide sciatic notch, which may widen even further if the sacroiliac joint is mobile, is of

    obvious value in childbearing (Cave 1937).

    Evolutionary Trends of the Adult Human Pelvis

    The morphology of the pelvis is particularly important in the investigation of human

    evolution, as it clearly reflects the uniquely bipedal form of locomotion. Humans are the only

    primate where the triangular shaped ilium is wider than it is high (Straus 1929). However, the

    unique feature of the human ilium is not its great width but its reduced height. Functionally this

    brings the sacroiliac joint close to the hip joint thereby reducing the stress on that part of the

    ilium that transmits the entire weight of the upper body from the backbone to the hip joint in

    bipedal posture (Aiello and Dean 1990).

    Another important morphological feature of the human ilium is the orientation of the

    blade portion. In humans the blade forms the side of the pelvis resulting in a convex gluteal

    surface, a concave iliac fossa, and a very distinctive S-shaped iliac crest (Aiello and Dean 1990).

    The location and function of major muscles in the region of the pelvis influence variation in size

    and shape of the ilium among different species, and it has been suggested that the human form of

    a short, wide, and back bending ilium is a direct reflection of an adaption or selection favoring

    habitual bipedalism (Mednick 1955).

    The human pelvis is short, squat, and basin shaped (Aiello and Dean 1990). The pelvic

    girdle is formed by the articulation of the os coxa as it articulates with sacrum and coccyx. The

  • 10

    position of the pelvis between the trunk above and the legs below ensures that it is intimately

    involved in the transfer of body weight from the upper body to the ground (Scheuer and Black

    2000). In order to have bipedal posture it is essential that the center of gravity of the body

    remains directly over the rectangular area formed by supporting the feet (Aiello and Dean 1990).

    In adult humans the center of gravity is located in the midline just anterior to the second sacral

    vertebra (MacConaill and Basmajian 1969). Body weight is then transmitted to the sacroiliac

    joints, acetabulum, and then the femoral heads (Scheuer and Black 2000).

    Previous Studies

    The sacroiliac joint is influenced by sex-linked factors more than any other part of the

    skeleton (Iscan and Kennedy 1989). Sex differences in this joint do not begin to show until

    puberty, at which time males progress along lines of strength and females sacrifice strength for

    mobility (Brooke 1924). In males the sacral auricular surface is wide and flat, but has a narrow

    groove corresponding to the ridged iliac surface. Females on the other hand have a narrow

    elevated joint, which Brooke suggests makes the joint more moveable. Brooke (1924) found in

    his study that the mobility of the sacroiliac joint could be definitively linked with sex and age.

    Results showed that in males, movement of the joint progressively decreases until the fifties,

    after which time in most cases complete ankylosis occurs. Ankylosis is the stiffening an

    immobility of a joint as the bones begin to fuse, as a result of trauma or disease (Stewart 1976).

    However out of a sample of 105 females, not one showed signs of ankylosis (although some

    showed signs of arthritic or inflammatory changes).

    Ankylosing spondylitis of the sacroiliac joint was examined by Stewart (1976) in various

    populations, including American whites and blacks, and the Bantu of South Africa. His findings

  • 11

    suggested that ankylosis progressed fairly regularly with age, and occurred more commonly on

    the right side, and intensified in the fifth decade. Statistically, almost 90% of cases were male,

    and ankylosing was found most frequently in Black Americans, followed by Bantu, then White

    Americans (Stewart 1976). More recent studies have confirmed that the tighter post auricular

    space between the sacrum and ilium in males probably predisposes them to ankylosis (Iscan and

    Derrick 1984).

    Distinctive differences in the auricular surface have been observed by examining the

    thickness of the cartilage that covers the opposing sacral and iliac surfaces (Schunke 1938).

    Schunke (1938) suggested that the sacral cartilage was primarily hyaline with surface cells

    arranged in compact, parallel layers, while the cartilage on the iliac portion of the joint was

    primarily fibrous with occasional portions of hyaline cartilage, and that after the third decade the

    surfaces of the joint became roughened, furred, and frayed (Schunke 1938). These changes to

    the auricular surface are attributed to the age related increase in the proportion of fibrocartilage

    in the joint (Sashin 1930) rather than as a result of the more typical process of degeneration seen

    in other movable joints with synovial cavities (Schunke 1938, Meindl and Lovejoy 1985).

    Age progression in the sacroiliac joint was first pointed out by Brooke (1924) and Sashin

    (1930) who noticed regular changes in the sacroiliac joint with increasing age. Then almost 50

    years later Lovejoy et al. (1985) introduced a new method for the determination of adult skeletal

    age at death based upon chronological changes in the auricular surface of the ilium.

    Lovejoy et al. (1985) developed a method that estimated age-at-death by examining

    morphological features of the auricular surface. This method was developed under the

    assumption that the surface morphology of the auricular surface will undergo regular changes

  • 12

    that result from age progression. However, these changes are more difficult to interpret than

    those used in pubic symphyseal aging (Lovejoy et al. 1985).

    The use of the auricular surface has two advantages over pubic symphyseal aging. The

    survival rate of this region is higher than the pubic symphysis in archaeological populations and

    qualitative changes in the auricular surface extend well beyond the age of 50, while they

    generally do not in the pubic symphysis (Lovejoy et al. 1985).

    The study was based on 250 well-preserved auricular surfaces from the Libben

    prehistoric collection housed at Kent State University. The authors established that auricular

    surface morphology changed with age based on the previous studies of Brooke (1924), Sashin

    (1930), and Schunke (1938), which determined degenerative changes in the cartilage of the joint.

    From this Lovejoy et al. (1985) determined that these degenerative changes in the joint would

    lead to surface changes on the bone as age progresses. Terminology for the description of

    surface features was developed by the authors in order to describe these changes. Feature

    descriptions are described by billowing, striations, granulation, density, and porosity. From

    these feature descriptions based on their study they were able to define eight stages of

    morphological changes, which were divided into five and ten year increments, with an age range

    spanning 20-60+ years.

    In addition to Lovejoy et al. (1985) study other studies have been conducted to test the

    accuracy of the auricular surface aging technique. Murray and Murray (1991) undertook a case

    by case blind study to examine the use of the auricular surface technique as a single aging factor

    and to determine if this technique is equally applicable across race and sex. This study was

    tested using a sample of 189 individuals from the Terry Collection, housed at the Smithsonian

    Institution. It was concluded that degenerative change does not appear to correlate with race nor

  • 13

    sex. The authors did find that the auricular surface technique exhibited a tendency to

    overestimate younger individuals and underestimate older individuals (Murray and Murray

    1991), thus making this technique less reliable as a single indicator of age.

    Igarashi et al. (2002) wanted to revise Lovejoy et al. (1985) study in three ways. First the

    authors wanted to identify morphological features by using reference samples. Second they

    wanted to link morphological features to chronological age by using reference samples. Third,

    they wanted to estimate age of individuals from a target sample. In order to accomplish this

    study a total of 13 features of the auricular surface were identified and marked as either present

    or absent on a sample of 700 modern Japanese skeletal remains, 438 males and 262 females

    (Igarashi et al. 2002).

    A revised method was proposed that identified the features typical of younger and older

    individuals concluding that Igarashi et al. (2002) age ranges are more effective than other aging

    methods. In addition they found that there were not significant differences between the left and

    right side of both males and females. They were able to determine statistically, the frequency of

    features, based on the absence or presence of nine 9 for a male and 7 for a female, then to

    identify modal appearances for each characteristic for older and younger age groups. The

    provided scatterplots demonstrate that in both male and female samples, ages of older individuals

    were underestimated (Igarashi et al. 2002).

    Problems with Lovejoy et al. (1985) age phases are also addressed by Buckberry and

    Chamberlain (2002). The separate features of the auricular surface described by Lovejoy et al.

    (1985) such as porosity, surface texture, and marginal changes, appear to develop independently

    of each other. The age of onset for each stage of different features of the auricular surface

    appears to vary, and as a consequence the 5 year age categories of Lovejoy et al. (1985) tend to

  • 14

    overlap. Since the age ranges developed by Lovejoy et al. (1985) have overlapping

    characteristics of features, it can be difficult to use the method provided by Lovejoy et al. (1985).

    The Lovejoy et al. (1985) method can lead to uncertainty and in some cases confusion when

    assigning individual auricular surfaces to a particular age stage (Buckberry and Chamberlain

    2002). The authors suggested that this issue can be resolved by applying a qualitative scoring

    system. This would allow different features of the auricular surface to be examined

    independently (Buckberry and Chamberlain 2002). Thereby making this method easier to apply

    and also accommodate for the overlap often seen between different stages.

    The new method records age-related stages for different features of the auricular surface,

    which are then combined to provide a composite score from which an estimate of age at death is

    obtained (Buckberry and Chamberlain 2002). Blind tests were conducted on known age skeletal

    collections from Christ Church, Spitalfields, London, with statistical tests showing that the age

    related changes were not significantly different for males and females. The scores from the

    revised method also showed a slightly higher correlation with age than the Suchey-Brooks public

    symphysis stages (Buckberry and Chamberlain 2002).

    Testing the revised method by Buckberry and Chamberlain (2002) Mulhern and Jones

    (2004) examined 309 individuals from the Terry and Huntington Collection. The authors also

    used the original method by Lovejoy et al. (1985). While they demonstrated that the revised

    method is equally applicable to males and females as well as blacks and whites. They also

    concluded that the revised method is less accurate than the original method for individuals

    between 20-49 years of age, but more accurate for individuals between 50-69 years of age.

    Although the revised method provides a way to age individuals over 60 years, it has greater

  • 15

    inaccuracy than in younger ages, which indicated that it should not be used as a single indicator

    of age at death in older adults (Mulhern and Jones 2004).

    Buckberry and Chamberlains (2002) study was revisited again by Flays, Schutkowski,

    and Weston (2006). When documenting a skeletal collection, which spanned from the late 17th to

    early 19th century, they suggested that the composite scores of trait expressions as expressed on

    the auricular surface correlate, at least in general with age, and show a positive association with

    known chronological age. Yet, their conclusions show that when composite scores were

    combined to define auricular surface phases, which ultimately assign age estimations, only three

    distinct developmental stages, compared with seven suggested by Buckberry and Chamberlain

    (2002) could be identified and statistically supported, showing a considerable degree of

    individual variation in age (Flays et al. 2006).

    Finally, Osborne et al. (2004) reconsiders the auricular surface as an indicator of age at

    death and proposes that because of the similarities in the eight phase age system proposed by

    Lovejoy et al. (1985) a modified six phase age system would be more accurate for determining

    age estimation from the auricular surface.

    In their study, the authors provide a more realistic view of the variation associated with

    auricular surface morphology and age. Based on examination of 266 individuals of documented

    age, sex, and ancestry from the Terry and Bass donated collections (Osborne et al. 2004), each

    individual was scored using the standards established by Lovejoy et al. (1985) and it was found

    that ancestry and sex had no significant effect on the auricular surface age expression. In order

    to assess the variation in age per phase, standard descriptive statistics and error ranges were

    calculated, and because the mean ages of some of the eight phases did not differ significantly

  • 16

    from one another a six phase age system was presented by the authors, which refined auricular

    surface phase descriptions (Osborne et al. 2004).

  • 17

    CHAPTER TWO

    MATERIALS AND METHODS

    Introduction

    This study documents the application of the auricular surface technique of age estimation

    using eight measurements, two on the os coxa and six to determine if size and shape vary

    between the left and right auricular surface. Eight morphological characteristics derived from

    Lovejoy et al. (1985) study was adapted into a qualitative scoring system in order to determine if

    auricular surface features can be independently used to revise a method of age estimation from

    the auricular surface.

    Materials

    Two samples were used in this research, a cadaver collection housed at Wichita State

    University Biological Anthropology Laboratory (WSU-BAL) and the Hamann-Todd Collection

    housed at the Natural History Museum in Cleveland, Ohio. The protocol for this method was

    designed and tested using the Moore-Jansen Cadaver Collection and the resulting protocol was

    then used to collect data on specimens from the Hamann-Todd Collection. The Hamann-Todd

    Collection was chosen as a resource due to its state of completeness and accessibility. Results

    presented are based on data collection from the Hamann-Todd Collection sample of 102 Black

    females.

    Hamann-Todd Collection

    The Hamann-Todd collection was first assembled by the anatomy professor, Dr. Carl

    Hamann in 1893 (Cobb 1981). The collection consists of donated dissecting room cadavers that

    were collected from individuals born in United States, primarily from the lower socio-economic

  • 18

    strata of ethnically White and Black Americans (Todd and Lindala 1928). In 1912 T. Wingate

    Todd, followed Dr. Carl Hamann as the Dean of Medicine at the School of Medicine of Western

    Reserve (Case Western Reserve University 2009). Specimens for the Hamann-Todd collection

    were collected until 1938. Today the collection is housed at the Museum of Natural History in

    Cleveland, Ohio and consists of 3,100 modern humans. It is the largest, modern, documented

    human skeletal collection in the world. Each cadaver has extensive documentation, which

    includes height, weight, age at death, sex, group affiliation, and cause of death, making it one of

    the most researched and published collections (Cleveland Museum of Natural History 2009).

    Only individuals with a documented age at the time of death were used. This included a

    total of 102 Black females. The right and left os coxa of each individual was examined, making

    the total sample number 204. This sample represents individuals ranging in age from 20 to 87

    (Table 1). The age range was chosen to ensure fully mature specimens and each individual was

    selected to include a fairly even distribution of specimens that represented each age range,

    represented by Lovejoy et al. (1985).

    Table.1 Sample Distribution by Age from the Hamann-Todd Collection Ages 20-24 25-29 30-34 35-39 40-44 45-49 50-59 60+ Left 12 14 11 17 11 10 13 14

    Right 12 15 11 17 11 10 12 14

    Total 24 29 22 34 22 20 25 28

    Measurements and surface features were recorded without the knowledge of the

    individuals true age. The left and right surfaces were scored independently using the standards

    set forth by Lovejoy et al. (1985) and adapted to the qualitative scoring system developed at

    Wichita State Biological Anthropology Laboratory.

  • 19

    Recording Data

    A data collection form was then created on excel, which consisted of recording spaces for

    eight metric and nine non-metric observations as well as demographic information, and any other

    applicable information. Data from the Hamann-Todd Collection was entered into the excel data

    sheet at the time of collection.

    Methods

    Measurements were chosen which would best define the shape and size of the auricular

    surface. These include measurements that typically characterize size and shape such as breadth

    and height. Standard measurements of the os coxa were also included. These include two

    measurements that were defined by Moore-Jansen et al. (1994). The other six non-traditional

    measurements were developed by the author and Dr. Moore-Jansen. These include the

    maximum height and breadth of the auricular surface, along with an inferior and superior

    auricular surface breadth and length. All measurements used are listed in Table 2 and are

    detailed in Appendix A1-A6. Measurements of the auricular surface were taken with sliding

    calipers and were recorded to the nearest millimeter. The two measurements of the os coxa were

    taken using spreading calipers and were recorded to the nearest millimeter.

    Measurements were chosen in order to quantify the size and shape of the auricular

    surface to determine if it is possible to identify changes in size and shape with age. It is expected

    that the auricular surface will erode with age and thus get smaller. These measurements were

    also selected in order to determine if there are any signs of asymmetry between the left and right

    auricular surface.

  • 20

    Table 2. Auricular Surface Measurements Measurement Abbreviation Description of the Measurement

    MXBR Maximum breadth of the os coxa is the distance from the anterior superior iliac spine to the posterior superior iliac spine.

    MXHT Maximum height of the os coxa is the distance from the most superior point of the iliac crest to the most inferior point on the ischial tuberosity.

    MXHTAS Maximum height of the auricular surface taken from the most superior to the most inferior border of the auricular surface.

    MXBRAS Maximum breadth of the auricular surface is the distance from the most anterior superior point to the most inferior point on the auricular surface.

    IFASBR Inferior auricular surface breadth is the minimum width of the auricular surface between points on the anterior and posterior border of the auricular surface.

    SPASBR Superior auricular surface breadth is the maximum width of the auricular surface between points on the superior and inferior border of the auricular surface.

    IFASLT Inferior auricular surface length is the minimum width of the auricular surface between the apex and the posterior border of the auricular surface.

    SPASLT Superior auricular surface length is the maximum width of the auricular surface between the apex and the posterior border of the auricular surface.

    Non-metric Observations

    Additionally nine non-metric observations were selected to be recorded on each

    specimen. Visual assessments were made by examining the different features which Lovejoy et

  • 21

    al. (1985) defined. For this study the terminology was based on Lovejoy et al. (1985) study.

    These eight morphological characteristics and features defined by Lovejoy et al. (1985) include

    billowing, striae, granularity (fine and coarse), densification, porosity (micro and macro),

    subchondral destruction, the apex, and the retro auricular region and are defined as follows.

    Billowing refers to a series of transverse ridges that tend to cover the entire surface in

    younger individuals while slowly disappearing in older individuals. Striae appear after billowing

    and are the remnants of the ridges once associated with billowing. Striae differ from billows only

    in degree, billows become striae with age. An example of billows and striations is shown in

    Figure 2.

    Granularity refers to the gross appearance of the surface. Granulation becomes coarser

    with increasing age. Fine granulation is an indicator of youth, and is usually associated with

    billows and striae. An example of fine granulation is illustrated in Figure 3.

    Figure 2. Billows and Striae Figure 3. Fine Granulation (Hamann-Todd Specimen 1969) (Hamann-Todd Specimen 2252)

  • 22

    The general sequence, then, is from a fine to coarse condition, with eventual loss to

    densification. Coarse granulation can be seen in Figure 4. Densification is another surface

    feature, which refers only to the surface appearance and not to the actual amount of bone present.

    Dense bone replaces coarse granularity with smooth compact bone.

    Porosity is perforations of subchondral bone. Fine porosity is optically visible

    perforations also defined as microporosity. An auricular surface displaying microporosity is

    shown in Figure 4. Macroporosity is defined as less regular, large, generally oval perforations

    ranging from 1 to 10mm in diameter. Subchondral destruction refers to surfaces that are

    typically porous and irregular, and is displayed in Figure 5.

    Figure 4. Coarse granulation and Microporosity Figure 5. Subchondral Destruction (Hamann-Todd Specimen 2127) (Hamann-Todd Specimen 2278)

    The apex is the portion of the auricular surface that meets with the posterior extension of

    the arcuate line. The retro-auricular region refers to the area directly posterior to the auricular

    surface extending to the posterior inferior iliac crest as shown in Figure 6.

  • 23

    Figure 6. Apex and Retro-auricular region (Lovejoy et al. 1985).

    In the presented study each feature of the auricular surface was examined independently

    and was examined using a revised new qualitative scoring system, which was developed by the

    author and Dr. Moore-Jansen, in order to examine the morphological changes on the auricular

    surface. The revised system uses a scoring system of 0-3, which ranges from absent, minor,

    moderate, and majorly present. The absence, less than 1% of a feature will be scored as a 0.

    Minor will be scored as a 1 and represent that 1-25% of the surface is occupied by a particular

    feature. Moderate will be scored as a 2 and signify that 25-50% of the surface is occupied by

    this feature. The score of a 3 will be given to any feature that is represented as occupying over

    50% of the auricular surface.

    The only exception to this previous scoring system will be for apical changes. Here the

    author will use the scoring system devised by Buckberry and Chamberlain (2002). With 1

    representing a sharp and distinct apex with the auricular surface possibly being slightly raised

    relative to adjacent bone surface. A score of 2 indicates that some lipping is present at the

  • 24

    apex, but the shape of the articular margin is still distinct and smooth. Meaning the shape of the

    outline at the surface of the apex is a continuous arc. The score of 3 represents irregularity

    occurring in contours of the articular surface, suggesting the shape of the apex is no longer a

    smooth arc.

    Lovejoy et al. (1985) used these features to develop eight phases that represent age

    ranges from age 20 to 60 plus, which portray chronological changes. A summary of each phase

    is as listed in Table 3.

    Table 3. Summary of Eight Age Phases (Lovejoy et al. 1985) Age 20-24

    PHASE I- Surfaces are fine grained with marked transverse organization and pronounced billowing. Neither retro-auricular nor apical activity is present, nor is there evidence of macroporosity. Should any subchondral defects be present they will appear smooth-edged.

    Age 25-29

    PHASE II- There is slight loss of billowing that is replaced by striae, marked transverse organization and granularity that is only slightly coarser than in Phase I. There is no evidence of macroporosity, apical or retro-auricular activity.

    Age 30-34

    PHASE III-Reduction of billowing, which are replaced by striae and the loss of transverse organization. The surface exhibits coarser granulation and has no changes at the apex, but has the possibility of slight retro-auricular activity.

    Age 35-39

    PHASE IV- Exhibits uniform coarse granularity, poorly defined transverse organization and the reduction of striae. There may also be slight retro-auricular activity and minimal apical change.

    Age 40-44

    PHASE V- There is loss of transverse organization, vague striae, coarse granularity and some densification. Retro-auricular activity is slight to moderate, apical change is slight and macroporosity may be present.

  • 25

    Table 3. Summary of Eight Age Phases (Lovejoy et al. 1985) (continued)

    Age 45-49

    PHASE VI- Displays continued replacement to coarse granularity with dense bone, and the loss of transverse organization and striae. Moderate retro-auricular activity, apical change with irregular margins and macroporosity may also be present.

    Age 50-59

    PHASE VII- Typically includes surface irregularity, densification, and moderate to severe retro-auricular activity, apical change with irregular margins and macroporosity.

    Age 60+

    Phase VIII-Features include irregular surface, densification with subchondral destruction, severe retro-auricular activity, and apical change with marginal lipping, as well as the presence of osteophytes and macroporosity.

    Each feature was examined independently using the scoring system mentioned above to

    determine if the absence or degree of presence of each feature could differentiate when these

    morphological features begin to disappear or increase in relation to age. From this a revised age

    phase system will be developed.

    Data Analysis

    The data collected was entered into an Excel spreadsheet. Data was then interpreted

    using both descriptive and inferential statistics. Summary statistics were calculated for the

    auricular surface measurements this includes the mean and standard deviation for measurements

    in each age group. In addition to the summary statistics an independent t-test was performed on

    the data collected from the auricular surface measurements to determine difference of means for

    each measurement on the left and right auricular surface. An independent t-test was also

  • 26

    conducted on the measurements between the youngest and oldest age groups to observe any

    differences in size that may be a result of age.

    Frequency analyses were calculated on the qualitative scores collected from the

    morphological features. In order to test the significance of these scores chi-square analyses were

    performed, which examined each feature in relation to age. The age ranges presented by

    Lovejoy et al. (1985) are the same age phases used in the results section, which were used to

    analyze both the qualitative and quantitative data.

  • 27

    CHAPTER THREE

    RESULTS

    Summary Statistics

    An analysis of summary statistics for the measurements taken on the os coxa and the

    auricular surface are provided in the tables below. These tables simply summarize the

    observations of the eight measurements that were recorded on the os coxa and the auricular

    surface. The eight measurements consist of two measurements on the os coxa and six on the

    auricular surface. The maximum breadth and maximum height of the os coxa were observed

    along with the maximum height, and maximum breadth of the auricular surface. Other

    measurements include an inferior and superior auricular surface breadth, with an inferior and

    superior auricular surface length; all measurements were recorded to the nearest millimeter. The

    mean and standard deviation for each measurement is presented for eight age ranges. Table 4

    examines the age group 20-24, which has a mean age of 23.

    Table 4. Means and Standard Deviations Age 20-24 (n=12; Mean age= 23, SD 1)

    Observations in Table 4 show that the same mean is recorded for all measurements

    except two, which are the maximum breadth and height of the os coxa. The maximum breadth

    of the os coxa (MXBR) for the left is 146mm and the right is 148mm, both with a standard

    deviation of 10. The maximum height of the os coxa (MXHT) has a mean of 189mm for the left

    and the right is 190mm. Standard deviations are same for the maximum breadth of the os coxa

    (MXBR) and the inferior auricular surface breadth (IFASBR), but vary by one standard deviation

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 146 10 189 9 45 4 51 7 14 3 17 4 24 5 33 4R 148 10 190 8 45 5 51 6 14 3 17 3 24 4 33 5

  • 28

    between the left and right for all other measurements. Means and standard deviations vary

    slightly for all measurements between the ages 25-29 for both the left and right, which is shown

    in Table 5.

    Table 5. Means and Standard Deviations Age 25-29 (Left n=14; Age 27, SD 2/ Right n=13; Age 27, SD 1)

    Means and standard deviations are the same for the inferior auricular surface breadth

    (IFASBR), although it has increased by 2mm from the previous age range. The superior

    auricular surface length (SPASLT) is also the same for the left and right and has a mean of

    34mm with a difference of one standard deviation between the left and right (Table 5).

    Observations for the means and standard deviation for the ages 30-34 are observed in Table 6.

    Table 6. Means and Standard Deviations Age 30-34 (n=11; Mean age=32, SD 2)

    The inferior auricular surface length (IFASLT) had a mean of 27mm for the left and right

    auricular surface. All other measurements vary by at least one or two millimeters for the ages of

    30-34, which has a mean age of 32 (Table 6). The age range of 35-39, exhibits little difference

    between means and standard deviations for the left and right auricular surface (Table 7).

    Table 7. Means and Standard Deviations Age 35-39 (n=17; Mean age=37, SD 2)

    Measurements with the same means and standard deviations are the maximum breadth of

    the os coxa (MXBR) maximum height of the auricular surface (MXHTAS), and the superior

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 146 6 191 5 44 5 51 5 15 3 18 3 24 3 34 4R 146 6 191 6 44 5 50 6 16 3 18 3 25 4 34 6

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 148 8 192 9 47 2 51 4 14 3 19 3 27 4 34 4R 147 8 191 8 45 3 50 5 15 2 18 3 27 4 35 3

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 148 9 194 11 45 4 51 5 16 3 17 2 24 4 34 4R 152 9 196 10 46 4 52 4 16 3 19 2 25 3 34 3

  • 29

    auricular surface breadth (SPASBR). Measurements with the same mean only are the maximum

    height of the os coxa (MXHT), which varies by a difference of one standard deviation between

    the left and right, and the superior auricular surface length (SPASLT), which differs between 2

    standard deviations from the left and right auricular surface (Table 7). Table 8 below examines

    the age range of 40-44, which has a mean age of 41, with a standard deviation of 2.

    Table 8. Means and Standard Deviations Age 40-44 (n=11; Mean age=41, SD 2)

    Measurements in Table 8 are similar for both the left and right auricular surface, but only

    two measurements have the same mean, which are the maximum breadth of the os coxa at

    147mm and the inferior auricular surface length at 24 mm. In Table 9 the mean age observed is

    46 for the age range of 45-49.

    Table 9. Means and Standard Deviations Age 45-49(n=10, Mean age=46, SD 2)

    Standard deviations for the ages 45-49 all differ by one standard deviation in regards to

    the left and right, with the exception of the maximum breadth of the os coxa (MXBR) which has

    a standard deviation of 9 for both the left and the right. Three measurements the maximum

    auricular surface height (MXHTAS), breadth (MXBRAS), and the maximum height of the os

    coxa (MXHT) all have the same mean for the left and right (Table 9). The age range of 50-59

    had a different sample size for the left and the right, which is shown in Table 10.

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 153 9 196 14 46 4 54 2 16 5 19 6 24 6 34 5R 154 9 196 13 46 5 54 3 17 4 20 4 26 5 35 4

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 147 9 193 8 44 5 52 6 14 3 19 3 24 6 33 4R 147 8 192 7 45 2 53 6 16 3 18 3 24 5 34 4

  • 30

    Table 10. Means and Standard Deviations Age 50-59 (Left n=14; Age 52, SD 2/ Right n=12; Age 53, SD 2)

    Results show that the superior auricular surface length (SPASLT) differs by a mean of

    7mm from the left and right, besides this measurement there is little variation between the left

    and right means and standard deviations which occur at ages 50-59 (Table 10). Means and

    standard deviations for specimens ages 60+ are similar to the previous age range of 50-59 (Table

    11).

    Table 11. Means and Standard Deviations Age 60+ (n=14; Mean Age 68, SD 7)

    The inferior auricular surface length mean is the same at 28mm for both the left and right

    and all other measurements show little variation between the left and right, with the exception of

    one. The superior auricular surface length differs by a mean of 7mm between the left and right

    (Table 11). Table 12 is a summary table which examines the differences between the left and

    right auricular surface for the total sample.

    Table 12. Means and Standard Deviations from All Age Groups (n=102; mean age=41, SD 15)

    Results for auricular surface measurements show that they are extremely variable

    between the different age groups and Tables 4-11 show that the standard deviations are high

    between individual measurements. Yet the means within each age group only show slight

    Side MXBR SD MXHT SD MXHTASSD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLTSDL 149 9 193 9 46 5 52 5 15 3 18 4 25 5 34 4R 150 8 193 9 46 4 52 5 16 3 19 4 26 4 34 4

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 153 9 193 9 48 5 54 6 16 3 19 3 28 4 28 4R 153 8 194 10 48 6 54 6 17 3 18 3 28 4 35 3

    Side MXBR SD MXHT SD MXHTAS SD MXBRAS SD IFASBR SD SPASBR SD IFASLT SD SPASLT SDL 149 8 192 9 47 5 53 5 16 3 20 5 28 4 28 3R 152 8 194 10 46 5 53 5 15 3 21 5 28 5 35 2

  • 31

    differences, as shown in Table 12, which demonstrates consistency between the left and right. In

    order to confirm these results though a t-test must be performed. A t-test on the left and right

    will determine if these differences are significant. Another t-test will also be conducted

    comparing the age groups to determine if there are significant changes in size and shape of the

    auricular surface in correlation with age. Original data collected for each individual on the left

    and right auricular surface can be found in Appendix B, Appendix C, and Appendix D.

    Analysis of Frequencies

    A frequency distribution table for the morphological features of the auricular surface was

    organized to show the number of individuals associated with each score that was observed. This

    was done for both the left and right auricular surface as shown in Table 13 through Table 21 .

    Table 13 shows frequencies and percentages for the left and right auricular surface for

    the feature billows collected from the Hamann-Todd collection. Results of billows and striae in

    correlation with age in decade and percent displayed of each trait are listed in Figure 7 for the

    left auricular surface.

    Table 13. Frequencies and Percentages for the Feature Billows

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ LEFT

    Score (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102) (0) Absent 3 25 9 64 9 82 17 100 11 100 10 100 13 100 14 100 86(1) Minor 8 67 5 36 2 18 0 0 0 0 0 0 0 0 0 0 15(2) Moderate 1 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1(3) Major 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    102Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 7 58 5 33 9 82 16 94 11 100 10 100 12 100 14 100 84(1) Minor 5 42 9 60 2 18 1 6 0 0 0 0 0 0 0 0 17(2) Moderate 0 0 1 7 0 0 0 0 0 0 0 0 0 0 0 0 1(3) Major 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

    102

    (n=10) (n=13) (n=14)

    (n=12) (n=15) (n=11) (n=17) (n=11) (n=10) (n=12) (n=14)

    (n=12) (n=14) (n= 11) (n=17) (n=11)

  • 32

    The left auricular surface indicates that the highest percentage for the presence of billows

    is in the age range 20-24, which has a percentage of 67%. After the age of 34 the feature billows

    is absent. The right auricular surface indicates that the feature billows has the highest percentage

    between the ages 25-29 where 60% of billows present are minor. Billows on the left and right

    auricular surface decrease with age and decrease considerably after the age of 34 and are absent

    on both after the age of 40. Figure 7 illustrates a decrease in billows and striae as age increases.

    Striation results for frequencies and percentages collected on the left and right auricular surface

    are located in Table 14.

    Figure7. Billowing and Striae for Left Auricular Surface

    0 10 20 30 40 50 60 70 80 90

    100

    20 30 40 50 60

    % billowsstriae

    Age in Years

    %

  • 33

    Table 14. Frequencies and Percentages for the Feature Striae

    Striae can also be seen to decrease with age but is more prevalent in all ages with the

    exception of 60+. Table 14 shows that for the left auricular surface striae were only absent from

    the age range of 60 and over, but had more than 50% present ranging from minor to majorly

    present between the ages of 20-34. After the age 34 there is a decrease from moderate and major

    to only minor present, which continues as age increases to the age of 50-60+ to the absence of

    striae. The right auricular surface for striae exhibits that it is present in all of the age ranges but

    decreases to less than 50% present, and from moderate to minor present after the age of 40.

    Fine granulation is exhibited in Table 15, which shows the left and right auricular surface

    frequencies and percentages. The left auricular surface shows that the percentage of fine

    granulation seemed to decrease as age increased, but it was only absent after the age of 50.

    Figure 8 shows fine, coarse granulation, and dense bone in correlation with age for the left

    auricular surface.

    Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ LEFT

    Score (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102) (0) Absent 0 0 3 21 4 36.5 9 53 8 73 6 60 10 77 14 100 54(1) Minor 5 42 4 29 4 36.5 7 41 2 18 4 40 3 23 0 0 29(2) Moderate 6 50 5 36 3 27 1 6 1 9 0 0 0 0 0 0 16(3) Major 1 8 2 14 0 0 0 0 0 0 0 0 0 0 0 0 3

    102

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 3 25 3 20 5 45.5 8 47 7 64 5 50 10 83 12 86 53(1) Minor 5 42 8 53 5 45.5 8 47 4 36 4 40 2 17 2 14 38(2) Moderate 3 25 1 7 0 0 1 6 0 0 1 10 0 0 0 0 6(3) Major 1 8 3 20 1 9 0 0 0 0 0 0 0 0 0 0 5

    102

    Age 20-24 Age 25-29 (n=13) (n=14)

    (n=12) (n=15) (n=11) (n=17) (n=11) (n=10) (n=12) (n=14)

    (n=12) (n=14) (n= 11) (n=17) (n=11) (n=10)

  • 34

    Table 15. Frequencies and Percentages for the Feature Fine Granulation

    Figure 8. Fine grain, Coarse grain, and Dense bone for the Left Auricular Surface

    Fine granulation appears to decrease as age increases and is replaced with coarse grain,

    which takes over faster than fine grain disappears. Frequencies and percentages for coarse

    granulation are shown in Table 16.

    0102030405060708090

    100

    20 30 40 50 60

    %

    fine graincoarse graindense

    Age in Years

    %

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ LEFT

    Score (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102) (0) Absent 1 8 3 21 4 36 12 71 9 82 7 70 13 100 14 100 63(1) Minor 3 25 5 36 5 46 2 11.5 1 9 1 10 0 0 0 0 17(2) Moderate 4 33.5 5 36 2 18 2 11.5 1 9 0 0 0 0 0 0 14(3) Major 4 33.5 1 7 0 0 1 6 0 0 2 20 0 0 0 0 8

    102Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 3 25 1 7 6 55 8 47 9 82 7 70 11 92 13 93 58(1) Minor 3 25 8 53 2 18 4 23.5 0 0 1 10 1 8 0 0 19(2) Moderate 2 17 5 33 2 18 4 23.5 2 18 0 0 0 0 1 7 16(3) Major 4 33 1 7 1 9 1 6 0 0 2 20 0 0 0 0 9

    102

    (n=12) (n=14)(n=12) (n=15) (n= 11) (n=17) (n=11) (n=10)

    (n=13) (n=14)(n=12) (n=14) (n= 11) (n=17) (n=11) (n=10)

  • 35

    Table 16. Frequencies and Percentages for the Feature Coarse Granulation

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+LEFTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 7 59 2 14.5 1 9 1 6 0 0 1 10 1 8 2 14 15(1) Minor 4 33 3 21 3 27 5 29 0 0 2 20 2 15 5 36 24(2) Moderate 1 8 7 50 2 18 4 24 3 27 1 10 6 46 3 21 27(3) Major 0 0 2 14.5 5 46 7 41 8 73 6 60 4 31 4 29 36

    102

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 6 50 4 27 2 18 1 6 0 0 1 10 0 0 0 0 14(1) Minor 4 33 5 33 2 18 5 29 0 0 2 20 4 33 7 50 29(2) Moderate 2 17 5 33 2 18 4 24 5 45.5 3 30 3 25 2 14 26(3) Major 0 0 1 7 5 46 7 41 6 54.5 4 40 5 42 5 36 33

    102

    (n=12) (n=14)(n=12) (n=15) (n=12) (n=17) (n=11) (n=10)

    (n=12) (n=14) (n=11) (n=17) (n=11) (n=10) (n=13) (n=14)

    The left auricular surface appears to have coarse granulation present in all age ranges but

    has the strongest percentage in individuals aged 40-44, where 73% of fine granulation was

    majorly present on the auricular surface. Both the left and right show a decrease from minor

    present to an increase in moderate to major present after the age of 40. Figure 8 confirms that

    dense bone increases as age increases. Frequency and percentage results for the feature dense

    bone are shown in Table 17 for the left and right auricular surface.

    Table 17. Frequencies and Percentages for Dense Bone

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+ LEFTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 12 100 14 100 8 73 11 65 8 73 6 60 5 38.5 1 7 65(1) Minor 0 0 0 0 2 18 6 35 2 18 2 20 5 38.5 8 57 25(2) Moderate 0 0 0 0 0 0 0 0 1 9 2 20 1 8 3 22 7(3) Major 0 0 0 0 1 9 0 0 0 0 0 0 2 15 2 14 5

    102

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 11 92 15 100 7 64 13 76 5 46 6 60 5 42 2 14 64(1) Minor 1 8 0 0 3 27 3 18 4 36 1 10 3 25 6 43 21(2) Moderate 0 0 0 0 0 0 1 6 2 18 3 30 2 16.5 3 22 11(3) Major 0 0 0 0 1 9 0 0 0 0 0 0 2 16.5 3 22 6

    102

    (n=12) (n=14)(n=12) (n=15) (n=12) (n=17) (n=11) (n=10)

    (n=12) (n=14) (n=11) (n=17) (n=11) (n=10) (n=13) (n=14)

  • 36

    Dense bone does not appear to be present on the left auricular surface until the age range

    30-34, where it is minor. The feature then appears to increase from minor to major as age

    increases. The right auricular surface shows it increasing from minor to moderate after age 40

    and from moderate to major after age 50.

    Table 18 shows frequencies and percentages for the left and right auricular surface for the

    feature microporosity that was collected from the Hamann-Todd collection. Porosity results in

    correlation with age in decade are illustrated in Figure 9 for the left auricular surface.

    Table 18. Frequencies and Percentages for Microporosity

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+LEFT

    Score (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102) (0) Absent 7 58 8 57 4 36 4 23 7 64 5 50 6 46 8 57 49(1) Minor 5 42 6 43 6 55 10 59 4 36 5 50 5 39 5 36 46(2) Moderate 0 0 0 0 0 0 2 12 0 0 0 0 2 15 1 7 5(3) Major 0 0 0 0 1 9 1 6 0 0 0 0 0 0 0 0 2

    102Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 7 58 10 67 6 55 7 41 4 36 6 60 2 17 5 36 47(1) Minor 5 42 5 33 4 36 9 53 7 64 4 40 10 83 7 50 51(2) Moderate 0 0 0 0 1 9 0 0 0 0 0 0 0 0 2 14 3(3) Major 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0 1

    102

    (n=12) (n=14)(n=12) (n=15) (n=11) (n=17) (n=11) (n=10)

    (n=12) (n=14) (n=11) (n=17) (n=11) (n=10) (n=13) (n=14)

  • 37

    Figure 9. Porosity for the Left Auricular Surface

    The left auricular surface has the highest presence of microporosity between ages 35-39.

    The right auricular surface has the highest percentage of microporosity between the ages of 50-

    59 with 83% as minor present. There appears to be no trend in microporosity, although Figure 9

    shows that macroporosity has a steady trend of increasing with age. Table 19 exhibits results for

    macroporosity from left and right auricular surfaces.

    Table 19. Frequencies and Percentages for Macroporosity Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    LEFTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 9 75 13 93 9 82 13 76 7 64 8 80 7 54 3 22 69(1) Minor 2 17 1 7 2 18 3 18 3 27 2 20 4 31 6 43 23(2) Moderate 1 8 0 0 0 0 1 6 1 9 0 0 1 7.5 3 22 7(3) Major 0 0 0 0 0 0 0 0 0 0 0 0 1 7.5 2 14 3

    102Age 30-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)

    (0) Absent 10 83 14 93 9 82 12 71 6 54.5 6 60 5 41.5 4 29 66(1) Minor 2 17 1 7 2 18 5 29 5 45.5 3 30 5 41.5 8 57 31(2) Moderate 0 0 0 0 0 0 0 0 0 0 1 10 1 8.5 1 7 3(3) Major 0 0 0 0 0 0 0 0 0 0 0 0 1 8.5 1 7 2

    102

    (n=12) (n=14)(n=12) (n=15) (n= 11) (n=17) (n=11) (n=10)

    (n=12) (n=14) (n= 11) (n=17) (n=11) (n=10) (n=13) (n=14)

    010 20 30 40 50 6070 80 90

    20 30 40 50 60

    % micromacro

    Age in Years

    %

  • 38

    The highest percentage of macroporosity present is from age 60 and over where at least a

    total of 80% of individuals exhibit this feature. A distinct trend does not exist for either the left

    or right auricular surface, but shows that macroporosity becomes more prominent after the age

    50.

    Results of frequencies and percentages for apical changes for the left and right auricular

    surfaces are shown in Table 20. Apical changes with correlation to age are illustrated in Figure

    10, which indicates that there is a distinct trend showing that from the age of 30+ there is a

    decrease in a distinct apical border, with an increase in lipping. After the age of 20 there is a

    steady increase in some lipping at the apex. Age 40 is the peak age at which some lipping

    occurs, but there remains a steady trend in some lipping to the age of 60+.

    Table. 20 Frequencies and Percentages for Apical changes

    Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+LEFT

    Score (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)(1) distinct 10 83 11 79 3 27 4 23 2 18 1 10 1 8 0 0 32(2) some lipping 2 17 3 21 8 73 10 59 7 64 8 80 7 54 6 43 51(3) major changes 0 0 0 0 0 0 3 18 2 18 1 10 5 38 8 57 19

    102Age 20-24 Age 25-29 Age 30-34 Age 35-39 Age 40-44 Age 45-49 Age 50-59 Age 60+

    RIGHTScore (n) % (n) % (n) % (n) % (n) % (n) % (n) % (n) % Totals (n=102)(1) distinct 10 83 12 80 2 18 3 17.5 1 9 1 10 0 0 0 0 29(2) some lipping 1 8.5 3 20 9 82 11 65 6 55 7 70 7 58 8 57 52(3) major changes 1 8.5 0 0 0 0 3 17.5 4 36 2 20 5 42 6 43 21

    102

    (n=13) (n=14)

    (n=12) (n=15) (n=11) (n=17) (n=12) (n=10) (n=12) (n=14)

    (n=12) (n=14) (n=11) (n=17) (n=12) (n=10)

  • 39

    Figure 10. Apical changes for the Left Auricular Surface

    The left auricular surface shows that a distinct and sharp apex is present in about 80% of

    individuals between the ages 20-29. From the age of 30 there is an increase in lipping at the

    apex although the articular margin has a distinct shape. The right auricular surface shows that a

    distinct and sharp apex is present in 75-87 % of individuals between the ages 20-29.

    Table 21 has results of frequencies and percentages for the retro-auricular activity from

    the left and right auricular surfaces. Figure 11 shows correlations of retro-auricular activity with

    age.

    0 102030405060708090

    20 30 40 50 60

    %

    distinct

    some lipping

    major lipping or irregular border

    Age in Years

    %

  • 40

    Table 21. Frequencies and Percentages for Retro-auricular Activity

    Figure 11. Retro-auricular activity for the Left Auricular Surface

    Both the left and right auricular surfaces show that the retro-auricular area exhibits signs

    of minor activity from the age of 20-29