Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy

Abstract Background Patellar measurements have been shown to provide an accurate estimate of sex. However, the influence of patellar siding on sex estimation accuracy has not been adequately explored; thus, it is less understood. This study evaluated side differences in patellar measurements and the...

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Main Authors: Thom Kaledzera, Amanda Alblas, Nadine Rampf
Format: Article
Language:English
Published: SpringerOpen 2025-07-01
Series:Egyptian Journal of Forensic Sciences
Subjects:
Online Access:https://doi.org/10.1186/s41935-025-00466-w
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author Thom Kaledzera
Amanda Alblas
Nadine Rampf
author_facet Thom Kaledzera
Amanda Alblas
Nadine Rampf
author_sort Thom Kaledzera
collection DOAJ
description Abstract Background Patellar measurements have been shown to provide an accurate estimate of sex. However, the influence of patellar siding on sex estimation accuracy has not been adequately explored; thus, it is less understood. This study evaluated side differences in patellar measurements and their implications on the level of sex estimation accuracy. This study sampled 104 paired patellae of known age at death and sex. Six dimensions (maximum height, maximum breadth, maximum thickness, height of the articular facet, lateral articular facet width, and medial articular facet width) were measured using a sliding digital calliper. Results Maximum height (t-test, p = 0.008) and maximum thickness (t-test, p = 0.014) were the only measurements that showed statistically significant side differences. However, all six patellar measurements from both sides were significantly greater in males than in females (t-test, p < 0.001). After applying discriminant functional analysis to patellar measurements, the combination of all six measures provided the highest sex estimation accuracy on the right side (86.5%), whereas the combination of maximum height and maximum breadth provided the highest accuracy on the left side (90.4%). After applying all derived discriminant functions to estimate sex from measures taken on the contralateral side, the estimation accuracy for most of the functions decreased with statistical significance (p < 0.05). Conclusion These results demonstrate that patellar siding is an important factor worthy of consideration when estimating the sex of unidentified human remains. Henceforth, it is advised to develop and apply separate discriminant functions for the left and right patella.
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spelling doaj-art-ce4a88c76c0a4de5b470b672549fc98a2025-08-20T03:04:15ZengSpringerOpenEgyptian Journal of Forensic Sciences2090-59392025-07-0115111410.1186/s41935-025-00466-wHuman patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracyThom Kaledzera0Amanda Alblas1Nadine Rampf2Division of Clinical Anatomy, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch UniversityDivision of Clinical Anatomy, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch UniversityDivision of Clinical Anatomy, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch UniversityAbstract Background Patellar measurements have been shown to provide an accurate estimate of sex. However, the influence of patellar siding on sex estimation accuracy has not been adequately explored; thus, it is less understood. This study evaluated side differences in patellar measurements and their implications on the level of sex estimation accuracy. This study sampled 104 paired patellae of known age at death and sex. Six dimensions (maximum height, maximum breadth, maximum thickness, height of the articular facet, lateral articular facet width, and medial articular facet width) were measured using a sliding digital calliper. Results Maximum height (t-test, p = 0.008) and maximum thickness (t-test, p = 0.014) were the only measurements that showed statistically significant side differences. However, all six patellar measurements from both sides were significantly greater in males than in females (t-test, p < 0.001). After applying discriminant functional analysis to patellar measurements, the combination of all six measures provided the highest sex estimation accuracy on the right side (86.5%), whereas the combination of maximum height and maximum breadth provided the highest accuracy on the left side (90.4%). After applying all derived discriminant functions to estimate sex from measures taken on the contralateral side, the estimation accuracy for most of the functions decreased with statistical significance (p < 0.05). Conclusion These results demonstrate that patellar siding is an important factor worthy of consideration when estimating the sex of unidentified human remains. Henceforth, it is advised to develop and apply separate discriminant functions for the left and right patella.https://doi.org/10.1186/s41935-025-00466-wBiological profileDiscriminant functionsForensic anthropologyMedico-legal
spellingShingle Thom Kaledzera
Amanda Alblas
Nadine Rampf
Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
Egyptian Journal of Forensic Sciences
Biological profile
Discriminant functions
Forensic anthropology
Medico-legal
title Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
title_full Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
title_fullStr Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
title_full_unstemmed Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
title_short Human patellar sexual dimorphism: evaluating the impact of patellar siding on sex estimation accuracy
title_sort human patellar sexual dimorphism evaluating the impact of patellar siding on sex estimation accuracy
topic Biological profile
Discriminant functions
Forensic anthropology
Medico-legal
url https://doi.org/10.1186/s41935-025-00466-w
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AT amandaalblas humanpatellarsexualdimorphismevaluatingtheimpactofpatellarsidingonsexestimationaccuracy
AT nadinerampf humanpatellarsexualdimorphismevaluatingtheimpactofpatellarsidingonsexestimationaccuracy