blunt force trauma

钝器外伤
  • 文章类型: Journal Article
    在法医病理学中,因机械伤害而死亡(钝器,锋利,和枪声)需要进行尸检,以便通过对内脏的详细检查来确定死亡的原因和方式,软组织,和骨骼系统。有时候,例如在严重腐败的情况下,只有骨架是可观察的。在这种情况下,没有骨骼缺陷并不意味着不应该考虑与创伤相关的死亡:然而,致命的机械死亡多久会在骨骼系统中产生缺陷?本研究涉及对尸检报告的回顾性审查,以调查暴力死亡病例中软组织和相关骨骼损伤的频率。共有200份尸检报告,包括锐器伤(n=50)在内的四种损伤机制,枪声(n=50),钝器外伤(n=50),检查机械性窒息(n=50)。死亡的方式,骨折的定位,报告了外部损伤和骨折之间的对应关系。评估每个创伤组的骨折频率和与软组织损伤的对应程度。结果表明,致命的钝性创伤总是导致骨折;94.0%的枪伤暴力死亡涉及骨骼;48.0%的锐力软组织损伤涉及骨组织;20.0%的机械性窒息病例观察到舌骨骨折。
    In forensic pathology, deaths due to mechanical injuries (blunt, sharp, and gunshot) require an autopsy in order to determine the cause and manner of death through a detailed examination of viscera, soft tissues, and the skeletal system. Sometimes, such as in cases of severe putrefaction, only the skeleton is observable. In such cases, the absence of bony defects does not mean that a trauma-related death should not be considered: yet, how often will a lethal mechanical death produce a defect in the skeletal system? The present study involved a retrospective review of autopsy reports to investigate the frequencies of soft tissue and related skeletal injuries in cases of violent deaths. A total of 200 autopsy reports for cases of four mechanisms of injury including sharp force trauma (n = 50), gunshot (n = 50), blunt force trauma (n = 50), and mechanical asphyxia (n = 50) were examined. Manner of death, localization of bone fractures, and correspondence between external injuries and bone fractures were reported. Frequencies of bone fractures and degree of correspondence with soft tissue injuries for each trauma group were evaluated. The result showed that lethal blunt trauma always caused bone fractures; 94.0% of violent deaths by gunshot involved bones; 48.0% of sharp force soft tissue injuries involved the bone tissue; and hyoid bone fractures were observed in 20.0% of cases of mechanical asphyxia.
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  • 文章类型: Journal Article
    在涉及凶杀的法医场景中,人类遗骸经常暴露在火中,作为处置和/或模糊身份的手段。燃烧人体遗骸会导致隐藏外伤,创造类似损伤的文物,或先前存在的创伤的破坏。由于火灾会极大地影响创伤保存,区分创伤特征和烧伤伪影的方法对于进行法医分析是必要的。具体来说,在法医人类学领域,区分创伤和骨骼火灾特征的标准不一致且稀疏。这项研究旨在通过确定被认为是最能诊断火灾或钝器创伤的标准来补充当前的法医人类学文献。使用11只成年猪(Susscrofa)的头骨,钝器创伤是使用撬棍和扁平锤子手动产生的。三个标本没有受到影响,被用作对照。所有头骨都被转移到户外,露天燃烧,直到所有样品达到煅烧状态。来自该实验的结果发现,钝力创伤特征在灼伤后仍然存在,并且在碎片的重新关联是可能的所有样品中是可识别的。这项研究得出的结论是,归因于热断裂和钝力断裂的不同模式是可识别的,允许缩小诊断标准,以便将来进行分析。
    In forensic scenarios involving homicide, human remains are often exposed to fire as a means of disposal and/or obscuring identity. Burning human remains can result in the concealment of traumatic injury, the creation of artifacts resembling injury, or the destruction of preexisting trauma. Since fire exposure can greatly influence trauma preservation, methods to differentiate trauma signatures from burning artifacts are necessary to conduct forensic analyses. Specifically, in the field of forensic anthropology, criteria to distinguish trauma from fire signatures on bone is inconsistent and sparse. This study aims to supplement current forensic anthropological literature by identifying criteria found to be the most diagnostic of fire damage or blunt force trauma. Using the skulls of 11 adult pigs (Sus scrofa), blunt force trauma was manually produced using a crowbar and flat-faced hammer. Three specimens received no impacts and were utilized as controls. All skulls were relocated to an outdoor, open-air fire where they were burned until a calcined state was achieved across all samples. Results from this experiment found that blunt force trauma signatures remained after burning and were identifiable in all samples where reassociation of fragments was possible. This study concludes that distinct patterns attributed to thermal fractures and blunt force fractures are identifiable, allowing for diagnostic criteria to be narrowed down for future analyses.
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  • 文章类型: Journal Article
    钝器外伤是尸检期间发现的最常见的损伤。在涉及钝器伤的案件中,颅骨骨折是最常见的,这些对受害者来说往往是致命的。了解有关此类伤害产生的情况对于调查与创伤有关的死亡至关重要。本文探讨了一系列钝器连续击打一到三次后产生的颅骨创伤的特征。在一系列实验中,使用14个填充有猪明胶并涂覆有橡胶皮的Synbone®球体来模拟人头骨。试验重现了两种情况,站立的个体和头部靠在坚硬表面上的个体。六个钝器被用来代表可能的武器。每个球体被击中两次以产生断裂模式,然后对其进行了分析。在大多数模拟中,头部撞击坚硬的表面,无论力的方向和/或武器的表面如何,第一次断裂都遵循线性模式;而第二次打击会导致凹陷的断裂。在头部自由移动的情况下,具有大接触面的武器会导致凹陷骨折,而接触表面较小的武器可能根本不会造成断裂。我们的结果与Moritz所说的一致,如果头部可以自由移动,裂缝将是线性的或不完全凹陷的。相反,如果头部靠在固体表面上,一击会导致凹陷性骨折。需要更多的实验来验证这些初步观察结果。
    Blunt force trauma is the most common injury found during autopsies. Among the cases involving blunt force injuries, fractures to the skull are the most frequent, and these are often fatal to the victim. Understanding the circumstances surrounding the creation of such injuries is essential for investigating trauma-related deaths. This paper explores the characteristics of cranial trauma produced following one to three consecutive blows with a series of blunt objects. Fourteen Synbone® spheres filled with porcine gelatine and coated with rubber skin were used to simulate the human skull in a series of experiments. Trials recreated two scenarios, individuals standing and individuals with their head resting against a hard surface. Six blunt objects were used to represent possible weapons. Each sphere was struck twice to generate fracture patterns, which were then analysed. In most simulations of a blow to the head resting against a hard surface, the first fracture follows a linear pattern regardless of the direction of force and/or the surface of the weapon; while the second blow results in a depressed fracture. In the case of a free moving head, weapons with large contact surfaces result in depressed fractures, while weapons with small contact surfaces may not cause a fracture at all. Our results are consistent with Moritz who stated that, if the head is free to move, the fractures will be linear or incompletely depressed. Inversely, if the head rests against a solid surface, a blow will result in a depressed fracture. More experiments are needed to verify these preliminary observations.
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  • 文章类型: Journal Article
    A retrospective study was undertaken at Forensic Science South Australia of all homicides in individuals aged <18 years from January 1970 to December 2014. 166 cases were identified (M:F = 1.5:1). The number of cases steadily declined, with the highest numbers and death rate occurring between 1970 and 1974 (N = 26; 0.37/100,000 population), and the lowest between 2010 and 2014 (N = 8; 0.1/100,000) (p < 0.01). Deaths were due to blunt force trauma (37%), gunshot wounds (19%), asphyxiation (18%), sharp force trauma (8%), poisoning (8%), burns (3%) and neglect (1%), or were undetermined (6%). There was a significant increase in numbers of accompanying nonfatal injuries (3.46 per case for 1970 and 1974, compared to 18.88 per case for 2010 and 2014). Thus, while both the absolute numbers and the rates of paediatric homicides declined significantly, numbers of nonlethal injuries increased. Whatever the underlying reason(s) for the increase in nonlethal injuries, fatal attacks on children in South Australia appear to be becoming more violent.
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  • 文章类型: Case Reports
    The term \'B.A.S.E jump\' refers to jumping from a building, antenna, span (i.e., bridge) or earth (i.e., cliff) structure, and parachuting to the ground. There are numerous hazards associated with B.A.S.E jumps which often result in injury and, occasionally, fatality. This case report details the skeletal trauma resulting from a fatal B.A.S.E jump in Australia. In this case, the jumper impacted the ground from a fall of 439m in a feet-first landing position, as a result of a partially deployed parachute, under extreme vertical deceleration. Skeletal trauma was analyzed using full-body post mortem computed tomography (PMCT) and contextual information related to the circumstances of the jump as reported by the Coroner. Trauma to 61 skeletal elements indicates the primary impact was to the feet (i.e., feet-first landing), followed by an anterior impact to the body (i.e., fall forwards). Details of the individual fracture morphologies indicate the various forces and biomechanics involved in this fall event. This case presents the types of fractures that result from a B.A.S.E jump, and highlights the value of using PMCT and coronial data as tools to augment skeletal trauma interpretations.
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