Hyoid fracture: consensual sex-play or non-consensual nonfatal strangulation: a case report.

IF 2.2 3区 医学 Q1 MEDICINE, LEGAL International Journal of Legal Medicine Pub Date : 2024-10-25 DOI:10.1007/s00414-024-03353-6
Rachel Marr, Lyndal Bugeja
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Abstract

Hyoid fractures are uncommon, but when they occur they are commonly the result of strangulation or hanging. Although there is a lack of available quantitative data, there is increasing evidence to suggest that strangulation is a relatively common feature of consensual sex play. This creates difficulty in clinical forensic medicine given the "rough sex" defence has previously been used successfully in cases of fatal intimate partner strangulation. We present a case where consensual and non-consensual strangulation has occurred in a woman who presents with a hyoid fracture. While manual strangulation was thought to be a more likely mechanism than consensual wearing of a sex-collar; ultimately the similar timeframes of the collar-wearing and the non-consensual manual strangulation meant that the accused was not convicted of this particular strangulation offense. This case highlights the importance of further research into consensual strangulation and the incidence of resultant injuries. It also demonstrates the importance of collecting a detailed forensic history and adequately documenting injuries in a contemporaneous matter.

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舌骨骨折:自愿性游戏或非自愿非致命性勒颈:病例报告。
舌骨骨折并不常见,但一旦发生,通常是勒死或吊死的结果。虽然缺乏可用的量化数据,但越来越多的证据表明,扼颈是双方同意的性游戏中比较常见的特征。这给临床法医学带来了困难,因为 "粗暴性行为 "辩护曾成功用于致命的亲密伴侣勒死案件。我们介绍了一例女性在双方自愿和非自愿的情况下被勒死的病例,患者出现舌骨骨折。虽然人工扼颈被认为是比在双方同意的情况下佩戴性爱项圈更有可能的机制;但最终,佩戴项圈和非双方同意的人工扼颈的时间相似,这意味着被告没有被判定犯有这种特定的扼颈罪。此案凸显了进一步研究双方同意的扼颈行为和由此导致的伤害发生率的重要性。它还表明了收集详细的法医病史和充分记录当时的伤害情况的重要性。
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来源期刊
CiteScore
5.80
自引率
9.50%
发文量
165
审稿时长
1 months
期刊介绍: The International Journal of Legal Medicine aims to improve the scientific resources used in the elucidation of crime and related forensic applications at a high level of evidential proof. The journal offers review articles tracing development in specific areas, with up-to-date analysis; original articles discussing significant recent research results; case reports describing interesting and exceptional examples; population data; letters to the editors; and technical notes, which appear in a section originally created for rapid publication of data in the dynamic field of DNA analysis.
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