骨材料死前创伤的骨折特征

K. Moraitis, C. Eliopoulos, C. Spiliopoulou
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引用次数: 37

摘要

死亡调查是一项多学科工作,需要病理学、人类学、齿科学和昆虫学等不同领域的不同法医专家的技能。在骨骼创伤的检查中,法医人类学家的分析是必不可少的。这样的分析有助于确定骨骼损伤是否在时间上与死亡周围的事件有关,以及它们产生的机制。本研究的目的是通过评估其特殊的形态学特征来研究各种骨折的死前性质。为此目的,在记录的骨骼收集的16具骨骼中观察到总共111处死前骨骼损伤,并检查了一系列法医案件。死前的创伤仅限于钝器外伤。缺乏成骨反应仍然是死前损伤的基本特征,但不是唯一的诊断标准。结论是,骨折模式,骨折边缘的形态以及特定骨骼和非骨骼属性的存在可能在很大程度上有助于死前创伤的诊断。在某些死前骨折中观察到的死后骨骼变化,如沉积物作用引起的磨损或阳光照射引起的变白,会导致重要的死前创伤指标消失,从而在创伤分析中造成相当大的问题。
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Fracture Characteristics of Perimortem Trauma in Skeletal Material
Death investigation is a multi-disciplinary effort employing the skills of different forensic specialists from fields as diverse as pathology, anthropology, odontology and entomology. In the examination of skeletal trauma, the contribution of the analysis by the forensic anthropologists is essential. Such an analysis helps determine whether skeletal injuries are temporally associated with the events surrounding death and the mechanisms that were involved in their production. The aim of this study was to investigate the perimortem nature of various bone fractures by assessing their particular morphological characteristics. A total of 111 perimortem skeletal injuries observed in 16 skeletons from a documented skeletal collection and a series of forensic cases were examined for this purpose. The perimortem trauma investigated was limited to blunt force trauma. The absence of an osteogenic response remains a basic characteristic of a perimortem injury but not the only diagnostic criterion. It was concluded that fracture patterning, the morphology of fractured edges and the presence of particular skeletal and non-skeletal attributes may substantially contribute to the diagnosis of perimortem trauma. Postmortem bone alterations such as abrasion due to sediment action or whitening resulting from sun exposure, observed in certain perimortem fractures, can cause considerable problems in trauma analysis by removing important indicators of perimortem trauma.
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