Morphology of fractures of long tubular bones in children upon trauma due to solid blunt objects

Morphologic features of diaphyseal fractures of lond tubular bones in different age groups in childhood were studied experimentally on biodummy using direct stereomicroscopy (MBC-9). Blow effect was induced by solid blunt objects at the middle diaphyseal parts at a right angle. A series of specific morphologic features which help to diagnose the specific bone tissue lesions in different fracture zones as well as in different age periods was obtained. Experimental data were confirmed by expert observations which proves the possibility of using these specific morphologic features of diaphyseal fractures of long tubular bones in childhood for medicolegal purposes.     

Characteristics of the injuries to diaphyses of the long tubular bones in case of skew bending

The present experimental study was designed to elucidate specific morphological features emerging from the destruction of diaphyses of long tubular bones undergoing a combined strain/stress impact. It is concluded that the species-specific signs of the injuries to the long tubular bones can be used for the purpose of their differential diagnosis from other types of injuries.     

Fractography of the long tubular bones of the lower extremities in trauma by blunt objects

New data on micromorphological signs of fracture of long tubular bones in normal distribution and transformation of deforming forces are presented. Fractographic signs of bone for each destructive stage, signs of repeated trauma are singled out. Interrelationship between bone microstructure and conditions of its destruction is stated.     

Investigation of osteoporotic changes of the long tubular leg bones for identification of human biological age

The authors propose to introduce into expert practice a number of methods estimating age-related osteoporosis by such quantitative characteristics as coefficient of optical transmission, optic density, porosity. The data confirm nonlinear dependence of age dynamics of osteoporotic changes which can be more effectively described by equations of polynomial regression.     

儿童骨骼特征的组织学研究

目的研究儿童骨骼的组织学特征,为儿童骨骼残片的法医学鉴定提供科学依据。方法提取儿童四肢长骨骨片,制作骨骼的组织切片,在显微镜下观察内、外环骨板,骨单位,骨细胞的组织学结构,比较儿童骨骼与动物及成人骨骼的组织学区别。结果儿童骨骼的骨单位形态与成人相似,骨单位间存在大量的内层骨板,与动物的骨组织特征相似。结论根据骨组织学特征,可以确定儿童的骨骼残片。     

Classification of fractures of the skull vault bones

The proposed classification of fractures of the skull vault bones is based on fracture morphogenesis. Russian and foreign published data on skull vault fractures and the authors' own observations allowed some analogies and helped develop a new classification.     

Mechano- and morphogenesis of gunshot fractures in the flat bones

Gunshot fractures in flat bones, bullet defects in the continuum were studied in experiment. The laws of gunshot fracture formation were formulated. In far distance, bullet has a direct and radial blow action. The direct blow induces comminution and disintegration of the bone tissue with dislocation of bone fragments; radial blow potentiates bone destruction. Morphological characteristics of gunshot fractures of flat bones depend on the force of the direct and radial impact action and can be used for estimation of the far shot distance, kinetic energy and shape of the head of the shell.     

Forensic medical estimation of gunshot fractures of the flat bones

The principal characteristics of the investigations into the mechanisms of gunshot injuries are considered. The general and peculiar features of gunshot fractures and the pathological processes underlying them are discussed. The theory of bullet impact effect put forward by the Russian surgeons in the late XIXth century is verified. The explanation is proposed for the physical nature of direct and side impacts and the phenomenon of a temporary oscillating cavity from the standpoint of the theory of bullet impact effect. The new forensic medical criteria for the gunshot origin of an injury have been developed that allow the gunshot distance and the geometric characteristics of the bullet to be determined. A methodological basis for the determination of the long-range gunshot distance has been created. The results of the present study may be of interest for criminal lawyers and military specialists.     

Gun-shot fractures of the flat bones: mechanisms of development

We studied experimental gun-shot fractures in the flat bones due to slow-speed bullets. We have found common features information of gun-shot fractures. Fragmentation of the bone tissue occurs within a Herz cone surrounded by ring-shape fissures as a result of crossing over of subsurface and median fissures. Invasion of the bullet into the bone thickness is accompanied with shift abruption of bone fragments, their parallel transfer, rotation and radial movement. In the injury with slow-speed blunt-pointed bullets the fragments move, as a rule, by parallel transfer and rotation. In the injury with sharp-pointed bullets, of a key importance is radial movement of the fragments changing characteristics of the gun-shot fracture.     

Corrections for age in estimating older adults' stature from long bones

Stature estimates based on long bone measurements require a correction factor to compensate for stature decrease in older people. Such a correction should exclude the effect of any secular trend in stature and reflect the age at which stature begins to decrease, sex differences, and the increasing rate of change with age. Stature correction which meet these requirements for ages 46 through 85, based upon two recent large-scale longitudinal anthropometric studies, are provided in tabular form.     

Spontaneous fractures in the differential diagnosis of fractures in children

A four-year-old male with cerebral palsy and spasticity, as a result of a non-accidental head injury sustained when he was two years old, died of pneumonia. Postmortem full body X-rays revealed fractures of varying ages of the left humerus and both femora, tibiae, and fibulae. This led to a thorough investigation of the case by the Office of the Chief Medical Examiner. Child abuse, accidents, metabolic bone disorders, other primary or secondary diseases of the bones, and pathological fractures were ruled out. The final diagnosis was spontaneous fractures secondary to osteopenia. The term spontaneous fractures is used to define fractures that occur without any known external cause, especially in cerebral palsy patients with spasticity.     

数字X线测量上肢长骨推算身高

目的应用数字X线测量上肢长骨,建立适合当代中国四川汉族人群长骨推算身高的回归方程。方法按纳入标准对365例四川汉族正常人进行身高测量及上肢的数字X线检查,测量上肢各长骨不同标志点之间的长度,用SPSS统计软件对各测量值与身高进行相关回归分析,并对回归方程进行回代检验。结果共建立27个一元回归方程以及3个多元回归方程,各方程都具有统计学意义。上肢长骨中,尺骨相关性大于桡骨,男性相关性大于女性,多元回归方程的准确性高于一元回归方程。结论放射学方法测量长骨推算身高是一项简单、实用的方法,更适合上肢尸块的个人识别,值得进一步研究。     

The mathematical versus anatomical methods of stature estimate from long bones

The mathematical and anatomical methods of estimating living stature from long limb bones are discussed. In forensic cases, when one has a nearly complete skeleton, the anatomical method is preferable to the mathematical method. The anatomical method may also be used to derive stature estimation equations in samples where living statures or cadaver lengths are unavailable, such as some dissection hall and museum collections.     

计算机X线成像测量青少年四肢长骨推算身高

目的 应用计算机X线成像(computed radiographv,CR)测量活体上肢骨及胫腓骨正位片上相关指标,建立适合当代中国四川地区汉族14～18岁人群运用上肢骨及胫腓骨推算身高的数学模型.方法 对194例14～18岁四川汉族健康青少年进行左侧肢体上肢骨及胫腓骨正位摄片,测量特定标志点间距离,同时准确测量其身高....