A Proposed Scheme for Classifying Pediatric Rib Head Fractures Using Case Examples

Pediatric rib head fractures are typically described as “posterior” or “costovertebral,” terms lacking specificity. To resolve this issue, a scheme was developed to describe the location of rib head fractures observed in a pediatric forensic population. The scheme uses three anatomical landmarks, terminus (tip), tubercle, and costovertebral articular surface to divide the rib head into two subregions, costovertebral and costotransverse. Examples of five cases of infants with rib head fractures are presented using this scheme. Forty‐eight rib head fractures were observed in these infants with the following frequencies: 56% (three infants) at the terminus; 21% (three infants) in the costovertebral subregion; 21% (one infant) at the costovertebral articular facet; and 2% (one infant) in the costotransverse subregion. Due to the small number of cases assessed, statistical analyses could not be performed; however, the data demonstrate the variation in distribution of pediatric rib head fractures.     

An Unusual Case of Strychnine Poisoning

Strychnine‐related death has been described since the 19th century. This alkaloid was discovered in 1818. Historically, strychnine was used by the South‐East Asian autochthones on their arrows. However, its production was modified by legislation, which was used to protect people against accidental intoxications. Here, we present the case of a 69‐year‐old man who was found dead at home. During the autopsy, we found a blue substance in the stomach. Toxicological analysis measured strychnine at 0.29 μg/mL in the blood sample, which is a relatively low level in comparison with the results given in the literature. However, histologic examination and toxicological findings permitted the conclusion of strychnine poisoning.     

Modeling Bone Surface Morphology: A Fully Quantitative Method for Age‐at‐Death Estimation Using the Pubic Symphysis

The pubic symphysis is widely used in age estimation for the adult skeleton. Standard practice requires the visual comparison of surface morphology against criteria representing predefined phases and the estimation of case‐specific age from an age range associated with the chosen phase. Known problems of method and observer error necessitate alternative tools to quantify age‐related change in pubic morphology. This paper presents an objective, fully quantitative method for estimating age‐at‐death from the skeleton, which exploits a variance‐based score of surface complexity computed from vertices obtained from a scanner sampling the pubic symphysis. For laser scans from 41 modern American male skeletons, this method produces results that are significantly associated with known age‐at‐death (RMSE = 17.15 years). Chronological age is predicted, therefore, equally well, if not, better, with this robust, objective, and fully quantitative method than with prevailing phase‐aging systems. This method contributes to forensic casework by responding to medico‐legal expectations for evidence standards.     

Aortic Dissection and Sudden Unexpected Deaths: A Retrospective Study of 31 Forensic Autopsy Cases

Acute aortic dissection (AAD) is the most common cause of sudden unexpected death related to aortic diseases. A retrospective study of 31 sudden unexpected deaths caused by AAD was conducted at Xi'an Jiaotong University Forensic Center from 2001 to 2012. We summarized the forensic characteristics of AAD and assessed the clinically diagnostic accuracy of AAD. The characteristics of sudden unexpected death due to AAD were male predominant (male: female = 6.7:1), relatively young with the mean age of 44, and predominance of type A dissection (77.4%). Cardiac tamponade was the most frequent cause of sudden death (87.1%). Of the 31 cases, 26 (83.9%) patients were not recognized clinically and were misdiagnosed with acute myocardial infarction, coronary artery disease, cholecystitis, acute gastroenteritis, renal/urinary lithiasis, or acute pancreatitis. In summary, AAD can be difficult to recognize, diagnosis is therefore sometimes delayed or missed. The medicolegal death investigation can help physicians have a better understanding of AAD.     

A New Method to Pair‐match Metacarpals Using Bilateral Asymmetry and Shape Analysis

Matching pairs of skeletal elements is of fundamental importance when re‐associating skeletons from commingled settings. This study presents a new method that combines the use of traditional anthropometric size measurements and the analysis of shape, through geometric morphometrics, to form pairs from commingled settings. We tested the hypothesis that shape asymmetry among individuals is smaller than between individuals that share similar dimensions. The metacarpals were measured in their maximum length, and absolute means of asymmetry between right and left metacarpals were calculated. To analyze the shape characteristics, two‐dimensional landmarks were recorded from digital images of 111 metacarpals. The specimens were analyzed using generalized Procrustes analysis and multivariate statistics. The accuracy of pair‐matching bones using a combined method was of 100%, showing that the incorporation of geometric morphometrics techniques—in the assessment of shape in physical anthropology—is of particular use when comparing the shape differences/similarities between individuals.     

Shells and Bones: A Forensic Medicine Study of the Association of Terrestrial Snail Allopeas micra with Buried Human Remains in Brazil

Little is known regarding the scavenger fauna associated with buried human corpses, particularly in clandestine burials. We report the presence of 20 shells of the terrestrial snail Allopeas micra, within hollow bones of human remains buried for 5 years, during the process of collecting DNA material. The fact that a large number of shells of A. micra had been found in the corpse and in the crime scene supports the assumption that there was no attempt to remove the corpse from the area where the crime occurred. Despite this, our observations cannot be used to estimate the postmortem interval because there is no precise knowledge about the development of this species. This is the first record of a terrestrial snail associated with a human corpse and its role in this forensic medicine case.     

Establishing the Limits of TrueAllele® Casework: A Validation Study

The limits of the expert system, TrueAllele^® Casework (TA), were explored using challenging mock casework profiles that included 17 single‐source and 18 two‐, 15 three‐ and 7 four‐person DNA mixtures. The sensitivity (ability to detect a minor contributor) of the TA analysis process was examined by challenging the system with mixture DNA samples that exhibited allelic and locus dropout and other stochastic effects. The specificity (ability to exclude nondonors) was rigorously tested by interrogating TA derived genotypes with 100 nondonor profiles. The accuracy with which TA estimated mixture weights of contributors to the two‐person mixtures was examined. Finally, first‐degree relatives of donors were used to assess the ability of the system to exclude close relatives. TA demonstrated great accuracy, sensitivity, and specificity. TA correctly assigned mixture weights and excluded nearly all first‐degree relatives. This study demonstrates the analysis power of the TrueAllele^® Casework system.