Love Jennifer C, Symes Steve A
College of Nursing, University of Tennessee Health Sciences Center, 1060 Madison Ave., Memphis, TN 38104, USA.
J Forensic Sci. 2004 Nov;49(6):1153-8.
Reconstructing traumatic thoracic events, especially when soft tissues are absent, requires an advanced understanding of ribcage fracture patterns. The morphology and orientation of ribs complicate the fracture pattern, as a single blow often causes multiple fractures at various locations. Furthermore, fracture types observed in ribs are not explained easily by current bone biomechanic literature. Using evidential skeletal material archived at the Regional Forensic Center, Memphis, the ribs of 43 blunt force trauma cases were analyzed. A total of 195 incomplete fractures and 63 buckle fractures were noted. Incomplete fractures, previously thought to be common in children but rare in adults, were found among individuals ranging in age from 21-76 years. A buckle fracture, failure resulting from compressive instability, has been undefined previously in bone trauma literature but was repeatedly observed in this sample. This study elucidates recognizable rib fracture patterns while emphasizing gross bone examination for force and mechanical factors.
重建创伤性胸部损伤事件，尤其是在软组织缺失的情况下，需要对肋骨骨折模式有深入的了解。肋骨的形态和方向使骨折模式变得复杂，因为单次打击往往会在不同位置造成多处骨折。此外，当前的骨生物力学文献难以轻易解释在肋骨中观察到的骨折类型。利用孟菲斯地区法医中心存档的证据性骨骼材料，对43例钝器伤病例的肋骨进行了分析。共记录了195处不完全骨折和63处扣锁骨折。不完全骨折以前被认为在儿童中常见而在成人中罕见，但在年龄范围为21至76岁的个体中均有发现。扣锁骨折是由压缩性不稳定导致的骨折，在以往的骨创伤文献中尚未明确，但在本样本中反复观察到。本研究阐明了可识别的肋骨骨折模式，同时强调了对骨骼进行全面检查以了解受力和力学因素。
