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颅骨骨折的传播:对流行理论的再检验。

Fracture propagation in the human cranium: a re-testing of popular theories.

机构信息

DeBusk College of Osteopathic Medicine, Lincoln Memorial University, 6965 Cumberland Gap Parkway, Harrogate, TN 37752, USA.

出版信息

Clin Anat. 2011 Apr;24(3):309-18. doi: 10.1002/ca.21129.

DOI:10.1002/ca.21129
PMID:21433080
Abstract

Bone trauma interpretation is an important area of forensic anthropology. Notwithstanding the recent realization of the validity of fracture pattern interpretation, knowledge of trauma is largely based on case studies and older experimental work. Gurdjian and coauthors conducted a number of studies on blunt force fracture propagation that are still used today. Fracture propagation was noted to initiate in an area other than the point of impact, then radiate back toward it. Gurdjian's results are often used to suggest that the point of impact is at a location other than the fracture epicenter. This study is an examination and retesting of Gurdjian's theories of fracture propagation using current biomechanics research and technology. Specifically, the relationship of impact site and fracture patterning was tested using cadaver heads. The results demonstrate that fractures radiate from the point of impact, contrary to the theories of Gurdjian.

摘要

骨创伤解读是法医学人类学的一个重要领域。尽管最近人们已经意识到骨折模式解读的有效性,但对创伤的认识在很大程度上还是基于案例研究和旧的实验工作。Gurdjian 及其同事进行了一些关于钝力骨折传播的研究,这些研究至今仍在使用。研究指出,骨折传播起始于撞击点以外的区域,然后向其辐射。Gurdjian 的研究结果常常被用来表明撞击点位于骨折震中以外的位置。本研究使用当前的生物力学研究和技术,对 Gurdjian 的骨折传播理论进行了检验和再检验。具体来说,使用尸体头颅测试了撞击部位与骨折模式之间的关系。结果表明,骨折是从撞击点发散的,这与 Gurdjian 的理论相反。

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