Jacques Rebekah, Kogon Stanley, Shkrum Michael
From the *Department of Pathology, London Health Sciences Centre; †Western University; and ‡School of Dentistry, Schulich School of Medicine and Dentistry, London, Ontario, Canada.
Am J Forensic Med Pathol. 2014 Mar;35(1):59-61. doi: 10.1097/PAF.0000000000000078.
Tool mark analysis is a method of matching a weapon with the injury it caused. In a homicidal stabbing using a serrated knife, a stab wound that involves a cartilage may leave striations from the serration points on the blade edge. Assessing tissue striations is a means of identifying the weapon as having a serrated blade. This prospective study examines the possibility that similar striations may be produced in human soft tissues. Using tissues taken at the time of hospital-consented autopsies, stab wound tracks were assessed in a variety of human tissues (aorta, skin, liver, kidney, and cardiac and skeletal muscle). Stab wounds were produced postmortem with similar serrated and smooth-edged blades. The walls of the stab wounds were exposed, documented by photography and cast with dental impression material. Striations were identified by naked-eye examination in the skin and aorta. Photodocumentation of fresh tissue was best achieved in the aorta. Striations were not identified in wound tracks produced by the smooth-edged blade. Three blinded forensic pathologists were assessed for their ability to detect striations in photographs of wound tracks and had substantial interobserver agreement (κ = 0.76) identifying striations. This study demonstrates that tool mark striations can be present in some noncartilaginous human tissues.
工具痕迹分析是一种将凶器与其造成的损伤进行匹配的方法。在使用锯齿状刀具的杀人刺伤案件中,涉及软骨的刺伤伤口可能会留下刀刃边缘锯齿点的条纹。评估组织条纹是识别具有锯齿状刀刃凶器的一种方法。这项前瞻性研究探讨了在人体软组织中可能产生类似条纹的可能性。利用在医院同意进行尸检时获取的组织,对多种人体组织(主动脉、皮肤、肝脏、肾脏以及心肌和骨骼肌)中的刺伤轨迹进行了评估。在死后用类似的锯齿状和平刃刀片制造刺伤伤口。将刺伤伤口的壁暴露出来,拍照记录并用牙科印模材料进行铸型。通过肉眼检查在皮肤和主动脉中识别出条纹。在主动脉中对新鲜组织进行拍照记录效果最佳。平刃刀片造成的伤口轨迹中未发现条纹。对三位不知情的法医病理学家检测伤口轨迹照片中条纹的能力进行了评估,他们在识别条纹方面观察者间有高度一致性(κ = 0.76)。这项研究表明,工具痕迹条纹可能存在于一些非软骨的人体组织中。