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身体折磨的一种罕见长期并发症。

A Rare Long-term Complication of Physical Torture.

作者信息

Ranil Sanjeewa H K, Vidanapathirana Muditha

机构信息

Department of Forensic Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.

出版信息

Int J Appl Basic Med Res. 2017 Oct-Dec;7(4):261-263. doi: 10.4103/ijabmr.IJABMR_14_17.

DOI:10.4103/ijabmr.IJABMR_14_17
PMID:29308366
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5752813/
Abstract

The allegations made against custodians regarding ill treatments have been increased in Sri Lanka. However, their attention is grabbed by the immediate complications of torture, but not by late or delayed complications. A 35-year-old male was arrested for alleged housebreaking and kept under police custody. He alleged that he was hanged with his hands on several occasions. Six weeks after the incident, he presented to a tertiary care hospital with the weakness of his right shoulder. Examination revealed hyperpigmented scars over the left wrist and back of the left forearm with the right-sided medial winging of the scapula. He alleged that it had affected his day-to-day life. The presence of hyperpigmented scars over the left wrist and the long-term complications such as winged scapula of the right shoulder corroborated with the alleged history of torture by suspension from the wrists.

摘要

在斯里兰卡,针对 custodians(此处可能有误,结合语境推测可能是“监护人”等类似意思)虐待行为的指控有所增加。然而,人们关注的是酷刑的直接并发症,而非晚期或延迟并发症。一名35岁男性因涉嫌入室盗窃被捕并被警方拘留。他声称自己曾多次被双手悬吊起来。事件发生六周后,他因右肩无力前往一家三级护理医院就诊。检查发现左手腕和左前臂背部有色素沉着的疤痕,右侧肩胛骨内侧有翼状肩胛。他声称这影响了他的日常生活。左手腕上色素沉着疤痕的存在以及右肩翼状肩胛等长期并发症与所声称的手腕悬吊酷刑史相吻合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6441/5752813/c6a0e60c35b9/IJABMR-7-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6441/5752813/192063b82deb/IJABMR-7-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6441/5752813/c6a0e60c35b9/IJABMR-7-261-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6441/5752813/192063b82deb/IJABMR-7-261-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6441/5752813/c6a0e60c35b9/IJABMR-7-261-g002.jpg

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Reported Methods, Distributions, and Frequencies of Torture Globally: A Systematic Review and Meta-Analysis.全球酷刑的报告方法、分布和频率:系统评价和荟萃分析。
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本文引用的文献

1
Fatal rhabdomyolysis after torture by reverse hanging.倒挂折磨后发生的致命性横纹肌溶解症。
Forensic Sci Med Pathol. 2016 Jun;12(2):170-3. doi: 10.1007/s12024-016-9752-6. Epub 2016 Feb 18.
2
Incidence, predictive factors, and prognosis for winged scapula in breast cancer patients after axillary dissection.腋窝清扫术后乳腺癌患者翼状肩胛的发生率、预测因素和预后。
Support Care Cancer. 2014 Jun;22(6):1611-7. doi: 10.1007/s00520-014-2125-3. Epub 2014 Feb 4.
3
Scapular winging: anatomical review, diagnosis, and treatments.肩胛骨翼状畸形:解剖学综述、诊断和治疗。
Curr Rev Musculoskelet Med. 2008 Mar;1(1):1-11. doi: 10.1007/s12178-007-9000-5.
4
Surgical treatment of winged scapula.翼状肩胛的外科治疗。
Clin Orthop Relat Res. 2008 Mar;466(3):652-60. doi: 10.1007/s11999-007-0086-2. Epub 2008 Jan 8.
5
Microneurolysis and decompression of long thoracic nerve injury are effective in reversing scapular winging: long-term results in 50 cases.胸长神经损伤的显微神经松解术及减压术在逆转肩胛翼状畸形方面有效:50例长期结果
BMC Musculoskelet Disord. 2007 Mar 7;8:25. doi: 10.1186/1471-2474-8-25.
6
The isolated paralysis of the serratus anterior muscle: clinical and electromyographical follow-up of 10 cases.前锯肌孤立性麻痹:10例临床及肌电图随访
Electromyogr Clin Neurophysiol. 1978 Sep-Oct;18(5):379-86.