Crudele Graziano D L, Merelli Vera G, Vener Claudia, Milani Silvano, Cattaneo Cristina
Department of Biomedical and Health Sciences, Section of Legal Medicine, University of Milan, Via Luigi Mangiagalli, 37, Milan, 20133, Italy.
Laboratory of Medical Statistics and Biometry "GA Maccacaro", Department of Clinical Sciences and Community Health, University of Milan, Via Augusto Vanzetti, 5, Milan, 520133, Italy.
J Forensic Sci. 2020 Jan;65(1):193-195. doi: 10.1111/1556-4029.14149. Epub 2019 Aug 21.
The interpretation of cranial base injuries has never been investigated from a purely anthropological perspective. Very little exists in forensic literature in order to interpret the significance of cranial base fractures. We analyzed 296 cases of deaths due to skull-brain injuries. The frequency of vault fractures was 75.7% and that of base fractures was 91.9%. We observed the distribution of cases of death according to manner of death and manner of injury and number of fossae involved. These observations were analytically compared to different variables (age, sex, manner of injury, and mode of injury). The study presented the proportion of base fractures associated with vault fractures, and the frequency of absence of base fracture in subjects with no vault fractures. Interesting associations of base fractures to age and manner of death are shown.
颅骨底部损伤的解读从未从纯粹的人类学角度进行过研究。法医学文献中几乎没有什么内容可用于解读颅底骨折的意义。我们分析了296例因颅脑损伤导致的死亡病例。颅盖骨折的发生率为75.7%，颅底骨折的发生率为91.9%。我们观察了根据死亡方式、损伤方式以及受累颅窝数量划分的死亡病例分布情况。这些观察结果与不同变量（年龄、性别、损伤方式和致伤模式）进行了分析比较。该研究呈现了与颅盖骨折相关的颅底骨折比例，以及无颅盖骨折的受试者中无颅底骨折的频率。研究显示了颅底骨折与年龄和死亡方式之间有趣的关联。
