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切割伤还是烫伤?——鉴别热作用骨折与锐器伤的形态学特征

Cut or burnt? - Categorizing morphological characteristics of heat-induced fractures and sharp force trauma.

机构信息

Departamento de Medicina Legal, Psiquiatría y Patología, Laboratorio de Antropología y Odontología Forense, Madrid, Spain.

Departamento de Medicina Legal, Psiquiatría y Patología, Laboratorio de Antropología y Odontología Forense, Madrid, Spain.

出版信息

Leg Med (Tokyo). 2021 May;50:101868. doi: 10.1016/j.legalmed.2021.101868. Epub 2021 Feb 28.

DOI:10.1016/j.legalmed.2021.101868
PMID:33677186
Abstract

Distinguishing trauma from heat-induced fractures is a challenge faced by forensic anthropologists and pathologists during medicolegal investigations in which fire has been used by the perpetrators to destroy evidence. This paper aims to validate the provided identification features to distinguish between fire induced alterations and sharp force trauma. A total of 80 cremated adult individuals were used in this paper: 3 recently deceased embalmed cadavers from Cementerio Sur de Madrid for the sharp force trauma experiment in which 55 pre-burning injuries were inflicted using a machete and a serrated knife in different anatomical regions. And 77 cremated individuals from the Forensic Anthropology and Odontology Laboratory osteological collection. Five cremated long bones from this collection were selected, and 10 cuts were manually inflicted using a serrated knife to analyse post-burning trauma. Heat-induced changes and trauma morphologic characteristics were thus documented and analysed. The examination and documentation of morphological traits enabled the production of a heat-induced changes visual guide and a flow-chart. Two intraclass correlation tests were performed to validate the capacity of the observer to distinguish between fire related alterations and toolmarks. The results obtained in the statistical analysis indicate that, even if the toolmarks are visible and recognizable upon macroscopic observation by the observers, some features, such as the step and the transverse fractures can be mistaken with inflicted trauma. The use of the proposed features coupled with careful anthropological examination is recommended and has been found functional for participants with no prior knowledge in the analysis of cremated remains.

摘要

在法医学调查中,法医人类学家和病理学家面临着一个挑战,即区分创伤和热诱导性骨折,因为犯罪者曾用火来销毁证据。本文旨在验证所提供的鉴别特征,以区分火灾引起的变化和锐器伤。本文共使用了 80 具火化的成年人尸体:3 具来自马德里南部公墓的最近去世的防腐尸体,用于锐器伤实验,其中 55 处预烧伤损伤是使用大砍刀和锯齿刀在不同解剖区域造成的。以及来自法医人类学和牙科学实验室骨骼收藏的 77 具火化个体。从该收藏中选择了 5 具火化的长骨,并使用锯齿刀手动造成 10 处切割,以分析烧伤后创伤。因此记录和分析了热诱导变化和创伤形态特征。检查和记录形态特征,制作了热诱导变化的可视化指南和流程图。进行了两次组内相关测试,以验证观察者区分与火灾相关的变化和工具痕迹的能力。统计分析的结果表明,即使工具痕迹在宏观观察下可由观察者识别,一些特征,如台阶和横断骨折,也可能与施加的创伤混淆。建议使用所提出的特征,并结合仔细的人类学检查,对于没有火化遗骸分析经验的参与者来说是有效的。

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Cut or burnt? - Categorizing morphological characteristics of heat-induced fractures and sharp force trauma.切割伤还是烫伤?——鉴别热作用骨折与锐器伤的形态学特征
Leg Med (Tokyo). 2021 May;50:101868. doi: 10.1016/j.legalmed.2021.101868. Epub 2021 Feb 28.
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Int J Legal Med. 2024 Mar;138(2):555-560. doi: 10.1007/s00414-023-03047-5. Epub 2023 Jun 29.
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Medico-Legal Issues in Cremation: Comparative Analysis of International Legislation.
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