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与亲密伴侣暴力相关的可存活与致命钝器创伤的骨折变化。

Fracture variation in survivable versus fatal blunt force trauma associated with intimate partner violence.

机构信息

Applied EarthWorks, Inc., 1391 West Shaw Avenue Fresno, CA 93711, USA; Department of Anatomy & Neurobiology, Boston University Chobanian & Avedisian School of Medicine, 72 E. Concord St. L1004, Boston, MA 02118, USA.

Department of Anatomy & Neurobiology, Boston University Chobanian & Avedisian School of Medicine, 72 E. Concord St. L1004, Boston, MA 02118, USA; Department of Anthropology, Boston University, 232 Bay State Rd. #105, Boston, MA 02215, USA.

出版信息

Forensic Sci Int. 2024 Apr;357:112000. doi: 10.1016/j.forsciint.2024.112000. Epub 2024 Mar 18.

DOI:10.1016/j.forsciint.2024.112000
PMID:38518565
Abstract

Intimate partner violence (IPV) is a global human rights issue that affects approximately 25% of women and 10% of men and is the leading cause of homicides of women worldwide. Multiple interventional studies have been conducted to screen for IPV; however, fractures associated with intimate partner homicide (IPH) have not been studied from a forensic anthropological perspective. Therefore, this study uses computed tomography scans of IPH victims (n=33) obtained from the New Mexico Office of the Medical Investigator to 1) classify and quantify perimortem craniofacial blunt force fractures, and 2) compare the IPH-related fractures to those associated with non-lethal IPV using previously published studies. The results indicate that IPH cases presented similarly to non-lethal IPV cases in that they were concentrated on the middle and lower face, but fractures were more frequent in the upper face and cranial vault in IPH cases. While IPH cases showed more fractures, they were not necessarily associated with extensive fracturing, as 75.8% of IPH victims had five or fewer fractures-the most common being comminuted and linear fractures, comprising 93.8% of IPH-related fractures. As IPV is significantly underreported, understanding the nuances of fracture patterns associated with IPH can help to aid holistic forensic investigations.

摘要

亲密伴侣暴力 (IPV) 是一个全球性的人权问题,影响了大约 25%的女性和 10%的男性,是全球女性凶杀案的主要原因。已经进行了多项干预性研究来筛查 IPV;然而,从法医人类学的角度来看,与亲密伴侣杀人有关的骨折尚未得到研究。因此,本研究使用从新墨西哥州法医调查办公室获得的亲密伴侣杀人 (IPH) 受害者的计算机断层扫描 (CT) 扫描,来 1)对死后颅面钝器伤进行分类和定量,2)使用以前发表的研究将与 IPH 相关的骨折与非致命性 IPV 相关的骨折进行比较。结果表明,IPH 病例与非致命性 IPV 病例相似,都集中在中下部面部,但 IPH 病例中更频繁地发生在上部面部和颅顶。虽然 IPH 病例显示出更多的骨折,但它们不一定与广泛的骨折有关,因为 75.8%的 IPH 受害者有五个或更少的骨折——最常见的是粉碎性和线性骨折,占 IPH 相关骨折的 93.8%。由于 IPV 报告严重不足,了解与 IPH 相关的骨折模式的细微差别有助于促进全面的法医调查。

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