Department of Forensic Medicine, Medical Faculty of Harran University, Şanlıurfa, Turkey.
Department of Forensic Medicine, Medical Faculty Hospital of Selcuk University, Konya, Turkey.
J Forensic Leg Med. 2024 May;104:102687. doi: 10.1016/j.jflm.2024.102687. Epub 2024 Apr 29.
Fractures are an important symptom of physical violence that will negatively affect the woman's quality of life in the coming years. However, there is limited information in the literature about fractures in women exposed to domestic violence (DV). The aim of this study was to compare fracture development rates and age distributions in women exposed to DV and intimate partner violence (IPV), a component of DV, and women exposed to other physical violence (OV), to determine the incidence of DV cases with and without fractures, and to determine fracture locations in DV cases and to identify diagnostic lesions accompanying fractures.
A retrospective review was made of patients injured as a result of IPV, other domestic violence (ODV) and OV. The data of cases with fracture were analyzed in terms of age groups of the victims and according to location and types of fractures.
Of the 854 female patients aged >18 years who were admitted to the hospital due to violence, 55.2% were exposed to DV. Most DV victims (87.9%) were assaulted by intimate partners. The incidence of fractures in IPV cases (7.2%), was nearly twice that of ODV and OV cases. The mean age of IPV cases with fractures (42.1 ± 12.1 years) was significantly higher than that of IPV cases without fractures (33.1 ± 11.8 years) (p < 0.05). Most IPV cases (61.8%) were aged <35 years. Most DV cases with fractures (75%) were aged <50 years. Facial/neck injuries (41.5%) and facial fractures (52.6%) were prominent in DV cases.
The results of this study of the presence of facial fractures, especially in women aged <50 years, is an important finding that can alert doctors to potential cases of domestic violence.
骨折是身体暴力的一个重要症状，会对女性未来几年的生活质量产生负面影响。然而，关于遭受家庭暴力（DV）和亲密伴侣暴力（IPV）的女性骨折发生率和年龄分布的信息有限，IPV 是 DV 的一个组成部分。本研究旨在比较遭受 DV 和 IPV（DV 的一个组成部分）以及遭受其他身体暴力（OV）的女性的骨折发生率和年龄分布，以确定有无骨折的 DV 病例的发生率，并确定 DV 病例中的骨折部位以及识别伴随骨折的诊断性病变。
回顾性分析因 IPV、其他家庭暴力（ODV）和 OV 而受伤的患者。根据受害者的年龄组以及骨折的位置和类型，对有骨折的病例进行了数据分析。
在因暴力而住院的 854 名年龄大于 18 岁的女性患者中，55.2%的患者遭受过 DV。大多数 DV 受害者（87.9%）是被亲密伴侣袭击的。IPV 病例的骨折发生率（7.2%）几乎是 ODV 和 OV 病例的两倍。有骨折的 IPV 病例的平均年龄（42.1±12.1 岁）明显高于无骨折的 IPV 病例（33.1±11.8 岁）（p<0.05）。大多数 IPV 病例（61.8%）年龄小于 35 岁。大多数有骨折的 DV 病例（75%）年龄小于 50 岁。DV 病例中突出的损伤是面部/颈部损伤（41.5%）和面部骨折（52.6%）。
本研究中面部骨折的存在，特别是在年龄小于 50 岁的女性中，是一个重要的发现，可以提醒医生注意潜在的家庭暴力病例。
