法医学杂志 ›› 2017, Vol. 33 ›› Issue (2): 209-213.DOI: 10.3969/j.issn.1004-5619.2017.02.029

• 案例报道 • 上一篇    下一篇

家庭暴力致骨折损伤机制分析1例(英文)

刘冬梅1,高  东2,夏文涛2,李正东2,周  姝2,彭书雅3   

  1. (1. 上海华医司法鉴定所,上海 200335; 2. 司法部司法鉴定科学技术研究所 上海市法医学重点实验室 上海司法鉴定专业技术服务平台,上海 200063; 3. 临沂新光法医司法鉴定所,山东 临沂 276017)
  • 发布日期:2017-04-25 出版日期:2017-04-28

The Injury Mechanisms of Fracture due to Domestic Violence: A Case Study

LIU DONG-MEI1, GAO DONG2, XIA WEN-TAO2, LI ZHENG-DONG2, ZHOU SHU2, PENG SHU-YA2   

  1. (1. Institute of Shanghai Huayi Forensic Science, Shanghai 200335, China; 2. Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, PRC, Shanghai 200063, China; 3. Linyi Xinguang Institute of Judical Expertise, Linyi 276017, China)
  • Online:2017-04-25 Published:2017-04-28
  • Contact: XIA Wen-tao, M.D, research fellow, postgraduate tutor in clinical forensic medicine; E-mail: xiawentao629@163.com
  • About author:LIU Dong-mei (1987—), M.D, majored in clinical forensic medicine; E-mail: l_dm1987@163.com

摘要: 本文报道了一名37岁女性遭受丈夫殴打,造成下肢受伤。医院诊断为右髌骨和左胫骨骨折,伤者遂接受了切开复位内固定术。由于丈夫否认对其实施家庭暴力,声称其下肢骨折系交通事故坠落伤。警方遂委托对该女性的损伤进行法医学鉴定。经过审阅X线和CT检查资料,结果为伤者右侧髌骨骨折、左胫骨骨折,以及左眶内侧壁骨折。鉴定意见为髌骨的横向骨折系由肌肉的牵拉暴力引起,左胫骨损伤符合直接和间接外力所致,左眶内侧壁骨折在施暴期间形成的可能性较大。本文阐述了运用影像学技术对家庭暴力案件与交通事故损伤进行鉴别,强调了影像学技术在法医临床鉴定中的应用价值。

关键词: 法医学, 家庭暴力, 损伤机制, 胫骨骨折, 眶内侧壁骨折

Abstract: This article reported a 37-year-old woman who was physically attacked by her husband, which caused her leg injuries. In the hospital a diagnosis was made of fractures of the right patella and left tibia before she underwent an operation of open reduction and internal fixation. Because the husband refused to admit his family violence committed against this woman; instead he claimed that her lower limb fractures belonged to the falling injuries caused by a traffic accident. The police assigned forensic experts to judicially judge the woman’s injuries. And the identification results of X-ray and CT showed that the transverse fracture of patella had been caused by muscular violence, and that both direct and indirect force resulted in the injuries of left tibia, and the fracture of left medial orbital wall might have been formed during the violence. This article expounded the identification between the injuries of family violence and traffic accident by the applications of imaging, which emphasized the application value of imaging techniques in clinic forensic science.

Key words: forensic medicine, domestic violence, injury mechanism, tibial fracture, medial orbital wall fracture

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