法医学杂志

法医学杂志 ›› 2015, Vol. 31 ›› Issue (4): 277-279.DOI: 10.3969/j.issn.1004-5619.2015.04.006

• 案例分析 • 上一篇    下一篇

钝性外力作用致四肢长骨干骨折99例分析

余延和1，杨春治2，魏其琛3，张玲芬3，汪仁典3   

  1. （1. 古田县公安局，福建 古田 352200； 2. 福建中医药大学，福建 福州 350000； 3. 古田县医院，福建 古田 352200）
  • 发布日期:2015-08-25 出版日期:2015-08-28
  • 通讯作者: 杨春治，男，副教授，硕士研究生导师，主要从事骨科临床、医事法学教学科研工作；E-mail：997306553@qq.com
  • 作者简介:余延和（1974—），男，福建古田人，副主任法医师，主要从事临床法医学的活体损伤程度鉴定和法医病理学检验；E-mail：yyh67666@163.com

Long Backbone Fracture Caused by Blunt Force: 99 Cases Analysis

YU YAN-HE1, YANG CHUN-ZHI2, WEI QI-CHEN3, ZHANG LING-FEN3, WANG REN-DIAN3   

  1. （1. Gutian County Public Security Bureau, Gutian 352200, China; 2. Fujian University of Traditional Chinese Medicine, Fuzhou 350000, China; 3. Gutian County Hospital, Gutian 352200, China）
  • Online:2015-08-25 Published:2015-08-28

摘要： 目的 探讨钝性外力作用致四肢长骨干骨折的法医临床学鉴定要点，为此类损伤的检验及鉴定实践提供参考。 方法 对福建省古田县2006年1月至2013年12月发生的99例成年人四肢长骨干骨折的实际案例，按骨折位置、致伤方式、骨折类型等方面进行归纳总结。 结果 99例中棍棒打击、足踢、摔跌等致伤36例，车辆碰撞63例，前者致伤以尺骨最多，后者致伤以胫腓骨最多。骨折类型包括横形、短斜形、长斜形和螺旋形骨折，分布于长骨干中1/2段的骨折多为横形骨折。 结论 不同类型的四肢长骨干骨折，不仅与引起骨折的受力负荷有关，还与四肢长骨干各段的结构差异有关。

关键词: 法医学, 骨折, 创伤, 非贯通性, 长骨干

Abstract: Objective To investigate the main point of long backbone fracture caused by blunt force in forensic clinical identification and to provide a reference for the inspection and appraisal practices of such injury. Methods Ninety-nine cases of adult long backbone fractures were collected from January 2006 to December 2013 in Gutian County of Fujian Province. According to the terms of fracture location, mode of injury, type, the data were summarized. Results In the 99 cases, there were 36 cases caused by hitting, kicking, and falling and 63 cases caused by vehicle collision. The majority of the former was ulna, and those of the latter were tibia and fibula. The types of fracture were transverse one, short oblique one, long oblique one, and spiral one. Conclusion Different types of long backbone fracture, not only causing stress load of fractures as well as structural differences related to each segment.

Key words: forensic medicine, fracture, trauma, nonpenetrating, long backbone

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