Dating Bone Fractures

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Dating fractures in infants - PubMed
Dating fractures | Clinical Gate
(PDF) Dating of fracture bone: An autopsy based study
How Old Is This Fracture? Radiologic Dating of Fractures . . .
Dating fractures (Chapter 6) - Diagnostic Imaging of Child . . .
Dating fractures in infants - ScienceDirect
The potential of micro-CT for dating post-cranial bone . . .
Healing patterns of clavicular birth injuries as a guide . . .
Bone & joints - Pathology Outlines - Fracture
Fracture | Radiology Reference Article | Radiopaedia .org
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Materials and methods: Three paediatric radiologists independently assessed 161 images of 37 long bone fractures in 31 patients aged 0-44 months . The following features were assessed: soft-tissue swelling, subperiosteal new bone formation (SPNBF), definition of fracture line, presence or absence of callus, whether callus was well or ill defined, and the presence of endosteal callus .
Although most radiologists make assessments of fracture healing with accidental fractures on a daily basis, the evidence base for dating fractures , particularly in the abusive setting, remains incomplete (3, 5 -7, 10, 11) . This is remarkable when one considers the important implications of these radiologic assessments .
Medico-legal deaths h aving long bone fractures over the body, brought for post-mortem examination, over a period of one year were studied . Key words: Fracture , Injuries, Dating , Medico-legal
Bone scans have no place in fracture dating because they show positive results within 7 hr of injury and can continue to show positive results for as long as 1 year . Digital imaging is rapidly replacing standard techniques in many centers .
Accurate fracture dating can aid in the identification and exclusion of potential abusive perpetrators . In criminal proceedings, the requirement to assign age estimates to fractures and to determine if there have been multiple episodes of abuse may have important implications .
SPBNF may be seen as early as 4 days but this is unusual even in the very young . Given that many of the features commonly used to date infant long bone fractures are unreliable and poorly reproducible caution is required when dating these injuries .
The accurate dating of bone fractures is based on the healing response after traumatic tissue damage and constitutes a critical and crucial component of trauma analysis in forensic casework . Indeed, placing fractures within a temporal frame can assist in testing witness statements and contribute to understanding the chronology of events before death in cases of violent death, abuse, maltreatment, and torture [ 2 ] .
Objective: Since birth-related clavicular fractures are not immobilized and their age is known, we propose that an assessment of these injuries may serve as a guide for dating inflicted fractures in young infants, acknowledging that patterns observed in the clavicle may not be entirely generalizable to other bones injured in the setting of abuse .
Fractures often due to weakened bone (osteoporosis, tumor, infection) or falls in elderly and children . Types of fractures . Spiral configuration through cortex is typical . Transverse fractures (like breaking chalk) are associated with Paget disease, osteopetrosis or other severe bone disturbances .
transverse fracture : perpendicular to the axis of the bone ; oblique fracture : oriented obliquely across the bone ; spiral fracture : helical fracture path usually in the diaphysis of long bones ; comminuted fracture : more than two parts; incomplete fracture : does not cross the bone completely (usually encountered in children) bowing fracture ; buckle fracture : the cortex is buckled, often in the distal radius
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Dating Bone Fractures