International Journal of Legal Medicine

, Volume 133, Issue 4, pp 1083–1088 | Cite as

Self-inflicted long bone fractures for insurance fraud

  • Lawrence CamardaEmail author
  • Antonio D’Arienzo
  • Emanuele Grassedonio
  • Stefania Zerbo
  • Antonina Argo
  • Michele D’Arienzo
Original Article


Self-inflicted fractures simulating traffic accident represent a new social fraud opportunity for criminality. Recognising scams through an increase of awareness of existence of self-inflicted arm fractures for insurance fraud could help community health workers to report these injuries to the competent authorities. In this article, authors have recognised an unusual but consistent pattern of upper and lower limb fractures whose incidence does not coincide in numerical terms with what is reported in literature. The aim of the present study is to describe fracture patterns observed over the past 2 years. Further, authors describe clinical presentations of these fractures and attempt to define a possible mechanism of these types of injuries.


Long bone fractures Self-inflicted injuries Forensic radiology Insurance fraud 


Authors’ contributions

The authors certify that the paper has not been published (in part or in full) or submitted for publication elsewhere. Each authors have made a substantial contribution so as to qualify to the authorship.

Compliance with ethical standards

Conflict of interest

The authors declare they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Lawrence Camarda
    • 1
    Email author
  • Antonio D’Arienzo
    • 1
  • Emanuele Grassedonio
    • 2
  • Stefania Zerbo
    • 3
  • Antonina Argo
    • 3
  • Michele D’Arienzo
    • 1
  1. 1.Department of Orthopaedic Surgery (DICHIRONS)University of PalermoPalermoItaly
  2. 2.Department of Radiology, DIBIMEFUniversity of PalermoPalermoItaly
  3. 3.Legal Medicine Section - Department for Health Promotion and Mother-Child CareUniversity of PalermoPalermoItaly

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