Skip to main content
Log in

Perimortem fracture pattern in ribs by blunt force trauma

  • Original Article
  • Published:
International Journal of Legal Medicine Aims and scope Submit manuscript

Abstract

Literature on timing of rib trauma is scarce but remains challenging during forensic cases. This study analysed the macroscopic fracture patterns of perimortem rib fractures and compared them to experimentally reproduced rib fractures on fresh and dry ribs. Six distinctive macroscopic traits were found in ribs that might provide information about the timing of trauma, fracture mechanism and/or trauma circumstances. These traits are peels, folds, differential fracture edges, incomplete fractures, plastic deformation and longitudinal lines. Peels, folds and plastic deformation might provide information about trauma timing. Folds and different fracture edges might provide information about the fracture mechanism. Statistical analyses showed that longitudinal lines, folds and incomplete fractures might provide information about the trauma circumstances and that age might have an influence on the occurrence of complete fractures, longitudinal lines and peels (p ≤ 0.05). The new insights presented in this study might be valuable for forensic anthropologists in rib trauma analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Notes

  1. Mechanical CPR is performed by a chest compression system called LUCAS™ [25, 26]. This device consists of a battery-driven suction cup and pressure pad to deliver uninterrupted compressions at a consistent rate and depth to facilitate the return of spontaneous blood circulation.

References

  1. Sauer NJ, Simson LR (1984) Clarifying the role of forensic anthropologists in death investigations. J Forensic Sci 29:1081–1086

    Article  CAS  Google Scholar 

  2. Galtés I (2013) Estudio Médico Forense del Cadáver en Mal Estado. In: Libro X Curso Patología Forense, Soc. Española Patol. forense, Logroño, pp 113–141

    Google Scholar 

  3. Tersigni-Tarrant MA, Shirley NR (2013) Forensic anthropology today. In: Tersigni-Tarrant MA, Shirley NR (eds) Forensic anthropology: an introduction. CRC Press, Florida, p 462

    Google Scholar 

  4. Symes SA, L’Abbé EN, Chapman EN et al (2012) Chapter 17: interpreting traumatic injury to bone in medicolegal investigations. In: Dirkmaat DC (ed) A companion to forensic anthropology. Wiley-Blackwell, pp 340–388

    Chapter  Google Scholar 

  5. Galloway A, Zephro L, Wedel VL (2014) Diagnostic criteria for the determination of timing and fracture mechanism. In: Wedel VL, Galloway A (eds) Broken bones. Charles C Thomas, Springfield, p 479

    Google Scholar 

  6. Christensen AM, Passalacqua NV, Bartelink EJ (2014) Forensic anthropology: current methods and practice. Academic Press, Oxford, p 447

    Google Scholar 

  7. Cappella A, Amadasi A, Castoldi E, Mazzarelli D, Gaudio D, Cattaneo C (2014) The difficult task of assessing perimortem and postmortem fractures on the skeleton: a blind text on 210 fractures of known origin. J Forensic Sci 59:1598–1601

    Article  Google Scholar 

  8. Symes SA, L’Abbé EN, Stull KE et al (2014) Chapter 13: Taphonomy and the timing of bone fractures in trauma analysis. In: Pokines JT, Symes SA (eds) Manual of forensic taphonomy. CRC Press, Florida, pp 341–365

  9. Wedel VL, Galloway A (2014) Broken bones. Charles C. Thomas, Springfield, p 480

    Google Scholar 

  10. Love JC, Symes SA (2004) Understanding rib fracture patterns: incomplete and buckle fractures. J Forensic Sci 49:1153–1158

    Article  Google Scholar 

  11. Daegling DJ, Warren MW, Hotzman JL, Self CJ (2008) Structural analysis of human rib fracture and implications for forensic interpretation. J Forensic Sci 53:1301–1307

    PubMed  Google Scholar 

  12. Kieser JA, Weller S, Swain MV, Neil Waddell J, Das R (2013) Compressive rib fracture: peri-mortem and post-mortem trauma patterns in a pig model. Legal Med 15:193–201

    Article  Google Scholar 

  13. Sirmali M, Türüt H, Topçu S, Gülhan E, Yazici U, Kaya S, Taştepe I (2003) A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg 24:133–138

    Article  Google Scholar 

  14. Yang K, Lynch M, O’Donnell C (2011) “Buckle” rib fracture: an artifact following cardio-pulmonary resuscitation detected on postmortem CT. Legal Med 13:233–239

    Article  Google Scholar 

  15. Subirana M, Galtés I, Malgosa A (2008) Lesiones cstales en antropología forense. Cuad Med Forense 14:251–268

    Google Scholar 

  16. Reichs KJ (1998) Forensic osteology: advances in the identification of human remains, 2nd edition. Charles C Thomas, Springfield. Charles C Thomas, Springfield, p 567

    Google Scholar 

  17. Sauer NJ (1998) The timing of injuries and manner of death: distinguishing among antemortem, perimortem, and postmortem trauma. In: Reichs KJ (ed) Forensic osteology: advances in the identification of human remains. Charles C. Thomas, Springfield, pp 321–132

  18. Kieser J, Taylor M, Carr D (2013) Forensic Biomechanics, p:163

  19. Mazess RB (1982) On aging bone loss. Clin Orthop Relat Res:239–252

  20. Kieser J (2013) Biomechanics of bone and bony trauma. In: Kieser J, Taylor M, Carr D (eds) Forensic biomechanics. Wiley-Blackwell, Oxford, pp 35–70

    Google Scholar 

  21. Cappella A, Castoldi E, Sforza C, Cattaneo C (2014) An osteological revisitation of autopsies: comparing anthropological findings on exhumed skeletons to their respective autopsy reports in seven cases. Forensic Sci Int 244:315.e1–315315.e10

  22. Ubelaker DH, Adams BJ (1995) Differentiation of perimortem and postmortem trauma using taphonomic indicators. J Forensic Sci 40:509–512

    CAS  PubMed  Google Scholar 

  23. Dirkmaat DC (2012) A Companion to Forensic Anthropology, p 665

  24. Scheirs S, Malgosa A, Sanchez-Molina D et al (2016) New insights in the analysis of blunt force trauma in human bones. Preliminary results. Int J Legal Med 131:867–875

    Article  Google Scholar 

  25. Rubertsson S, Silfverstolpe J, Rehn L, Nyman T, Lichtveld R, Boomars R, Bruins W, Ahlstedt B, Puggioli H, Lindgren E, Smekal D, Skoog G, Kastberg R, Lindblad A, Halliwell D, Box M, Arnwald F, Hardig BM, Chamberlain D, Herlitz J, Karlsten R (2013) The Study Protocol for the LINC (LUCAS in Cardiac Arrest) Study: a study comparing conventional adult out-of-hospital cardiopulmonary resuscitation with a concept with mechanical chest compressions and simultaneous defibrillation. Scand J Trauma Resusc Emerg Med 21:5

    Article  Google Scholar 

  26. Smekal D, Lindgren E, Sandler H, Johansson J, Rubertsson S (2014) CPR-related injuries after manual or mechanical chest compressions with the LUCAS™ device: a multicentre study of victims after unsuccessful resuscitation. Resuscitation 85:1708–1712

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Special thanks go to the technicians and personnel staff of the Institute of Legal Medicine and Forensic Sciences of Catalonia (IMLCFC) and the GRABI research group.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ignasi Galtés.

Ethics declarations

This study was approved by the Ethic Commission of Human and Animal Experimental Work (CEEAH) of the UAB, in compliance with the ethical regulations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Scheirs, S., Langenhorst, W., Malgosa, A. et al. Perimortem fracture pattern in ribs by blunt force trauma. Int J Legal Med 132, 1205–1213 (2018). https://doi.org/10.1007/s00414-018-1806-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00414-018-1806-8

Keywords

Navigation