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Forensic Clinical Anatomy—Definitions, Methods and Fields

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Abstract

Forensic Clinical Anatomy may be defined as the practical application of Clinical Anatomy to the ascertainment and evaluation of medico-legal problems. Individual Anatomy (normal anatomy, anatomical variations, age-, disease- or surgery-related modifications) may acquire relevant significance in various fields of Legal Medicine, such as Child Abuse, Sudden Death, Medical Responsibility and/or Liability, Personal Injury and Damage. Anatomical data of forensic interest may arise from the correct application of methods of ascertainment and anatomical methodologies may then be required for further comprehensive analysis. The rigorous interpretation of the anatomical data, derived from ascertainment phase and analysed on the basis of pertinent literature, may be pivotal for the correct application of evaluation criteria in various forensic contexts. Awareness of the relevance of Individual Anatomy should be one of the principles guiding the Clinician to Personalized Medicine; conversely, in Personalized Justice, medico-legal analyses cannot ignore the implications of individual anatomy in terms of ascertainment and evaluation.

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References

  1. Porzionato A, Macchi V, Massaro L, Morra A, Sarasin G, Rambaldo A, De Caro R (2016) Double origin of the superior cerebellar artery associated with homolateral haemorrhagic infarction of cerebellum. Folia Neuropathol 54:410–417

    Google Scholar 

  2. Adachi B (1928) Das Arterien system der Japaner. In: Kyoto (ed) Verlag der Kaiserlich-Japanischen Universitat, Kenyusha Press, Kyoto

    Google Scholar 

  3. Shivaleela C, Suresh BS, Kumar GV, Lakshmiprabha S (2014) Morphological study of the supracondylar process of the humerus and its clinical implications. J Clin Diagn Res 8:1–3

    Article  Google Scholar 

  4. Opanova MI, Atkinson RE (2014) Supracondylar process syndrome: case report and literature review. J Hand Surg Am 39:1130–1135

    Article  PubMed  Google Scholar 

  5. Petkar N, Georgalas C, Bhattacharyya A (2007) High-rising epiglottis in children: should it cause concern? J Am Board Fam Med 20:495–496

    Article  PubMed  Google Scholar 

  6. Alamri Y, Stringer MD (2014) A high-rising epiglottis: a benign anatomical variant. Clin Anat 24:652–654

    Article  Google Scholar 

  7. Ahmed FJ, Shinohara AL, da Silva SMB, Andreo JC, de Castro Rodrigues A (2014) Visible epiglottis in children. Int J Clin Pediatr Dent 7:223–224

    Article  Google Scholar 

  8. Ross SG, Bolliger SA, Ampanozi G, Oesterhelweg L, Thali MJ, Flach PM (2014) Postmortem CT angiography: capabilities and limitations in traumatic and natural causes of death. Radiographics 34:830–846

    Article  PubMed  Google Scholar 

  9. Flach PM, Gascho D, Schweitzer W, Ruder TD, Berger N, Ross SG, Thali MJ, Ampanozi G (2014) Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols. Forensic Sci Med Pathol 10:583–606

    Article  PubMed  Google Scholar 

  10. Flach PM, Thali MJ, Germerott T (2014) Times have changed! Forensic radiology—a new challenge for radiology and forensic pathology. AJR Am J Roentgenol 202:W325–W334

    Google Scholar 

  11. Ruder TD, Thali MJ, Hatch GM (2014) Essentials of forensic post-mortem MR imaging in adults. Br J Radiol 87:20130567

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Grabherr S, Grimm J, Dominguez A, Vanhaebost J, Mangin P (2014) Advances in post-mortem CT-angiography. Br J Radiol 87:20130488

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Grabherr S, Grimm J, Baumann P, Mangin P (2015) Application of contrast media in post-mortem imaging (CT and MRI). Radiol Med 120:824–834

    Article  PubMed  Google Scholar 

  14. Bolliger SA, Thali MJ (2015) Imaging and virtual autopsy: looking back and forward. Philos Trans R Soc Lond B Biol Sci 370(1674)

    Google Scholar 

  15. Brinkmann B (1999) Harmonization of medico-legal autopsy rules. Committee of Ministers. Council of Europe. Int J Legal Med 113:1–14

    Article  CAS  PubMed  Google Scholar 

  16. Porzionato A, Macchi V, Da Broi U, Giraudo C, Miotto D, Rodriguez D, Moreschi C, De Caro R (2015) Diffuse pulmonary ossification in permanent vegetative state. Pathol Int 65:27–32

    Article  PubMed  Google Scholar 

  17. Hammer U, Boy D, Rothaupt D, Büttner A (2015) Distinction between forensic evidence and dermatological findings. J Forensic Leg Med 33:1–4

    Article  CAS  PubMed  Google Scholar 

  18. Wiedijk JE, Soerdjbalie-Maikoe V, Maat GJ, Maes A, van Rijn RR, de Boer HH (2016) An accessory skull suture mimicking a skull fracture. Forensic Sci Int 260:e11–e13

    Google Scholar 

  19. Porzionato A, Macchi V, Guidolin D, Parenti A, Ferrara SD, De Caro R (2005) Histopathology of carotid body in heroin addiction. Possible chemosensitive impairment. Histopathology 46:296–306

    Article  CAS  PubMed  Google Scholar 

  20. Guidolin D, Porzionato A, Tortorella C, Macchi V, De Caro R (2014) Fractal analysis of the structural complexity of the connective tissue in human carotid bodies. Front Physiol 5:432

    Article  PubMed  PubMed Central  Google Scholar 

  21. Macchi V, Snenghi R, De Caro R, Parenti A (2002) Monolateral hypoplasia of the motor vagal nuclei in a case of sudden infant death syndrome. J Anat 200:195–198

    Article  PubMed  PubMed Central  Google Scholar 

  22. Porzionato A, Macchi V, De Caro R (2009) Sudden infant death syndrome. N Engl J Med 361:2580

    Article  CAS  PubMed  Google Scholar 

  23. Macchi V, Porzionato A, Guidolin D, Parenti A, De Caro R (2005) Morphogenesis of the posterior inferior cerebellar artery with three-dimensional reconstruction of the late embryonic vertebrobasilar system. Surg Radiol Anat 27:56–60

    Article  CAS  PubMed  Google Scholar 

  24. Longatti P, Porzionato A, Basaldella L, Fiorindi A, De Caro P, Feletti A (2015) The human area postrema: clear-cut silhouette and variations shown in vivo. J Neurosurg 122:989–995

    Article  PubMed  Google Scholar 

  25. Benetazzo L, Bizzego A, De Caro R, Frigo G, Guidolin D, Stecco C (2011) 3D reconstruction of the crural and thoracolumbar fasciae. Surg Radiol Anat 33:855–862

    Article  CAS  PubMed  Google Scholar 

  26. De Caro R, Parenti A, Montisci M, Guidolin D, Macchi V (2000) Solitary tract nuclei in acute heart failure. Stroke 31:1187–1193

    Article  PubMed  Google Scholar 

  27. Porzionato A, Guidolin D, Macchi V, Mazzarolo C Sarasin G, Rambaldo A, De Caro R (2016) High-quality digital 3D reconstruction of microscopic findings in forensic pathology: the terminal pathway of a heart stab wound. IALM Intersocietal Symposium. Oral Communication OP-75, Abstract Book, p 140

    Google Scholar 

  28. Weber W (1984) Experimental studies of skull fractures in infants. Z Rechtsmed 92:87–94

    Article  CAS  PubMed  Google Scholar 

  29. Weber W (1985) Biomechanical fragility of the infant skull. Z Rechtsmed 94:93–101

    Article  CAS  PubMed  Google Scholar 

  30. Li Z, Liu W, Zhang J, Hu J (2015) Prediction of skull fracture risk for children 0-9 months old through validated parametric finite element model and cadaver test reconstruction. Int J Legal Med 129:1055–1066

    Article  PubMed  Google Scholar 

  31. Daniels JK, Lamke JP, Gaebler M, Walter H, Scheel M (2013) White matter integrity and its relationship to PTSD and childhood trauma—a systematic review and meta-analysis. Depress Anxiety 30:207–216

    Article  PubMed  Google Scholar 

  32. Guntheroth WG, Spiers PS (2002) The triple risk hypotheses in sudden infant death syndrome. Pediatrics 110:e64

    Article  PubMed  Google Scholar 

  33. Porzionato A, Macchi V, Parenti A, Matturri L, De Caro R (2008) Peripheral chemoreceptors: postnatal development and cytochemical findings in sudden infant death syndrome. Histol Histopathol 23:351–365

    PubMed  Google Scholar 

  34. Porzionato A, Macchi V, Parenti A, De Caro R (2009) Morphometric analysis of infant and adult medullary nuclei through optical disector method. Anat Rec 292:1619–1629

    Article  Google Scholar 

  35. Porzionato A, Macchi V, Stecco C, De Caro R (2013) The carotid body in sudden infant death syndrome. Respir Physiol Neurobiol 185:194–201

    Article  PubMed  Google Scholar 

  36. Ferrara SD (2013) Medical malpractice and legal medicine. Int J Legal Med 127:541–543

    Article  PubMed  Google Scholar 

  37. Ferrara SD, Baccino E, Bajanowski T, Boscolo-Berto R, Castellano M, De Angel R, Pauliukevičius A, Ricci P, Vanezis P, Vieira DN, Viel G, Villanueva E (2013) EALM Working Group on Medical Malpractice. Malpractice and medical liability. European guidelines on methods of ascertainment and criteria of evaluation. Int J Legal Med 127:545–557

    Article  PubMed  Google Scholar 

  38. Porzionato A, Macchi V, Fenato F, Parenti A, De Caro R (2008) Femoral nerve injury after gynecologic laparoscopy. J Minim Invasive Gynecol 15:105–107

    Article  PubMed  Google Scholar 

  39. Ferrara SD, Baccino E, Boscolo-Berto R, Comandè G, Domenici R, Hernandez-Cueto C, Gulmen MK, Mendelson G, Montisci M, Norelli GA, Pinchi V, Ranavaya M, Shokry DA, Sterzik V, Vermylen Y, Vieira DN, Viel G, Zoja R, Members of the IALM Working Group on Personal Injury and Damage (2016) Padova Charter on personal injury and damage under civil-tort law: medico-legal guidelines on methods of ascertainment and criteria of evaluation. Int J Legal Med 130:1–12

    Article  Google Scholar 

  40. De Caro R, Macchi V, Porzionato A (2009) Promotion of body donation and use of cadavers in anatomical education at the University of Padova. Anat Sci Educ 2:91–92

    Article  PubMed  Google Scholar 

  41. Macchi V, Porzionato A, Stecco C, Tiengo C, Parenti A, Cestrone A, De Caro R (2011) Body parts removed during surgery: a useful training source. Anat Sci Educ 4:151–156

    Article  PubMed  Google Scholar 

  42. Porzionato A, Macchi V, Stecco C, Mazzi A, Rambaldo A, Sarasin G, Parenti A, Scipioni A, De Caro R (2012) Quality management of body donation program at the University of Padova. Anat Sci Educ 5:264–272

    Article  PubMed  Google Scholar 

  43. Riederer BM, Bolt S, Brenner E, Bueno-Lopez JL, Circulescu ARM, Davies DC, De Caro R, Gerrits PO, McHanwell S, Pais D, Paulsen F, Plaisant O, Sendemir E, Stabile I, Moxham BJ (2012) The legal and ethical framework governing body donation in Europe—1st update on current practice. Eur J Anat 16:1–21

    Google Scholar 

  44. Lloyd GM, Maxwell-Armstrong C, Acheson AG (2011) Fresh frozen cadavers: an under-utilized resource in laparoscopic colorectal training in the United Kingdom. Colorectal Dis 13:e303–e304

    Google Scholar 

  45. Zevin B, Aggarwal R, Grantcharov TP (2012) Simulation-based training and learning curves in laparoscopic Roux-en-Y gastric bypass. Br J Surg 99:887–895

    Article  CAS  PubMed  Google Scholar 

  46. Polese L, Lezoche E, Porzionato A, Lezoche G, Da Dalt G, Macchi V, Stecco C, De Caro R, Norberto L, Merigliano S (2014) Transanal ileoproctostomy is feasible in human cadavers. Colorectal Dis 16:O367–O369

    Google Scholar 

  47. Polese L, Porzionato A, Luisetto R, Mastrogiacomo D, Macchi V, De Caro R, Norberto L, Merigliano S (2016) Roux-en-Y gastrojejunal bypass using a hybrid NOTES-12 mm trocar technique in a porcine model. Minim Invasive Ther Allied Technol 25:86–90

    Article  PubMed  Google Scholar 

  48. Porzionato A, Polese L, Lezoche E, Macchi V, Lezoche G, Da Dalt G, Stecco C, Norberto L, Merigliano S, De Caro R (2015) On the suitability of Thiel cadavers for natural orifice transluminal endoscopic surgery (NOTES): surgical training, feasibility studies, and anatomical education. Surg Endosc 29:737–746

    Article  PubMed  Google Scholar 

  49. Santos BF, Hungness ES, Boller AM (2011) Development of a feasible transrectal natural orifice transluminal endoscopic surgery (NOTES®) approach in a cadaveric appendectomy model: anterior is better. Surg Endosc 25:3773–3783

    Article  PubMed  Google Scholar 

  50. Telem DA, Han KS, Kim MC, Ajari I, Sohn DK, Woods K, Kapur V, Sbeih MA, Perretta S, Rattner DW, Sylla P (2013) Transanal rectosigmoid resection via natural orifice translumenal endoscopic surgery (NOTES) with total mesorectal excision in a large human cadaver series. Surg Endosc 27:74–80

    Article  PubMed  Google Scholar 

  51. Bevilacqua M, Fanti G, D’Arienzo M, Porzionato A, Macchi V, De Caro R (2014) How was the Turin Shroud Man crucified? Injury 45 Suppl 6:S142–S148

    Google Scholar 

  52. Bevilacqua M, Fanti G, D’Arienzo M, De Caro R (2014) Do we really need new medical information about the Turin Shroud? 45:460–464

    Google Scholar 

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Correspondence to Andrea Porzionato .

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Porzionato, A., Macchi, V., Loukas, M., De Caro, R. (2017). Forensic Clinical Anatomy—Definitions, Methods and Fields. In: Ferrara, S. (eds) P5 Medicine and Justice. Springer, Cham. https://doi.org/10.1007/978-3-319-67092-8_24

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