Abstract
One of the most important tasks in forensic investigation of blunt force trauma is to determine accurately the nature and magnitude of the forces applied to the skin. The primary emphasis of research into blunt force trauma has focused on analysing the demographics rather than the mechanobiology of such injuries. Nevertheless, a large body of literature has accumulated on the biomechanics of skin. Here we review this evidence, together with the complex role of intrinsic factors such as age, sex and ethnicity on the wounding susceptibility of skin. We also review how the skin responds to blunt trauma, and try to relate this to the estimation of the force of impact. Finally, we review the current biomechanical models of blunt force trauma, and introduce our own model and its preliminary findings. Contrary to the impression gained from the literature, wounding can be modelled in a basic simulation of the contact events during blunt force impact, and the results be evaluated quantitatively. We conclude that subject-specific parameters could be calculated from a more sophisticated model in order to provide a more robust set of values that can be used to predict forces used in generating skin wounds.
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References
Messerer O (1884) Experimentelle Untersuchungen über Schädelbrüche. Rieger, München
Walcher K (1929) Ueber traumatische Spalt- und Höhlenbildungen innerhalb der weichen Schädelbedeckungen und deren praktische diagnostische Bedeutung. Dtsch Z Gerichtl Med 28:128–134
Tornheim P, Liwnicz B, Hirch C, Brown D, McLaurin R (1983) Acute responses to blunt head trauma. J Neurosurg 59:431–438
Zugibe F, Costello J (1986) Identification of the murder weapon by intricate patterned injury measurements. J Forensic Sci 31:773–777
Saukko P, Knight B (2004) Knight’s forensic pathology, 3rd edn. Arnold, London
Lee RH, Gamble WB, Mayer MH, Manson PN (1997) Patterns of facial laceration from blunt trauma. Plast Reconstr Surg 99:1544–1554
Ankers J, Birkbeck AE, Thomson RD, Vanezis P (1999) Puncture resistance and tensile strength of skin simulants. Proc Inst Mech Eng (H) 213:493–501
Ambade V, Godbole H (2006) Comparison of wound patterns in homicide by sharp and blunt force. Forensic Sci Int 156:166–170
Murphy G (1991) Beaten to death: an autopsy series of homicidal blunt force injuries. Am J Forensic Med Pathol 12:98–101
Strauch H, Wirth I, Taymoorian U, Geserick G (2001) Kicking to death – forensic and criminological aspects. Forensic Sci Int 123:165–171
Ong T, Dudley M (1999) Craniofacial trauma presenting at an adult accident and emergency department with an emphasis on soft tissue injuries. Injury 30:357–363
Stron C, Nordenram A, Johanson G (1991) Injuries due to violent crimes: a study of police reported assaults during 1979, 1982 and 1985 in a police district of Stockholm, Sweden. Med Sci Law 31:251–258
Avis SP (1996) Homicide in Newfoundland: a nine-year review. J Forensic Sci 41:101–105
Rogde S, Hougen HP, Poulsen K (2003) Homicide by blunt force in two Scandinavian capitals. Am J Forensic Med Pathol 24:288–291
Henderson JP, Morgan SE, Patel F, Tiplady ME (2005) Patterns of non-firearm homicide. J Clin Forensic Med 12:128–132
Lo S, Aslam N (2005) Mechanisms and pattern of facial lacerations in the accident department. Int J Clin Pract 59:333–335
DiMaio V, DiMaio D (1993) Forensic pathology. CRC Press, Boca Raton
Henry T (2003) Blunt force injuries. In: Froede R (ed) Handbook of forensic pathology, 2nd edn. College of American Pathologists, Illinois
Pollak S, Saukko P (2000) Blunt injury. In: Siegel J, Saukko P, Knupfer G (eds) Encyclopaedia of forensic sciences. Academic Press, San Diego
Payne P (1991) Measurement of properties and function of skin. Clin Res Physiol Meas 12:105–129
Dunn MG, Silver FH (1983) Viscoelastic behaviour of human connective tissues: relative contribution of viscous and elastic components. Connect Tiss Res 12:59–70
Silver FH, Kato YP, Ohno M, Wasserman AJ (1992) Analysis of mammalian connective tissue: relationship between hierarchical structures and mechanical properties. J Long-term Effect Med Implants 2:165–198
Silver FH, Freeman JW, DeVore D (2001) Viscoelastic properties of human skin and processed dermis. Skin Res Tech 7:18–23
Gordon JE (1978) Structures. Plenum, New York
Bischoff JE, Arruda EM, Grosh K (2000) Finite element modeling of human skin using an isotropic, nonlinear elstic constitutive model. J Biomech 33:645–652
Daly CH (1982) Biomechanical properties of dermis. J Invest Dermatol 79(Suppl 1):17s–20s
Ashby MF, Gibson LJ, Wegst U, Olive R (1995) The mechanical properties of natural materials. 1 Material property charts. Proc Math Phys Sciences 450:123–140
Silver FH, Seehra GP, Freeman JW, DeVore D (2002) Viscoelastic properties of young and old human dermis: a proposed molecular mechanism for elastic energy storage in collagen and elastin. J Appl Polym Sci 86:1978–1985
Batisse D, Bazin R, Baldeweck T, Querleux B, Leveque JL (2002) Influence of age on the wrinkling capacities of skin. Skin Res Tech 8:148–154
Diridollou S, Black D, Lagarde JM, Gall Y, Berson M et al. (2000) Sex and site dependent variations in the thickness and mechanical properties of human skin in vivo. Int J Cosmet Sci 22:421–435
Berardesca E, DeRigal J, Leveque JL, Maibach HI (1991) In vivo biophysiological characterisation of skin physiological differences in races. Dermatologica 182:89–93
Wesley NO, Maibach HI (2003) Racial (ethnic) differences in skin properties. Am J Clin Dermatol 4:843–860
Rawlins AV (2006) Ethnic skin types: are there differences in skin structure and function? Int J Cosmet Sci 28:79–93
Langer K (1978) On the anatomy and physiology of the skin I. Cleavability of the cutis. Brit J Plastic Surg 31:3–8
Langer K (1978) On the anatomy and physiology of the skin II. Elasticity of the cutis. Brit J Plastic Surg 31:185–199
Byard RW, Gehl A, Tsokos M (2005) Skin tension and cleavage lines (Langer’s lines) causing distortion of ante- and postmortem wound morphology. Int J Legal Med 119:226–230
Doran CF, McCormack BAO, Macey A (2004) A simplified model to determine the contribution of strain energy in the failure process of thin biological membranes during cutting. Strain 40:173–179
Lawn BR, Wilshaw TR (1973) Indentation fracture: principles and applications. J Mater Sci 10:1049–1073
Shergold OA, Fleck NA (2004) Mechanisms of deep penetration of soft solids, with application to the injection and wounding of skin. Proc Roy Soc A Math Phys Eng Sci 460:3037–3058
Thali MJ, Kneubuehl BP, Dirnhofer R (2002) A skin-skull-brain model for the biomechanical reconstruction of blunt forces to the human head. Forensic Sci Int 125:195–200
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Kieser, J. et al. (2009). Understanding Craniofacial Blunt Force Injury: A Biomechanical Perspective. In: Tsokos, M. (eds) Forensic Pathology Reviews. Forensic Pathology Reviews, vol 5. Humana Press. https://doi.org/10.1007/978-1-59745-110-9_3
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DOI: https://doi.org/10.1007/978-1-59745-110-9_3
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