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Discrimination between falls and blows from the localization and the number of fractures on computed tomography scans of the skull and the trunk

dc.contributor.authorHenriques, Mélanie
dc.contributor.authorSaliba-Serre, Bérengère
dc.contributor.authorMartrille, Laurent
dc.contributor.authorBlum, Alain
dc.contributor.authorChaumoître, Kathia
dc.contributor.authorDonato, Paulo
dc.contributor.authorCampos, Nuno
dc.contributor.authorCunha, Eugénia
dc.contributor.authorAdalian, Pascal
dc.date.accessioned2023-10-20T16:29:54Z
dc.date.available2023-10-20T16:29:54Z
dc.date.issued2023
dc.description.abstractThe distinction between falls and blows is a common and difficult task in forensic sciences. One of the most often used criteria to address this issue is the hat brim line (HBL) rule, which states that fall-related injuries do not lie above the HBL. Some studies, however, have found that the use of HBL rule is not so relevant. This study assesses the aetiologies, the number of fractures, and their location on the skull and the trunk in a sample of 400 individuals aged 20–49 years, which were CT scanned after traumas. This may facilitate the interpretation of such injuries in skeletonized or heavily decomposed bodies in which soft tissues are no longer available. Our aim is to improve the distinction rate between falls and blows by combining several criteria and assessing their predictability. Skeletal lesions were analysed using retrospective CT scans. Cases selected comprise 235 falls and 165 blows. We registered the presence and the number of fractures in 14 skeletal anatomical regions related to the two different aetiologies. We showed that the HBL rule should be used with caution, but there is nevertheless a possibility of discussing the aetiology of blunt fractures. Possibly, parameters like the anatomical location and the number of fractures by region can be used to distinguish falls and blows.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationHenriques, M., Saliba-Serre, B., Martrille, L., Blum, A., Chaumoître, K., Donato, P., Campos, N., Cunha, E., & Adalian, P. (2023). Discrimination between falls and blows from the localization and the number of fractures on computed tomography scans of the skull and the trunk. Forensic sciences research, 8(1), 30–40.pt_PT
dc.identifier.doi10.1093/fsr/owad006pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/47376
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.relation.publisherversionhttps://academic.oup.com/fsr/article/8/1/30/7074160pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectForensic Sciencespt_PT
dc.subjectBlunt Force Traumapt_PT
dc.subjectSkeletal Fracturespt_PT
dc.subjectCT scanpt_PT
dc.titleDiscrimination between falls and blows from the localization and the number of fractures on computed tomography scans of the skull and the trunkpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceOxfordpt_PT
oaire.citation.endPage40pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage30pt_PT
oaire.citation.titleForensic Sciences Researchpt_PT
oaire.citation.volume8pt_PT
person.familyNameCunha
person.givenNameEugénia
person.identifierhttps://scholar.google.pt/citations?user=HSGHLA0AAAAJ&hl=en
person.identifier.ciencia-idE717-5464-E13B
person.identifier.orcid0000-0003-2998-371X
person.identifier.scopus-author-id190305008042
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication32c59c7d-e7f2-4023-91a0-677db952e161
relation.isAuthorOfPublication.latestForDiscovery32c59c7d-e7f2-4023-91a0-677db952e161

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