Determination of the sequence of gunshot wounds of the skull

Madea, Burkhard; Staak, M

doi:10.1016/s0015-7368(88)72858-3

Cited by 27 publications

(17 citation statements)

References 11 publications

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“…On a gross level the latter are generally consistent with results obtained by Thali et al [1,2,3]. The spheres shot with modern rifles in the current study compare favourably with published examples of modern cranial gunshot trauma [20,21,25,30,31,32,33,34]. The black powder carbine produced patterns of damage consistent with archaeological examples interpreted as archaic firearms trauma including an example from the Netherlands dating from 1571 [35] two examples from Zürich from 1799 [36] and several recovered from the site of the Battle of the Little Bighorn, 1876 [37,38].…”

Section: The Bigger Picturesupporting

confidence: 92%

Fantastic plastic? Experimental evaluation of polyurethane bone substitutes as proxies for human bone in trauma simulations

Smith

James²,

Pover³

et al. 2015

Legal Medicine

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Section: The Bigger Picturesupporting

confidence: 92%

Fantastic plastic? Experimental evaluation of polyurethane bone substitutes as proxies for human bone in trauma simulations

Smith

James²,

Pover³

et al. 2015

Legal Medicine

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“…Puppe's Rule, established by the German forensic pathologist Puppe in 1903 [1], states that when two or more fracture lines of the skull produced by different blunt forces intersect, it is possible to reconstruct the sequence of injuries [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

“…In other words, the fracture lines produced by subsequent impacts are arrested at pre-existing fractures of the skull (Fig. 1) [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Intersecting fractures of the skull and gunshot wounds. Case report and literature review

Viel

Gehl

Sperhake

2008

Forensic Sci Med Pathol

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When two fracture lines of a solid surface (ice, glass, eggshell, etc.) intersect, it is always possible to tell which one has been made first. Indeed pre-existing damage of the surface arrests all the fracture lines produced by subsequent impacts. This well-known principle (established by Puppe in 1903) has been largely used in glass fracture analysis, but can be applied also to the examination of skull fractures. It can help sequencing blunt force or gunshot injuries determining the direction of fire and differentiating entrance from exit wounds in the absence of specific distinguishing features (i.e., internal/external beveling of the skull or overlying skin indicators). In this context, we report the case of a 76-year-old man who shot himself in the mouth with a Walther PPK 7.65 handgun and highlight the utility of the application of both Puppe's Rule and Multislice Computed Tomography (MSCT) in the examination of gunshot wounds to the skull.

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“…77 Some helpful rules should be borne in mind by the forensic radiologist when interpreting skull trauma: -Puppe's rule, which applies when two blunt force injuries with intersecting fractures are visible. 78,79 It states that the fractures from the first injury develop normally, whereas those caused by the subsequent injury are stopped where the structure of the skull has already been damaged. Although multiple gunshot wounds of the skull are much more difficult to analyse than blunt-instrument wounds, the sequence of the shots can sometimes be determined from the pattern of radial fracture lines.…”

Section: Identification Of Lesions On Skeletal Remainsmentioning

confidence: 99%

Virtual anthropology and forensic identification using multidetector CT

Dédouit

Savall²,

Mokrane³

et al. 2014

BJR

110

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Virtual anthropology is made possible by modern cross-sectional imaging. Multislice CT (MSCT) can be used for comparative bone and dental identification, reconstructive identification and lesion identification. Comparative identification, the comparison of ante-and post-mortem imaging data, can be performed on both teeth and bones. Reconstructive identification, a considerable challenge for the radiologist, identifies the deceased by determining sex, geographical origin, stature and age at death. Lesion identification combines virtual autopsy and virtual anthropology. MSCT can be useful in palaeopathology, seeking arthropathy, infection, oral pathology, trauma, tumours, haematological disorders, stress indicators or occupational stress in bones and teeth. We examine some of the possibilities offered by this new radiological subspeciality that adds a new dimension to the work of the forensic radiologist. A multidisciplinary approach is crucial and involves communication and data exchange between radiologists, forensic pathologists, anthropologists and radiographers.Virtual autopsies are currently becoming increasingly common worldwide in forensic medicine.1 Use of multislice CT (MSCT) or multidetector CT (MDCT) before classic medicolegal autopsy gives the forensic pathologist considerable information on injuries and cause of death.2 A recent advance in forensic imaging is post-mortem CT angiography, which yields further information on soft tissues and visceral and vascular injuries. Modern cross-sectional imaging can be used in virtual anthropological studies as well as in virtual autopsy. 4 In biological anthropology, it can be applied to compare bone or dental criteria between species. An important application is forensic anthropology, to obtain positive identification of an unknown decedent. The introduction of imaging in anthropology is of course not new, and many radiographic applications have been already described and published.In virtual anthropology, teeth and bones can be studied by MRI or by MSCT. MRI has numerous applications, 5,6 and it will certainly become an important tool in forensic study of the living, particularly for age assessment. This technique presents many advantages compared with MSCT, and, like ultrasound, it is X-ray free. However, access to MRI in thanatology is currently difficult, mainly because of limited time availability of the machine.The wide range of possibilities offered by MSCT may seem bewildering to a non-radiologist! If an MSCT examination is to give optimal results, many technical conditions must be adhered to in terms of image quality, spatial resolution and contrast. If not, the final images may even be unusable, in particular, for analysis of fine trabecular bone lesions (Figure 1). The initial CTmust be performed with appropriate voltage, amperage, field of view and slice thickness. After acquisition, reconstruction time is critical. Choice of thickness and interval and choice of filters influence voxel size and the possibility of radiological interpretation...

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Determination of the sequence of gunshot wounds of the skull

Cited by 27 publications

References 11 publications

Fantastic plastic? Experimental evaluation of polyurethane bone substitutes as proxies for human bone in trauma simulations

Fantastic plastic? Experimental evaluation of polyurethane bone substitutes as proxies for human bone in trauma simulations

Intersecting fractures of the skull and gunshot wounds. Case report and literature review

Virtual anthropology and forensic identification using multidetector CT

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