| Hyoid-laryngeal fractures in hanging: where was the knot in the noose? | |
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MedLine Citation:
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PMID: 21595417 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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The aims of this study were to determine the frequency of hyoid-laryngeal fractures in hanging in relation to the position of the ligature knot, to reconstruct the location of the ligature knot in cases of hanging when the furrow is not detectable on the skin, and to identify the possible mechanism of neck structure injuries. We report a retrospective autopsy study which included 557 cases of suicidal hanging: 413 men and 144 women, with an average age of 52.4 +/- 17.8 years. In 57.3% of them, hyoid-laryngeal fractures were found (average age was 54.3 +/- 16.5 years): 15.1% had only hyoid bone fracture, 26% had only thyroid cartilage fracture and 16.2% had both types of injury at the same time. Hyoid-laryngeal fractures were found more often in persons aged over 30 years. Hyoid bone fracture was a weak predictor of ligature knot position in our sample. Fracture frequencies of the thyroid cartilage show a statistically significant difference in relation to the ligature knot position among persons older than 30 years, which indicated the ipsilateral and posterior position of the knot. Absence or presence of any form of hyoid-laryngeal fracture indicated that knot position was anterior or posterior, respectively. The derived data would be useful for cases where the ligature has been removed from the body of the deceased shortly after hanging, where the noose is unavailable, and in cases where the ligature mark has faded such as with soft ligatures removed promptly or in decomposed bodies. |
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Authors:
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Slobodan Nikolić; Vladimir Zivković; Dragan Babić; Fehim Juković; Tatjana Atanasijević; Vesna Popović |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Medicine, science, and the law Volume: 51 ISSN: 0025-8024 ISO Abbreviation: Med Sci Law Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-05-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400721 Medline TA: Med Sci Law Country: England |
Other Details:
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Languages: eng Pagination: 21-5 Citation Subset: IM |
Affiliation:
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Institute of Forensic Medicine, School of Medicine, University of Belgrade, 11000 Belgrade, Serbia. bobanvladislav@yahoo.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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