Document Detail


Pattern of skeletal injuries in cases of falls from a height.
MedLine Citation:
PMID:  18069539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Differentiating the injuries exclusively due to falls from a height is difficult if no proper history is provided. Some clinical studies and case reports have been published on the subject, but an autopsy-based approach to the subject is missing in the literature of recent decades. A retrospective study was carried out on 80 cases of fatal falls from a height brought for autopsy. In selected instances police reports, suicide notes, medical records and scene photographs were reviewed. The principal aim was to look for a pattern of skeletal injuries formed as a result of falls from a height. The majority of the victims were male, aged between 20-30 years and labourers by occupation. Most of them fell from a height of 0-10 feet. The head is the most vulnerable structure with fractures of the vertex being common. As the height of falls increases, fractures of the ribs and sternum are also found. Finally, it is concluded that falls on the head are more likely and the most fatal of all. However, it cannot be taken as a sole indicator of the manner of death. Risk assessment should be carried out before any work at a height is undertaken.
Authors:
V T Venkatesh; M V Pradeep Kumar; S R Jagannatha; R H Radhika; K Pushpalatha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicine, science, and the law     Volume:  47     ISSN:  0025-8024     ISO Abbreviation:  Med Sci Law     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-12-11     Completed Date:  2008-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400721     Medline TA:  Med Sci Law     Country:  England    
Other Details:
Languages:  eng     Pagination:  330-4     Citation Subset:  IM    
Affiliation:
Department of Forensic Medicine, Kempegowda Institute of Medical Sciences, V. V. Puram, Bangalore, Karnataka, India 560 004. pradi003@rediffmail.com
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / mortality*
Adolescent
Adult
Aged
Altitude*
Autopsy
Cause of Death
Child
Diagnosis, Differential
Female
Fractures, Bone / epidemiology,  pathology
Humans
India / epidemiology
Male
Middle Aged
Wounds and Injuries / pathology*
Wounds, Nonpenetrating / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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