1st Edition

Forensic Pathology of Fractures and Mechanisms of Injury
Postmortem CT Scanning

ISBN 9781439881484
Published December 6, 2011 by CRC Press
273 Pages 381 Color Illustrations

USD $240.00

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Book Description

Practitioners of forensic medicine have various tools at their disposal to determine cause of death, and today’s computed tomography (CT) can provide valuable clues if images are interpreted properly. Forensic Pathology of Fractures and Mechanisms of Injury: Postmortem CT Scanning is a guide for the forensic pathologist who wants to use CT imaging to assist in determining the mechanism of injury that might have contributed to death.

Advice from a forensic pathologist using CT images in daily practice

Drawn from the author’s work at the Victorian Institute of Forensic Medicine, the book presents an overview of his experience with CT in routine casework, provides an appraisal of the literature with respect to fractures, and offers suggestions for the evaluation of CT images by pathologists. He then suggests what reasonable conclusions can be drawn from the images, the circumstances surrounding the death, and an external examination of the deceased.

Includes images and case studies

Enhanced with hundreds of CT images that clarify the text and case studies to put the material in context, the book begins by discussing classification of injuries and different types of fractures. It then explores the basics of CT. Next, the book gives a head-to-toe catalogue of various injuries and how they are represented on a CT scan. Finally, the book explores the use of CT in difficult forensic cases such as decomposed and burnt remains, falls, child abuse, and transportation incidents.

While not intended to make a forensic pathologist an expert at CT image interpretation, the book enables these professionals to become familiar with the technology so they can competently use it in their practice, heightening the accuracy of their cause of death determinations.

Table of Contents

Introduction of Computed Tomography (CT) into Routine Forensic Pathology Practice
The Victorian Model
The Introduction of Postmortem CT
Current Victorian Institute of Forensic Medicine (VIFM) System
Decision-Making Process
Cause of Death
Family Contact Program
CT in Trauma
CT in Tissue Donation
Errors in CT Diagnosis by Forensic Pathologists
Proficiency Standard of Forensic Pathologists in Analysis of CT Images
CT Education for Forensic Pathologists
Deficiencies of CT in Routine Forensic Practice
Practical Issues in the Use of CT in Routine Forensic Practice
Illustrative Case Studies
Classification of Injuries
Types of Skin Injury
Other Skin and Soft Tissue Injuries
Inflammation and Artifacts
Postmortem Insect Predation
The Forensic Importance of Skin Injuries
Case Study
Anatomy of Bone
Pediatric Fractures
Case Study
Computed Tomography
Basic Principles of CT
Evolution of CT Scanning
Reconstruction in CT Scanning
The Detection of Foreign Materials by MDCT
Practical Issues in CT Scanning
Artifacts in CT Scanning
Fracture Diagnosis
Pediatric Fractures and CT
Practical Guidelines for Forensic Pathologists Reading CT Scans
Common Fracture Complications Seen on CT
Head: Skull, Face, and Hyoid Bone
Facial Fractures
Vertebral Column
Cervical Spine
Thoracolumbar Spine
The Concept of the Three Spinal Columns
Cervicothoracic Junction
Thoracolumbar Spine
CT Diagnosis of Thoracolumbar Fractures
Forensic Issues in Thoracolumbar Fractures
Upper Limbs
Carpal Bones
Metacarpals and Phalanges
Shoulder Dislocation
Elbow Fracture Dislocation
Wrist Fracture Dislocation
Forensic Aspects of Upper Limb Injury
Avulsion Fractures
Pediatric Pelvic Fractures
CT Diagnosis of Pelvic Fractures
Forensic Aspects of Pelvic Fractures
Case Study 1
Case Study 2
Case Study 3
Lower Limbs
Forensic Issues in Fractures to the Lower Leg
Fractures Involving the Foot
Joint Injury to the Lower Leg
The Use of CT in Difficult Forensic Cases
Decomposed and Burnt Remains
Child Abuse
Transportation Incidents
Concluding Remarks

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Michael P. Burke has been a consulting forensic pathologist for 18 years and has performed 12,500 autopsies. He has worked in Kosovo as part of the United Nations investigation of war crimes and was part of the team investigating the Port Arthur massacre in Hobart, Tasmania.