一个在蹦床上跳跃的儿童胫腓骨骨干骨折的罕见病例。通过对X射线数据和案例资料进行的综合分析防止专家错误的方法：临床病例
- 作者: Li Y.B.1,2, Vishniakova M.V.1, Klevno V.А.1
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隶属关系:
- Moscow Regional Research Clinical Institute
- Primorsky Regional Bureau of Forensic Medical Examination
- 期: 卷 9, 编号 2 (2023)
- 页面: 193-199
- 栏目: CASE REPORTS
- URL: https://journals.rcsi.science/2411-8729/article/view/133098
- DOI: https://doi.org/10.17816/fm5955
- ID: 133098
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全文:
详细
鉴于儿童外伤对儿童一般健康问题的重要贡献，在法医学检验中确定骨折，特别是胫腓骨骨干骨折的确切机理是非常重要的，因为身体损伤机理的具体化显示外伤原因，并允许制定一套预防措施，以防止这些情况的发生，此外，有时允许在参与案件的人之间准确地分配责任。
在本病例中，伤患和她的法定代表人所描述的身体受到伤害的情况与蹦床运动中骨折的类型和性质不一致，闭路电视录像也没有提供关于伤害的具体条件的全部信息。然而，对所提供的医疗文件、X光片、调查获得的数据进行的综合分析允许确定胫腓骨骨干骨折的形成机理，反驳伤患及其法定代表人所指出的情况下的实现条件，从而解决调查部门关心的主要问题。
对于“蹦床受伤”来说，该孩子的胫腓骨骨干骨折是不典型的，这可能是专家在确定其发生机理方面出错的原因，但对所有提交检验的对象（医疗文件，包括X射线数据、案例资料）进行的彻底综合评估，考虑到孩子骨组织形态学的年龄特征，允许确定骨折的确切机理。
作者简介
Yulia B. Li
Moscow Regional Research Clinical Institute; Primorsky Regional Bureau of Forensic Medical Examination
编辑信件的主要联系方式.
Email: reineerdeluft@gmail.com
ORCID iD: 0000-0001-7870-5746
SPIN 代码: 2397-7425
MD
俄罗斯联邦, Moscow; VladivostokMarina V. Vishniakova
Moscow Regional Research Clinical Institute
Email: cherridra@mail.ru
ORCID iD: 0000-0003-3838-636X
SPIN 代码: 1137-2991
MD, Dr. Sci. (Med.)
俄罗斯联邦, MoscowVladimir А. Klevno
Moscow Regional Research Clinical Institute
Email: vladimir.klevno@yandex.ru
ORCID iD: 0000-0001-5693-4054
SPIN 代码: 2015-6548
MD, Dr. Sci. (Med.), Professor
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