X-ray identification of bones for forensic

ppiang505 62 views 80 slides May 19, 2024
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About This Presentation

X-ray films of bones for forensic identification. This is for medical students who have hard times to identify the male and female bones of the dead or living. In this slide show there are multiple slides as example for study before examination. For some it might be challenging to find the resources...


Slide Content

FINAL PART I MBBS
(Forensic Practical)
X-RAYS
Department of Forensic Medicine
University of Medicine Magway

X-RAYS PRESENTATION
1. ID
This is the X-rays film(s) of Mg … / Ma … / Unidentified
person, taken on Oct 15, 2015with X-rays number of
R-1234.
2. Views & purpose
The AP view of shoulder joint, AP & lateral views of
elbow joint and AP view of wrist joint including distal
phalanges were taken for the purpose of age
assessment.
2

X-RAYS PRESENTATION
3. Epiphyseal union sequence (find one seq: for Dx)
1. pisiform bone -is ossified* so the age is > 9 –10 yr
2.lat: epicondyle of humerus -is united * > 11–12
3. conjoint * 12 –13
4. prox: radius * 13–14
5. olecranon * 14–15
6.med: epi: of humerus/distal phalanges * 14.5 –15.5
7. mid: phal:/prox: phal:/base of 1
st
MC * 15 –16
8.Other four MC heads * 15.5 –16.5
9.prox: humerus * 16 –17
10. acromion * 16.5 –17.5
11.distal radius & ulna * 17 –18
12.lat: end of clavicle * 18 –20
3

X-RAYS PRESENTATION
3. Epiphysealunion sequence –Age Dx
1. not united ( <<< ) *below
2. partially united ( <<< ) *below
3. almost united ( === )* between
4. completely united ( >>> ) *above
4
Epiphyseal
union
may be

X-RAYS PRESENTATION
4. Opinion (Dx): in English / Myanmar
According to the findings of X-rays number R -……… taken on … … , …. ,
Ma … / Mg … / Unidentified Person is consistent with
1. a girl of age between ( ) and ( ) years.
2. a boy of age between ( ) and ( ) years.
?-?-?&ufae.wGif&dkuful;xm;aom"gwfrSeftrSwf(R -……… )tm; ppfaq;csuft&
1. r ... ... onftouf( ?eSpf-?eSpf) twGif;&Sd rdef;uav;wpfOD;ESihf
wlnDygonf/
2. armif... onftouf( ?eSpf-?eSpf) twGif;&Sd a,mufsm;av;wpfOD;ESihf
wlnDygonf/
3. trnfazmfNyrxm; olonf
touf( ?eSpf-?eSpf) twGif;&Sdrdef;uav;wpfOD; /
touf( ?eSpf-?eSpf) twGif;&Sd a,mufsm;av;wpfOD; ESihfwlnDygonf/
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1. PISIFORM
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2. LATERAL EPICONDYLE OF HUMERUS
8
2
4
5
6
3

3. CONJOINT
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4. PROXIMAL RADIUS
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5. OLECRANON PROCESS OF ULNA
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6. MEDIAL EPICONDYLE OF HUMERUS /
DISTAL PHALANGES
12

6. MEDIAL EPICONDYLE OF HUMERUS /
DISTAL PHALANGES
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7. MIDDLE & PROXIMAL PHALANGES
BASE OF 1stMP
14

8. MP HEADS
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9. PROXIMAL HUMERUS 10. ACROMION
16

11. DISTAL RADIUS & ULNA
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12. LATERAL END OF CLAVICLE
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Thank you !!!
19

FPI 2/2022
FORENSIC PRACTICAL: BONES ID
Department of Forensic Medicine
University of Medicine Magway

Bones Practical
Common Question:
ML Opinions after examination of a bone
1.ID -Sex and Age
2.Injury-Fracture
2

1. Skull
(1) ID: Sex
1. Forehead
2. SO Ridge*
3. FN Junction
4. Zygomatic Arch
5. Mastoid Process*
6. Occipital Protuberance*
7. Occipital Condyle
3

4
1
2
3
45

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6

7

8

(1) ID: Age
1. Vault Sutures -sagittal, coronal, lumbdoid
(22, 24, 26 –35, 41, 47)
2. C-M Sutures -M-O, M-P, S, S-T
(40 –70, 80)
3. Acc: Sutures -S-P, S-F
(30 –65)
4. Basal Suture -Suture b/t B-S and B-O
(> 25)
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10

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12
M
P
O
Sq: T
Sph
P
F

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1. SEX
1. General features
2. Breadth*
3. Angle*
4. Shape*
5. Height of symphysis menti
2. AGE
1. Level of mental foramen
2. Level of 2 processes
3. Angle b/t body and ascending rami
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16

17

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20

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1. SEX
1. Sub-pubic angle*
2. Sacral promontory
3. Greater sciatic notch*
4. Pre-auricular sulcus*
5. Ischialspine
22

2. AGE
1. Bony union of ischialtuberosity-17-18
2. Bony union of iliac crest -20-22
3. SESSP ( Symphysealsurface )
a. billowy surface -20-25
b. dorsal lipping -25-35
c. joint lipping -40-50
d. oval & smooth surface -> 50
with osteoporosis
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26

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Line of Union = The groove between crest & margin

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SEX
1. Shape*
2. Curvature*
3. Articular surface
4. C-B index ( M -45 / F -40.5 )
5. C-B ratio*
6. Alae
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THANK YOU !!!
37

FPI 2/2022
FORENSIC PRACTICAL: Bone Fractures
Department of Forensic Medicine
University of Medicine Magway

Bones Practical
Common Question:
ML Opinions after examination of a bone
1.ID -Sex and Age
2.Injury-Fracture
2

Types of Skull Fractures ( Def: of # )
1. Linear # (Sutural separation)
2. Comminuted # (Skull Defect)
3. Depressed # (Skull Defect)
(1) Circular D
(2) Oval D
(3) Triangular D
(4) Gutter-shaped D
(5) Angled-based D
(6) Irregular D
4. Incised # ( Elevated # ) (Skull Defect)
5. Punctured # ( GSW # ) (Skull Defect)
6. Basal # ( ACF, MCF, PCF )
3

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THANK YOU !!!
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