Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact

dc.contributor.advisorMole, Calvin
dc.contributor.advisorHeyns, Marise
dc.contributor.authorEmrith, Toshika Sheshna
dc.date.accessioned2020-02-28T12:12:26Z
dc.date.available2020-02-28T12:12:26Z
dc.date.issued2019
dc.date.updated2020-02-28T08:47:00Z
dc.description.abstractBlunt force trauma may result from homicide and assault cases, child abuse and motor vehicle accidents. Such incidents often result in skeletal trauma. Trauma to the lower limbs due to bending forces often involves a fracture pattern known as a butterfly or wedge fracture. Forensic analysis of the butterfly fracture aids in the establishment of directionality of the force applied. Currently, forensic anthropologists employ a method dictating that the base of the butterfly fragment pertains to the side of impact, while the apex of the fragment pertains to the opposite side of impact. Recent studies have demonstrated that this theory leads to erroneous forensic reconstructions as it assumes that all butterfly fractures are produced due to bone failing in tension. Furthermore, it requires the presence of a detached piece in order to be applicable, which is also the case for other proposed methods. The current study explores the biomechanics involved in the production of butterfly fractures by conducting 3-point bending impacts through a drop apparatus. It also investigates the accuracy of current and proposed forensic methods and aims at establishing a more reliable method of inferring directionality from the fracture pattern. From the sample fractured in this study, 11.8% of the fractures produced were tension wedges and 14.7% were compression wedges. When applying the existing methods of inferring directionality to the fractured sample, the accuracies ranged from 5.9% to 59%, while the method developed during this study achieved an accuracy of 97.1%. These results highlight the need of considering compression wedges during forensic reconstructions and understanding the impact of employing methods conceptualised on the assumption that all butterfly wedges are produced in tension.
dc.identifier.apacitationEmrith, T. S. (2019). <i>Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact</i>. (). ,Faculty of Health Sciences ,Department of Pathology. Retrieved from http://hdl.handle.net/11427/31392en_ZA
dc.identifier.chicagocitationEmrith, Toshika Sheshna. <i>"Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact."</i> ., ,Faculty of Health Sciences ,Department of Pathology, 2019. http://hdl.handle.net/11427/31392en_ZA
dc.identifier.citationEmrith, T.S. 2019. Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact. . ,Faculty of Health Sciences ,Department of Pathology. http://hdl.handle.net/11427/31392en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Emrith, Toshika Sheshna AB - Blunt force trauma may result from homicide and assault cases, child abuse and motor vehicle accidents. Such incidents often result in skeletal trauma. Trauma to the lower limbs due to bending forces often involves a fracture pattern known as a butterfly or wedge fracture. Forensic analysis of the butterfly fracture aids in the establishment of directionality of the force applied. Currently, forensic anthropologists employ a method dictating that the base of the butterfly fragment pertains to the side of impact, while the apex of the fragment pertains to the opposite side of impact. Recent studies have demonstrated that this theory leads to erroneous forensic reconstructions as it assumes that all butterfly fractures are produced due to bone failing in tension. Furthermore, it requires the presence of a detached piece in order to be applicable, which is also the case for other proposed methods. The current study explores the biomechanics involved in the production of butterfly fractures by conducting 3-point bending impacts through a drop apparatus. It also investigates the accuracy of current and proposed forensic methods and aims at establishing a more reliable method of inferring directionality from the fracture pattern. From the sample fractured in this study, 11.8% of the fractures produced were tension wedges and 14.7% were compression wedges. When applying the existing methods of inferring directionality to the fractured sample, the accuracies ranged from 5.9% to 59%, while the method developed during this study achieved an accuracy of 97.1%. These results highlight the need of considering compression wedges during forensic reconstructions and understanding the impact of employing methods conceptualised on the assumption that all butterfly wedges are produced in tension. DA - 2019 DB - OpenUCT DP - University of Cape Town KW - Biomedical Forensic Science LK - https://open.uct.ac.za PY - 2019 T1 - Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact TI - Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact UR - http://hdl.handle.net/11427/31392 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/31392
dc.identifier.vancouvercitationEmrith TS. Understanding the mechanism of injury associated with long bone fractures through dynamic bending impact. []. ,Faculty of Health Sciences ,Department of Pathology, 2019 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/31392en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Pathology
dc.publisher.facultyFaculty of Health Sciences
dc.subjectBiomedical Forensic Science
dc.titleUnderstanding the mechanism of injury associated with long bone fractures through dynamic bending impact
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPhil
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