A radiographic assessment of pediatric fracture healing and time since injury.

Past studies and pediatric bone physiology indicate that younger individuals may heal at a faster rate. Additionally, in adults upper limb fractures heal faster than lower limb fractures; this trend is expected for pediatric fractures. This study aims to evaluate and compare rates of fracture repair in children based on age and skeletal element. Six stages are used to describe the bone repair process in 294 radiographs of tibial and radial fractures from 107 infants and young children. Healing rates are examined using ANOVA and Welch's t-test with a 95% confidence interval. Results indicate that younger individuals spend less time at stage 1, suggesting a delay in the start of healing. Furthermore, forearm fractures heal faster than leg fractures at stages 2 and 3, suggesting a role in the osseous reaction of bone healing. The healing schedule presented may allow the timing of injuries to be estimated from radiographs.

An analysis of human skeletal remains with cerebral palsy: associated skeletal age delay and dental pathologies.

In 2002 the authors were asked to examine the skeletal remains of an individual with a known history of severe cerebral palsy (CP) who was 21-23 years old at death. Skeletal age estimates of 11-15 years and dental age estimates of c. 16 years are younger than the known age of the decedent. Skeletal analysis also identified dental pathologies such as chronic tooth grinding and substantial calculus deposits. Scarce literature exists on forensic human remains cases with CP, and this study contrasts the age discrepancy and other features of this case with typical clinical characteristics of CP. A review of the CP literature suggests that delayed skeletal maturation and dental pathologies such as those observed in this case are indicative of complications related to CP. This article may alert future investigators to some of the osteological signs of CP and the probability that age indicators may be misleading.

Skull-photo superimposition and border deaths: identification through exclusion and the failure to exclude.

We report on the application of video skull-photo superimposition as an identification method in a case from Ajo, Arizona in which five individuals died after crossing into southern Arizona from Mexico. Initial analyses at the Pima County Forensic Science Center in Tucson, Arizona determined that the disarticulated skeletal remains represented two adult Hispanic males and three adult Hispanic females. Based on biological profiles, both the males and one of the females were tentatively identified and assigned names. The other two females were too similar in age and height, making skeletal separation and identification difficult. As a result, the Michigan State University Forensic Anthropology Laboratory assisted in the identification efforts by performing video skull-photo superimposition on the two unknown females. The skulls were compared to a photograph reported to be one of the missing females. By evaluating facial proportionality and by comparing a number of morphological features of the face and skulls, one skull was excluded as a possible match and one skull was not excluded as a match to the antemortem photo. Because this case was presumed to be a closed disaster, the exclusion of one skull and the failure to exclude the other represented circumstantial identifications.

Test of the Lamendin aging method on two historic skeletal samples.

The Lamendin aging method involves the quantification of root translucency and the attachment position of the periodontal membrane. It was developed using recent medical-examiner specimens, and was tested on modern skeletal samples such as the Terry Collection (Lamendin et al. [1992] J. Forensic Sci. 37:1373-1379; Prince and Ubelaker [2002] J. Forensic Sci. 47:107-116). The method may be one of the most useful for estimating age after the mid-30s. The current study is an evaluation of the Lamendin criteria on two historic skeletal samples from Britain. Both the Christ's Church Spitalfields and St. Bride's Church collections represent documented skeletal samples that were interred in the 18th and 19th centuries. In total, 1,188 teeth from 220 adult individuals were examined from these two collections. The Lamendin method requires measuring total root length (cementoenamel junction to apex), gingival regression (cementoenamel junction to periodontal ligament attachment), and root translucency (root apex to maximum level of root translucency) on the labial surface of single-rooted teeth. Our results indicate that postmortem factors affect the applicability of the Lamendin technique to archaeological and historical samples. In particular, root translucency disappears with time, or is obscured by unknown postmortem taphonomic effects related to the length of interment or postmortem environment. Thirty-five percent of our sample showed no root translucency, indicating that caution is required when applying this method to archaeological or historical remains. The mean error of age estimates for Spitalfields and St. Bride's was higher than in the original study of Lamendin et al. ([1992] J. Forensic Sci. 37: 1373-1379), and higher than in the test by Prince and Ubelaker ([2002] J. Forensic Sci. 47:107-116) of the Lamendin method on the Terry Collection.

Radiographic human identification using bones of the hand: a validation study.

The 1993 Supreme Court case Daubert v. Merrell-Dow Pharmaceuticals, Inc. underscores the importance of validating forensic science techniques. This research examines the validity of using posterior-anterior radiographs of the hand to make positive identifications of unknown human remains. Furthermore, this study was constructed to satisfy the requirements of Daubert's guidelines of scientific validity by establishing a standard methodology for hand radiograph analysis, testing the technique, and noting rates of error. This validation study required twelve participant examiners from the forensic science community, working independently, to attempt to match 10 simulated postmortem radiographs of skeletonized hands to 40 simulated antemortem radiographs of fleshed cadaver hands. The overall accuracy rate of the twelve examiners was 95%, while their collective sensitivity and specificity were 95% and 92%, respectively. However, the accuracy of each examiner was related to the amount of radiological training and experience of the observer. Six Ph.D. forensic anthropologists and four experienced forensic anthropology graduate students correctly identified all the matches. Participant examiners noted bone morphology, trabecular patterns of the proximal and middle phalanges, and distinctive radiopaque and radiolucent features as the anatomical features that aided the identification process. The hand can be an important skeletal element for radiographic positive identification because it contains 27 individual bones for comparative analysis.

Symmetrical fracturing of the skull from midline contact gunshot wounds: reconstruction of individual death histories from skeletonized human remains.

This paper reports a bilaterally symmetrical cranio-facial fracture pattern that is observed in self-inflicted, midline gunshot wounds. Five cases of self-inflicted gunshots wounds are presented as follows: two high-powered rifle cases, two shotgun cases, and one handgun case. In all five cases the remains were either decomposing or skeletonized and submitted to forensic anthropologists. Following identification, the main focus of the anthropological examination was the analysis of perimortem trauma to the skeleton. In each case, the skull was submitted in a highly fragmented state. Nevertheless, by focusing on the pattern of perimortem cranio-facial fractures, the anthropologists contributed key information regarding the circumstances of death. The observed symmetrical cranio-facial fracture patterns in the above cases are described in detail and interpreted. The specific location of the linear fractures is discussed, as well as the theoretical rationale behind the location in terms of skeletal architecture, such as buttresses, struts, and sutures. The interpretive framework provided by this paper may prove helpful to others who are faced with similar cases of cranio-facial fracturing.