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Simple Summary: Donkey slaughter in Ghana was assessed through observing human–animal interactions prior to slaughter, and different methods of slaughter (slaughter without pre-stunning and two different methods of blunt force trauma to the head) were evaluated. Animals were hit multiple times by personnel during handling and movement. At slaughter, animals killed through neck cutting without pre-stunning showed signs of consciousness up to a mean time of 96.5 s. Animals experiencing blunt force trauma to the head took up to 166.9 s to lose consciousness when using a wooden pole. This method was five times more likely to be ineffective compared to blunt force trauma with a metal hammer. This study shows that donkeys in Ghana currently experience welfare compromise during all stages of the slaughter process; in particular, through aversive handling practises and ineffective slaughter methods, which delay the time to loss of consciousness and potentially increase suffering. Donkey slaughter in West Africa has received limited scientific attention, despite increasing over recent years. This study aimed to explore factors affecting donkey welfare, both ante-mortem and at slaughter, in the Upper East region of Ghana. A total of 134 donkeys at five different slaughter points were assessed using animal-based indicators. Slaughter involved either blunt force trauma (BFT) using a wooden pole (1 location) or a metal hammer (2 locations); or non-stun ventral neck incision (VNI) (2 locations). Time to loss of consciousness (or return) was assessed, with behavioural and brainstem signs of sensibility/consciousness. Negative human–animal interactions occurred ante-mortem, with animals struck multiple times and handled using aversive methods. Donkeys hit on the head with the wooden pole were five times more likely to be ineffectively concussed (p < 0.001, OR: 5.4, CI: 1.9–15.4) compared to the hammer and took significantly longer to lose consciousness (p < 0.001). The mean time to loss of corneal reflex for those hit by wooden pole was 166.9 s (SD 21.1; range: 79–425 s), compared to just one animal displaying corneal reflex for 59 s after being hit by metal hammer. For those animals slaughtered through VNI, corneal reflex was observed for a mean time of 96.5 s (SD 4.3, range 26–164 s). The findings of this study highlight major concerns regarding the methods used for donkey slaughter in the Upper East region in Ghana, particularly regarding aversive ante-mortem handling and prolonged time to loss of consciousness during VNI and ineffective BFT in inducing unconsciousness by concussion. [ABSTRACT FROM AUTHOR]

Traumatic hemorrhage of the thyroid gland resulting from blunt injury to the neck is a very rare event. Particular neck positions can expose the thyroid to trauma, especially in motor vehicle collisions, falls, direct blows, or sport activities. Preexisting conditions such as goiters, adenomas, and cysts can increase the risk of bleeding, reducing the force required to rupture the gland and make the thyroid more prone to injury. The authors report the case of a 53-year-old man who was involved in a fire while working on maintenance of a liquid petroleum gas (LPG)–powered car. He subsequently presented to the emergency department with painful swelling of his right anterior neck with a palpable mass. CT scan showed a right thyroid hemorrhagic cyst. The worker reported that he had jumped into the car trunk to extinguish the fire and covered the gas tank nozzle with his own body to prevent dispersal of the accelerant. In this case, the medico-legal evaluation was useful to delineate between natural and traumatic causes of the injury. Medico-legal assessment is key in understanding the dynamics involved in work-related events to identify any legal responsibilities of the worker or the employer. [ABSTRACT FROM AUTHOR]

Bone density is one of many interacting variables that influence fracture initiation and propagation. Thus, average density values of the human neurocranium are an important consideration in skull trauma interpretation. However, neurocranial bone density has not previously been systematically evaluated. This study aimed to develop reference ranges for average neurocranial bone density and correlate this density with previously recorded average bone thickness. Using post-mortem computed tomography head scans of 604 deceased individuals, bone density (Hounsfield units) was measured at 20 locations across the neurocranium. Descriptive and inferential statistics were applied to establish bone density means; assess how age, sex and ancestry interact with density, and correlate density with thickness means. Mean density ranged from 78 Hu (mastoid process) to 1323 Hu (temporal squama); age, sex and ancestry significantly affected density, and a moderate negative correlation was found between density and thickness. Subsequently, reference measurements for density are presented here by age, sex and ancestry and are based upon a 95% confidence interval about the mean. These data provide a baseline for neurocranial density measurements that may be of use to forensic practitioners to assess if a cranium is of average (within the interval) or atypical (outside the interval) density. [ABSTRACT FROM AUTHOR]

Forensic anthropologists play a key role in skeletal trauma analysis and commonly use macroscopic features to distinguish between trauma types. However, this approach can be challenging, particularly in cases of highly comminuted or incompletely recovered fractures. Histological analysis of microscopic fracture characteristics in fractured bones may thus help provide additional information on trauma type and bone fracture biomechanics in general. This study analysed the extent of microcrack damage to osteons in long bones with blunt force trauma (BFT) and gunshot trauma (GST), from both traumatic death cases and post-mortem experimental fractures. We identified four types of osteonal damage (OD). In traumatic death cases, OD affecting the inside of the osteon and compromising the Haversian canal (type 1) was found to be indicative of BFT. Moreover, OD affecting the cement line (type 3) and interstitial lamellae (type 4) was more common in the GST samples. OD affecting the inside of the osteon without compromising the Haversian canal (type 2) was not found to be indicative of either trauma type. In cases of experimental fractures, our study revealed that post-mortem fractures in dry bone samples featured the highest amount of OD, particularly of type 4. This study also found that the experimentally produced GST featured similar OD patterns to GST death cases. These findings support our hypothesis that there are distinct osteonal damage patterns in human long bones with BFT and GST, which are of relevant value for trauma analysis in forensic anthropology. [ABSTRACT FROM AUTHOR]

Nasal fracture is the most common type of facial fracture in modern populations and is usually related to interpersonal violence. Nevertheless, this type of injury has been scarcely studied in bioanthropological field. In this study, it was characterized and discussed the oldest known Southern Patagonia individual presenting nasal fracture, among other lesions, most probably resulting from interpersonal violence. We reanalysed the individual 2 from Orejas de Burro 1 site dated from Late Holocene, the nasal fossae and other skull bones to study nasal fractures using a recent method developed by Magalhães et al. (2020). Orejas de Burro 1 -2- presented nine fractures, four of them in the nasal area and showing different timing: one postmortem, two perimortem, and one antemortem. The other facial lesions consisted of four diastatic fractures and one in the fragile septum. The individual presented a high-energy injury resulting in intense bone disruption and displacement of nasal and facial bones produced by a lateral blow, which may be related to an episode of interpersonal violence. While some likely options are regionally known, it is highly difficult to assess the cause of the injury and the blunt object associated with this episode since there is a situation of equifinality. This is the oldest known record case reported of a nasal fracture in Southern Patagonia and one of the oldest of South America. Also, it is the early evidence of traumatic injury, possibly due to an episode of interpersonal violence.

Timing bone fractures is one of the main tasks of a forensic anthropologist, but still an uncertain diagnostic. In the literature, there are many macroscopic methods to distinguish perimortem from postmortem fractures, based on the distinct structural and mechanical properties of fresh and dry bones. However, this differentiation is still challenging, in particular when the bones are fragmented or still exhibit fresh properties. Although histologic analysis is often used as a complementary diagnostic tool in forensic pathology, its application in the evaluation of bone fractures is uncommon. The aim of this study was to investigate whether fractures of fresh bones reveal a distinct microcracking pattern compared to fractures of dry bones, in order to optimise the fracture timing. To this purpose, we histologically analysed perimortem and postmortem fractures in human humeri. The fresh bones were retrieved from traumatic autopsy cases, and the dry bones from donors which were experimentally fractured. Our results showed that the highest density and length of microcracks (MCKs) were found in the interstitial area of dry fractured bones, which may be considered a marker of postmortem damage. In fresh fractured bones, we generally observed a lower density of MCKs, but a higher proportion of osteonal MCKs, which may be considered a marker of perimortem trauma. In summary, the results of our exploratory study suggest that changes in intrinsic bone factors (mineral/organic components) result in a different microcracking pattern that can be used in fracture timing. [ABSTRACT FROM AUTHOR]

This paper presents a retrospective review of patterns found in cases of homicides by sharp force over a 13-year period at the Department of Forensic Pathology of the Ostrava University Hospital, Czech Republic. The review summarizes all frequently discussed aspects of such cases including the number and localization of injuries, the presence of defensive wounds, the type of the offending weapon, the cause of death, the place of death, victims' and perpetrators' profiles, their relationship, or toxicological findings. Furthermore, special attention was paid to the evaluation of any accompanying blunt force trauma that may be indicative of an escalation of the assault. The set of data was statistically analyzed. Even though most of the results of this review are consistent with available published studies, noteworthy differences have emerged in some aspects such as the sex and age of the victims, the relationship between the number of injuries suffered and the victims' sex, or the severity of alcohol intoxication in victims. [ABSTRACT FROM AUTHOR]

Diseases have accompanied human populations since prehistoric times. Knowing the paleopathologies and their consequences derived from them can help us to understand their impact and how have been decisive in our ancestors' ways of life. Taphonomic and paleopathological studies are key to understanding how injuries occurred; they can provide information on causes of death, analyzed populations behaviour, such as the existence of interpersonal conflicts or how they took the care of the sick. Those studies also confirm the existence of certain diseases, mentioned in the archaeological record. This paper explains the analysis of four lesions found in a Roman-era cranium from Sima de Marcenejas, located in Northern Spain. An anthropological analysis of this cranium has revealed that it corresponds to an adult male individual. This work focuses on the differential diagnosis of the lesions, to be able to discern the most likely aetiologies. The following techniques have been implemented: classical morphological analysis, forensic taphonomic analysis and virtual analysis. MicroCT and 3D microscopy have been used as essential tools for the virtual analysis of the cranium and its lesions. The results obtained revealed the existence of a tumour and three exocranial traumas, all of them antemortem. The location of the tumour, as well as its morphology together with other aspects, support the meningioma as the most probable tumour type. This possible ancient meningioma represents the first case for these chronologies on the Iberian Peninsula, where there are few documented cases. The three traumatic lesions reveal the existence of injuries produced by both, blunt and sharp objects, related to events of interpersonal violence. By applying virtual 3D analyses, the researchers have demonstrated that it is viable to identify tumours in those internal cranial regions, where the lesion is not visible, thus providing new comparative data for the paleopathological record of past populations. Highlights: • Meningiomas are rare in the archaeological record which complicates tracing themin ancient human populations. • The use of computerized microtomography (MicroCT) and virtual 3D models makes it possible to identify tumoursin those internal cranial regions where the lesions are not visible. • Paleopathological analysis of a Roman cranium has revealed, in addition to cranial trauma, a new possible case of meningioma.

Objectives The objective of this study was to develop a numerical model of the eyeball and orbit to simulate a blunt injury to the eyeball leading to its rupture, as well as to conduct a comparative analysis of the results obtained using the finite element method against the clinical material concerning patients who had suffered an eyeball rupture due to a blunt force trauma Material and Methods Using available sclera biometric and strength data, a numerical model of the eyeball, the orbital contents, and the bony walls were developed from the ground up. Then, 8 different blunt force injury scenarios were simulated. The results of numerical analyses made it possible to identify possible locations and configurations of scleral rupture. The obtained results were compared against the clinical picture of patients hospitalized at the Department of Ophtalmology, Medical University of Gdańsk in 2010–2016 due to isolated blunt force trauma to the eyeball. Results It has been demonstrated that the extent of damage observed on the numerical model that indicated a possible location of eyeball rupture did not differ from the clinically observed configurations of the scleral injuries. It has been found that the direction of the impact applied determines the location of eyeball rupture. Most often the rupture occurs at the point opposite to the clock-hour/positions of the impact application. The eyeball rupture occurs in the first 7–8 ms after the contact with the striking rigid object. It has been established that the injuries most often affected the upper sectors of the eyeball. Men are definitely more likely to sustain such injuries. Eyeball ruptures lead to significant impairment of visual acuity. Conclusions This study may contribute to a better understanding of injury mechanisms and better treatment planning. It may also contribute to the development of eyeball protection methods for employees exposed to ocular injuries. Int J Occup Med Environ Health. 2023;36(2):263–73

Following a recent death, a human skull was found in a worn physician bag at the decedent’s residence. The bag was labeled with the name “G.B. Ward”, who was found to be a practicing physician and surgeon in the late 1800s, and contained historic medical paraphernalia and letters and receipts dated to the late 1890s. A forensic anthropological analysis of the skull concluded that it was not of modern medicolegal significance but revealed certain inconsistencies with standard professionally prepared anatomical specimens. This initiated further investigation into the history of G.B. Ward, which ultimately resulted in the circumstantial identification of the skull and revealed more than forty detailed newspaper accounts of its evidentiary use in an 1895 homicide trial in the rural United States. Ultimately, the Prosecution’s argument was likely based on the misinterpretation of a transmaxillary (Le Fort) fracture, which had yet to be defined in the medical literature. This case study emphasizes the importance of investigative and forensic anthropological efforts and cautions against cursory designations of skeletal remains as medical specimens. It also highlights the early recognition of the evidentiary value of skeletal remains in court cases and pioneering efforts in performing forensic skeletal trauma analyses.

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Following a recent death, a human skull was found in a worn physician bag at the decedent's residence. The bag was labeled with the name "G.B. Ward", who was found to be a practicing physician and surgeon in the late 1800s, and contained historic medical paraphernalia and letters and receipts dated to the late 1890s. A forensic anthropological analysis of the skull concluded that it was not of modern medicolegal significance but revealed certain inconsistencies with standard professionally prepared anatomical specimens. This initiated further investigation into the history of G.B. Ward, which ultimately resulted in the circumstantial identification of the skull and revealed more than forty detailed newspaper accounts of its evidentiary use in an 1895 homicide trial in the rural United States. Ultimately, the Prosecution's argument was likely based on the misinterpretation of a transmaxillary (Le Fort) fracture, which had yet to be defined in the medical literature. This case study emphasizes the importance of investigative and forensic anthropological efforts and cautions against cursory designations of skeletal remains as medical specimens. It also highlights the early recognition of the evidentiary value of skeletal remains in court cases and pioneering efforts in performing forensic skeletal trauma analyses. [ABSTRACT FROM AUTHOR]

The frequency and distribution of fractures are commonly utilized to assist in interpreting the manner of death. In cases of alleged suicide by hanging, however, the evidence base for the frequency and patterning of laryngohyoid and cervical vertebrae fractures resulting from such blunt force traumatic events is limited and so fractures cannot be reliably used to assist in interpreting the manner. Using meta‐analytic techniques, this study aimed to estimate frequency and distribution of fractures in the context of relevant intrinsic and extrinsic variables. A systematic review of the literature identified 20 studies with relevant data (8523 cases of suicide by hanging). Meta‐analyses identified the frequency and distribution of fractures present and how fracture frequency was affected by the subgroups of age, sex, completeness of suspension, ligature knot position and study design. Results indicated that fracture frequency was variable, there was no unique patterning, and high levels of heterogeneity were present in all variable sub‐groups. Age was the only subgroup to show differences. Findings suggest that neck fracture frequency is inconsistent and cannot be predicted by the chosen variables. Subsequently, neck fractures in isolation should not be given weight in medico‐legal interpretations of a hanging death as suicidal. [ABSTRACT FROM AUTHOR]

Simple Summary: When recovered skeletal remains reveal fractures, one of the main challenges is to determine the timing of the trauma. In particular, fractures that are related to death are of high forensic relevance. The common macroscopic criteria used in forensic anthropology may make it possible to determine whether a fracture occurred in a fresh or in a dry bone. Whilst dry bone fractures clearly occurred after death, fresh bone fractures are not always vital fractures. This is one of the biggest issues for forensic anthropologists. Depending on the period of time and surrounding conditions after death, bones can retain their fresh properties due to the preservation of water and organic components. The aim of this study is to test whether the histological assessment of microcracking patterns assists in determining the vitality of a fresh fracture. As we hypothesized after a previous study, our results further support that vital fractures exhibit a higher ratio of osteonal/interstitial microcracks than non-vital fractures. Moreover, we found that axial bone compression may be used to simulate intra vitam conditions in fracture experiments. Our results show that the osteonal microcracking pattern can potentially be used as a marker of vital trauma, thereby improving the probative value of forensic anthropological investigations. In forensic anthropology, the differential diagnosis between peri- and postmortem bone fractures is mainly based on macroscopic criteria. In contrast, studies focusing on bone histology are very scarce. In a recent publication, we showed that (perimortem) fractures in fresh human bones exhibit a different osteonal microcracking pattern than (postmortem) damage in dry bones. In the current work, we explored whether this osteonal microcracking pattern is distinctive of the vitality of (perimortem) fresh bone fractures. To this end, we compared the number, length and structural distribution of microcracks in vital humeral fractures from forensic autopsy cases with experimentally reproduced, three point-bending fractures in fresh and dry human humeri. Half of the fresh experimental bones were fractured whilst applying axial compression, i.e., attempting to simulate intra vitam conditions more accurately. The results showed a similar osteonal microcracking pattern between vital fractures and experimental fractures of fresh humeri subjected to axial compression. Interestingly, this pattern was significantly different from the one observed in the experimental fractures of fresh humeri without axial compression and dry humeri. This supports our hypothesis that the osteonal microcracking pattern can potentially be used as a marker for vital perimortem trauma, providing a histomorphometric tool for fracture timing. [ABSTRACT FROM AUTHOR]

The distinction between falls and blows is a common and difficult task in forensic sciences. One of the most often used criteria to address this issue is the hat brim line (HBL) rule, which states that fall-related injuries do not lie above the HBL. Some studies, however, have found that the use of HBL rule is not so relevant. This study assesses the aetiologies, the number of fractures, and their location on the skull and the trunk in a sample of 400 individuals aged 20–49 years, which were CT scanned after traumas. This may facilitate the interpretation of such injuries in skeletonized or heavily decomposed bodies in which soft tissues are no longer available. Our aim is to improve the distinction rate between falls and blows by combining several criteria and assessing their predictability. Skeletal lesions were analysed using retrospective CT scans. Cases selected comprise 235 falls and 165 blows. We registered the presence and the number of fractures in 14 skeletal anatomical regions related to the two different aetiologies. We showed that the HBL rule should be used with caution, but there is nevertheless a possibility of discussing the aetiology of blunt fractures. Possibly, parameters like the anatomical location and the number of fractures by region can be used to distinguish falls and blows. [ABSTRACT FROM AUTHOR]

Objectives: The objective of this study was to develop a numerical model of the eyeball and orbit to simulate a blunt injury to the eyeball leading to its rupture, as well as to conduct a comparative analysis of the results obtained using the finite element method against the clinical material concerning patients who had suffered an eyeball rupture due to a blunt force trauma. Material and Methods: Using available sclera biometric and strength data, a numerical model of the eyeball, the orbital contents, and the bony walls were developed from the ground up. Then, 8 different blunt force injury scenarios were simulated. The results of numerical analyses made it possible to identify possible locations and configurations of scleral rupture. The obtained results were compared against the clinical picture of patients hospitalized at the Department of Ophtalmology, Medical University of Gdańsk in 2010-2016 due to isolated blunt force trauma to the eyeball. Results: It has been demonstrated that the extent of damage observed on the numerical model that indicated a possible location of eyeball rupture did not differ from the clinically observed configurations of the scleral injuries. It has been found that the direction of the impact applied determines the location of eyeball rupture. Most often the rupture occurs at the point opposite to the clock-hour/positions of the impact application. The eyeball rupture occurs in the first 7-8 ms after the contact with the striking rigid object. It has been established that the injuries most often affected the upper sectors of the eyeball. Men are definitely more likely to sustain such injuries. Eyeball ruptures lead to significant impairment of visual acuity. Conclusions: This study may contribute to a better understanding of injury mechanisms and better treatment planning. It may also contribute to the development of eyeball protection methods for employees exposed to ocular injuries. Int J Occup Med Environ Health. [ABSTRACT FROM AUTHOR]

Simple Summary: In forensic anthropology, skeletal trauma analysis can assist pathologists in determining the circumstance, cause, and manner of death. Determining whether the trauma is related to falls or induced by homicidal blows is often asked in relevance to legal issues. The hat brim line rule (HBL) is one of the most commonly used methods. The rule says that fractures resulting from blows may be found above and within the HBL, not on the skull's base. Recent studies have found that the HBL rule must be used carefully, and postcranial skeletal trauma could be useful in this distinction. Evidence presented in court must follow Daubert's guidelines for validity and reliability (evidence validated; error rates known; standards available; findings should be peer-reviewed and accepted by the scientific community). In this study, we assessed skeletal fracture patterns resulting from both etiologies. We tested various models for the method; the best one was based on the binary coding of 12 anatomical regions or 28 bones with or without baseline (age and sex). The results show the possible identification of the etiology in 83% of the cases. This method could be helpful for forensic experts in the interpretation of bone fractures. In this study, we propose a classification method between falls and blows using random forests. In total, 400 anonymized patients presenting with fractures from falls or blows aged between 20 and 49 years old were used. There were 549 types of fractures for 57 bones and 12 anatomical regions observed. We first tested various models according to the sensibility of random forest parameters and their effects on model accuracies. The best model was based on the binary coding of 12 anatomical regions or 28 bones with or without baseline (age and sex). Our method achieved the highest accuracy rate of 83% in the distinction between falls and blows. Our findings pave the way for applications to help forensic experts and archaeologists. [ABSTRACT FROM AUTHOR]

Blunt force traumas that are caused by hit-by cars, animal abuse and bite wounds on the thoracic region can end up with flail chest in dogs. Flail chest, is one of the serious injuries with presence of two or more continuous ribs fractured. As a result, a portion of the thoracic wall with fractured ribs moves paradoxically in inspiration and expiration. According to many previous case reports, mortality rate is high in this life-threatening situation. Patients present in emergency with thoracic pain and shortness of breath (SOB). 9 years old, female Shih-Tzu breed dog clinically presented with severe dyspnea, pain and paradoxical movement of the chest on the left side of the thorax. 24 hours after the patient’s stabilization, CT scans revealed loss of the intercostal muscle integrity and 5 ribs fractures on the left thoracic region. After the imagistic certain diagnosis, the dog was taken to reconstructive thoracic surgery. [ABSTRACT FROM AUTHOR]

The accurate interpretation of a blunt force head injury relies on an understanding of the case circumstances (extrinsic variables) and anatomical details of the individual (intrinsic variables). Whilst it is often possible to account for many of these variables, the intrinsic variable of neurocranial thickness is difficult to account for as data for what constitutes 'normal' thickness is limited. The aim of this study was to investigate the effects of age, sex and ancestry on neurocranial thickness, and develop reference ranges for average neurocranial thickness in the context of those biological variables. Thickness (mm) was measured at 20 points across the frontal, left and right parietals, left and right temporals and occipital bones. Measurements were taken from post-mortem computed tomography scans of 604 individuals. Inferential statistics assessed how age, sex and ancestry affected thickness and descriptive statistics established thickness means. Mean thickness ranged from 2.11 mm (temporal squama) to 19.19 mm (petrous portion). Significant differences were noted in thickness of the frontal and temporal bones when age was considered, all bones when sex was considered and the, right parietal, left and right temporal and occipital bones when ancestry was considered. Furthermore, significant interactions in thickness were seen between age and sex in the frontal bone, ancestry and age in the temporal bone, ancestry and sex in the temporal bone, and age, sex and ancestry in the occipital bone. Given the assorted influence of the biological variables, reference measurement ranges for average thickness incorporated these variables. Such reference measurements allow forensic practitioners to identify when a neurocranial bone is of normal, or abnormal, thickness. [ABSTRACT FROM AUTHOR]

This study examines the influence of three‐layered cranial architecture development upon blunt force trauma (BFT) cranial outcomes associated with pediatric non‐accidental injury (NAI). Macroscopic and microscopic metric and morphological comparisons of subadult crania ranging from perinatal to 17 years of age chronicle the ontogenetic development and spatial and temporal variability in the emergence of a mature cranial architecture. Cranial vault thickness increases with subadult age, accelerating in the first 2 years of life due to rapid brain growth during this period. Three‐layer differentiation of the cranial tables and diploë initiates by 3–6 months but is not consistently observed until 18 months to 2 years; diploë formation is not well developed until after age 4 and does not manifest a mature appearance until after age 8. These results allow topographic documentation of cortical and diploic development and temporal and spatial variability across the growing cranium. The lateral cranial vault is identified as expressing delayed development and reduced expression of the three‐layer architecture, a pattern that continues into adulthood. Comparison of fracture locations from known BFT pediatric cases with identified cranial fracture high‐risk impact regions shows a concordance and suggests the presence of a higher fracture risk associated with non‐accidental BFT in the lateral vault region in subadults below the age of 2. The absence or lesser development of a three‐layered architecture in subadults leaves their cranial bones, particularly in the lateral vault, thin and vulnerable to the effects of BFT. [ABSTRACT FROM AUTHOR]

In forensic pathology, deaths due to mechanical injuries (blunt, sharp, and gunshot) require an autopsy in order to determine the cause and manner of death through a detailed examination of viscera, soft tissues, and the skeletal system. Sometimes, such as in cases of severe putrefaction, only the skeleton is observable. In such cases, the absence of bony defects does not mean that a trauma‐related death should not be considered: yet, how often will a lethal mechanical death produce a defect in the skeletal system? The present study involved a retrospective review of autopsy reports to investigate the frequencies of soft tissue and related skeletal injuries in cases of violent deaths. A total of 200 autopsy reports for cases of four mechanisms of injury including sharp force trauma (n = 50), gunshot (n = 50), blunt force trauma (n = 50), and mechanical asphyxia (n = 50) were examined. Manner of death, localization of bone fractures, and correspondence between external injuries and bone fractures were reported. Frequencies of bone fractures and degree of correspondence with soft tissue injuries for each trauma group were evaluated. The result showed that lethal blunt trauma always caused bone fractures; 94.0% of violent deaths by gunshot involved bones; 48.0% of sharp force soft tissue injuries involved the bone tissue; and hyoid bone fractures were observed in 20.0% of cases of mechanical asphyxia. [ABSTRACT FROM AUTHOR]

The wooden club (clava) is rarely associated with the image of Roman soldiers, perhaps because it was considered an unconventional weapon with ethnic attributes and/or specific combat roles. Nonetheless, it is attested in the archaeological record and some ancient texts. The panoply and the military career of the soldiers represented on the tombstones of Catavignus son of Ivomagus (1st century AD) and Marcus Aurelius Alexis (early 3rd century AD) offered us the possibility to reconsider the use of the club as an offensive weapon within the Imperial Roman army. The authors made a replica of the clava using historical tools and manufacturing techniques. A series of tests have then been performed to investigate the use of the club in combat. The possible traumas on human targets were also evaluated with a forensic anthropological approach. The results suggest the essential role of flexion and rotation of the kinetic chain «hip/shoulder/arm» in wielding the clava. This movement requires a much more mobile combat style that can prove very effective against heavily armoured targets due to the weapon's high-impact force and a more extended reach than more conventional Roman sidearms. [ABSTRACT FROM AUTHOR]

Injuries from motor vehicle collisions are frequently encountered in routine forensic practice. While the most common lethal events involve blunt force trauma with injuries to the head and neck, chest, abdomen, pelvis and limbs, review of the literature and case files shows that a wide variety of other fatal situations can occur that may involve sharp force and penetrating trauma, incineration, drowning, asphyxia, organic diseases and combinations of these. The following overview details potential factors that may contribute to death following vehicle crashes. [ABSTRACT FROM AUTHOR]

3D printing has rapidly developed and been applied in forensic science due to its use in creating demonstrations for courts of law. Much of the literature on this specific topic has focused on the use of 3D printed models in academia, the potential influence on a jury, and its use as a long-term documentation process, but with few actual forensic case examples. This paper offers an insight into the development of 3D printing in forensic practice and how 3D printing is currently being used in the criminal justice system in England and Wales. A series of case reports were gathered from multiple police forces and forensic practitioners in the UK to identify how 3D printing was being used. These discussions established who was requesting 3D printed exhibits, what type of technologies were being utilised, what type of exhibits were being printed, and resulting feedback for the use of 3D printed material within a criminal case. As a result, this research demonstrates the current use of 3D printing in England and Wales, discussing the associated cases that have been known to incorporate 3D prints. Likewise, this work explores the limitations that have been encountered by forensic practitioners and identifies a series of research questions that should be considered in future investigations. [ABSTRACT FROM AUTHOR]

Blunt force trauma is a common homicide method, inflicted in three different ways: bodily force, assault with blunt objects of various types and falls from height. The objective of this study is to provide thorough information on blunt force homicides with data on the victims, the offenders, the surrounding circumstances, the injury methods, the extent of injuries, and survival time, which will help inform the inexperienced as well as the seasoned forensic pathologist in their daily work with death investigation and as expert witnesses in court. We have analyzed autopsy reports and available case files of 311 blunt force homicides, making up 21.9% of all homicides in Denmark during 1992–2016. Most victims and offenders were male. Altercation in the setting of nightlife and intoxication was common in male victims, while most female victims were killed in a domestic setting. Bodily force was the most common primary homicide method, followed by assault with a blunt object and fall from height. The head was the region that most often had external injuries, with no noteworthy difference between cases with bodily force and blunt objects. Two out of three victims had one or more lacerations, most often located on the head and more often on the front. Brain injury was the primary cause of death in at least 72.0% victims. Compared to bodily force victims of blunt object assault were especially prone to skull and brain injuries, had a higher trauma score, and more died at the crime scene and had a shorter survival time. [ABSTRACT FROM AUTHOR]

Skull 39-S1, from the tomb of Pwinre (TT39) the second prophet of Amun during the Middle Kingdom, was macroscopically and radiologically analysed. The skull presents a consolidated fracture of the nasal bones with displacement and tripod fracture, which caused a collapse of the floor of the left orbit, a thrusting of the maxilla over the zygomatic and left zygomatic-maxillary suture and zygomatic arch fracture with overthrusting of the fragments. These two fractures, independent of each other, are consistent with one or more episodes of interpersonal violence, whose ultimate origin may be found in impacts of a fist or a blunt object. The border situation of Thebes (ancient Luxor) and sports/ritual practices of Nubians put us in a possible scenario of interpersonal violence as the formal practice of stick-fighting or wrestling combat typical of this geographical area. [ABSTRACT FROM AUTHOR]

Motor vehicle collisions (MVCs) are a severe threat to wildlife biodiversity worldwide and most vertebrate species are at risk. However, there is a considerable knowledge gap on the traumatic features and potential patterns of MVCs in wildlife. We investigated traumatic injuries (TIs) caused by MVCs (MVCs-TIs) in 430 neotropical wild mammals representing 44 species from Brazil. Injuries were classified topographically into four categories: abdomen/pelvis (AP), chest (TX), head/neck (HN) and extremities (EX). We also determined the prevalence of pathological changes in MVC fatalities. AP (n = 381; 89%) was the most affected body segment, followed by TX (n = 372; 87%), HN (n = 363; 84%) and EX (n = 288; 67%). The most prevalent gross pathological findings were single or multiple bone fractures (n = 397; 92%), visceral organ rupture (n = 371; 86%), haemothorax (n = 220; 51%) and pulmonary haemorrhage (n = 212; 49%). Microscopically, pulmonary oedema (n = 324; 82%) and haemorrhage (n = 272; 69%) were the most prevalent lesions. No distinct TI patterns were evident across the various taxonomic groups, although trends were found in some taxa, such as armadillos. These results may help clinicians performing emergency care on MVC wildlife patients and may be of value in pathological and forensic investigations where a MVC has been deemed a likely contributory factor to death. [ABSTRACT FROM AUTHOR]

Pickaxe injuries have never been thoroughly investigated in forensic science. This case, involving the fatal wounding of a 28-year-old individual by pickaxe blows to the head, abdomen, and hand, highlights the unique injury patterns associated with such an instrument. The injuries observed in the frontal skull exhibited characteristics akin to typical chop wounds, while those on the parietal skull bore similarities to blunt force trauma. The pickaxe penetrated the hands and the abdomen, with the depth of penetration directly correlating to the force applied. Consequently, pickaxe injuries can be considered a hybrid of different injury mechanisms, a fact that should be carefully considered in forensic analysis. • In the context of chop wounds, pickaxe lesions have never been described. • In this case several injuries were caused to the head, abdomen and hand with pickaxe blows. • The injuries show overlapping characteristics between different mechanisms. • The injuries are to be regarded as a kind of 'mix' of blunt, hacking and sharp force wounds. [ABSTRACT FROM AUTHOR]

To investigate the differences between pre- and post-fire fractures, 30 human forearm bones were subjected to either blunt-force impact, burning, or both. Bones, covered in soft tissue and wrapped in clothing, were burned in a reconstructed house fire. The burning context and dynamics led to differential burning, that was equal amongst the three groups. To evaluate the damage to the bones, a data collection sheet was developed based on the current literature on fracture features. To analyze the relation between exposure temperature and fracture class and occurrence, color was measured to estimate the exposure temperature. Observable and measurable changes on bone, and fracture surfaces, were macro- and microscopically analyzed. Many features overlapped between the three groups, and thus are not usable for differentiation. Fractures caused by blunt force impact (post-mortem, pre-fire) showed a rough fracture surface with smoothness in curved/slanted regions near the margin after burning, while heat-induced bone fractures showed a smooth fracture surface. The margins and surface of bone fractures that originated after the fire (indirect heat-induced) were evenly discolored, whereas heat-induced bone fractures showed uneven discoloration of the fracture margin and surface. Although there were generally more heat-induced fractures in the 450–700 °C range, no other distinctive trend was observed between exposure temperature and class of fractures. [ABSTRACT FROM AUTHOR]

A deeper understanding of the mechanical characteristics of adipose tissue under large deformation is important for the analysis of blunt force trauma, as adipose tissue alters the stresses and strains that are transferred to subjacent tissues. Hence, results from drop tower tests of subcutaneous adipose tissue are presented (i) to characterise adipose tissue behaviour up to irreversible deformation, (ii) to relate this to the microstructural configuration, (iii) to quantify this deformation and (iv) to provide an analytical basis for computational modelling of adipose tissue under blunt impact. The drop tower experiments are performed exemplarily on porcine subcutaneous adipose tissue specimens for three different impact velocities and two impactor geometries. An approach based on photogrammetry is used to derive 3D representations of the deformation patterns directly after the impact. Median values for maximum impactor acceleration for tests with a flat cylindrical impactor geometry at impact velocities of 886 mm/s, 1253 mm/s and 2426 mm/s amount to 61.1 g, 121.6 g and 264.2 g, respectively, whereas thickness reduction of the specimens after impact amount to 16.7%, 30.5% and 39.3%, respectively. The according values for tests with a spherically shaped impactor at an impact velocity of 1253 mm/s are 184.2 g and 78.7%. Based on these results, it is hypothesised that, in the initial phase of a blunt impact, adipose tissue behaviour is mainly governed by the behaviour of the lipid inside the adipocytes, whereas for further loading, contribution of the extracellular collagen fibre network becomes more dominant. [ABSTRACT FROM AUTHOR]

There exist sparse data associating known points of mandibular impact with resultant fracture patterns. These data may provide an important foundation for interpreting mandible fractures in forensic cases. The current study illustrates results of experimental blunt force impacts to five locations on the mandible: the ramus, posterior body, mid-body, anterior body, and midline. The experimental sample comprised thirteen intact heads from non-edentulous, unembalmed human adult male cadavers. Three key findings resulted from this study: (1) each impact produced a fracture at or adjacent to the impact site; (2) ramus and midline impacts produced more fractures than mandibular body impacts; and (3) fracture locations varied among mandibles impacted at the same location and exhibited similarities among mandibles impacted at different locations, suggesting there are limitations in estimating mandibular impact sites based on fracture location alone. Overall, these results contribute a comparative sample of known blunt force trauma cases for practitioners evaluating mandibular fractures in forensic cases.

Deaths resulting from blunt force injury are some of the most common cases encountered by a practising forensic pathologist. At the same time, deaths due to drug abuse, especially synthetic opioids, are also a common phenomenon all over the world. In this paper, an interesting case is reported wherein a dead body brought as a case of drug overdose had tell-tale signs of blunt trauma on the body. The injuries were present on the nonaccessible parts of the deceased's body pointing towards homicide. This case has been reported considering the interesting nature of the case as well as to emphasize the importance of meticulous postmortem examination so that the opinion may not be influenced by the history given by the investigating agencies. [ABSTRACT FROM AUTHOR]

This case study demonstrates how animal abuse investigations can benefit from collaboration between forensic anthropologists and veterinary pathologists, especially in investigations involving trauma assessment of skeletal remains. In 2009, four deceased dogs were excavated from a residential property in conjunction with a case of suspected animal abuse. The decomposed remains were skeletonized to permit assessment of biological profiles, individualization, and trauma analysis. Each dog was identified based on their sex, age‐at‐death, fur coloration patterns, and through investigative information. The analysis conducted by forensic anthropologists in collaboration with a veterinary pathologist revealed evidence of perimortem blunt force trauma on all four skeletons. The distribution and severity of the injuries, including fractures concentrated mainly on the axial skeleton (i.e., skull, thorax, and vertebral column) and pelvis, are consistent with documented cases of non‐accidental injury (NAI) reported in the literature. Healed rib fractures were also noted on one of the dogs, and likely occurred a few weeks prior to death, further supporting a diagnosis of NAI. The skeletal trauma findings were inconsistent with the dog owner's account of how each dog had died and were instrumental in resolving the investigation. [ABSTRACT FROM AUTHOR]

Historically, bending impact to long bones has been thought to result in butterfly fragments with the apex opposite the side of impact. This theory is restrictive and may lead to erroneous reconstructions regarding impact events. The current study investigated the formation of butterfly fractures in dynamic three-point bending events and assessed the applicability and accuracy of methods for the inference of impact direction. Sixty ovine femora were subjected to drop tests of varying energy to either the anterior or posterior aspect. Butterfly type fractures were present in 73% of fractured specimens. The analysis demonstrated that the use of fracture surface morphology was superior to other methods, correctly reconstructing impact direction in all cases with complete butterfly fractures. Furthermore, this method could be applied to all cases displaying a degree of fracture with a 98.3% success rate. This study demonstrates the applicability of fractography to the inference of impact direction. [ABSTRACT FROM AUTHOR]

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Introduction: Superior temporal artery pseudoaneurysms were first described by Thomas Bartholin in 1740, and since then approximately 400 cases have been reported in the literature. It is estimated that of aneurysms that are surgically repaired, traumatic aneurysms, pseudoaneurysms, and arteriovenous (AV) fistulas of the superficial temporal artery (STA) account for 0.5%–2.0%. Of these, only a few reported are in the pediatric population. Case: An otherwise healthy 16-year-old male presented to UNM Pediatric Surgery Clinic with a small temporal mass in January 2020. He had previously been punched in the side of the head in August 2019 and noticed the mass after the bruising and swelling in the area had subsided. The mass was then determined to most likely be a posttraumatic pseudoaneurysm of the temporal artery, based on exam showing a 1 cm soft, mobile, pulsatile mass. A CT angiogram of the head and neck confirmed. Observation, IR intervention, and surgical removal were discussed with the patient and his mother in clinic, and they opted for surgical removal. In February 2020, he underwent an excision of left superficial temporal artery pseudoaneurysm under general anesthesia. Intraoperatively, it was noted that a part of the superficial temporal vein was densely adherent to the pseudoaneurysm, and was small inferior to the pseudoaneurysm, and engorged superiorly, concerning for a possible fistula formation. This was not confirmed intraoperatively, but a portion of the left superficial temporal vein had to be excised as there was no clear plane between the pseudoaneurysm and the vein. Pathology results did not demonstrate a fistula formation, but did confirm a pseudoaneurysm of the STA.

Tree failure, or summer branch drop, refers to situations where large branches or whole trees may unexpectedly drop on unsuspecting victims. On occasion, this involves vehicles impacted by falling overhanging trees or branches. To study this phenomenon further review of the Forensic Science SA, Adelaide, Australia, database and an internet news search were undertaken over a 20 year period from March 2004 to February 2024 for all cases where unexpected accidental deaths in South Australia had been caused by falling branches or trees. There were six cases (age range 12-63 years; average 39 years; M:F 1:2). Three deaths occurred when branches dropped onto vehicles being driven along roads, 2 occurred when entire trees dropped onto the victims (one in windy weather) and 1 was due to a branch drop. Three tree species were identified as a grey box gum tree (Eucalyptus microcarpa), a lemon-scented gum tree (Corymbia citriodora) and a Cottonwood tree (Populus deltoides). The remainder were variants of eucalyptus (gum) trees. Deaths due to tree failures are uncommon and may involve a variety of different tree species with these events not necessarily occurring during high winds or storms. The major findings at autopsy are blunt force injuries., (© 2024. The Author(s).)

Chylothorax is a potentially devastating complication of lymphatic trauma of the thorax. To date, no recommendations have provided decision making support for prompt definitive treatment. We present a 53 year old male involved in a motor vehicle collision sustaining 9 left rib fractures with flail segments. He was treated non-operatively with a chest tube and no fat diet. A Case report review was performed and a proposed guideline for managing blunt trauma chylothorax in adult patients was developed. In low-output chylothorax, effective initial treatment begins with a no fat diet and chest tube. We propose that a low output leak be defined as 1000 mL of initial output will require surgical intervention and should be considered for prompt definitive care.

This study examines patterns of skeletal trauma in propeller‐driven aircraft crashes and blast‐related ground loss incidents from WWII. Specifically, descriptions and criteria used to characterize aircraft deceleration‐ versus blast‐related skeletal injuries are examined from 35 recently identified forensic anthropology cases to determine possible diagnostic traits and characterize skeletal trauma associated with these events. Among these cases, blast trauma is more localized within the skeleton and is associated with one or few primary directions of force. It is recommended that analysts differentiate between secondary and nonspecific blast trauma categories. Conversely, aircraft crash deceleration trauma is more widespread throughout the skeleton, with torsional fractures and injuries occurring from multiple or indeterminate directions. These traits reflect factors such as more complex loading environments than is seen in blast events. Two case studies are presented in detail to further illustrate differences in aircraft crash and blast‐related incidents. Both studies emphasize consideration of the body as a whole unit to facilitate interpretations. While the cases presented herein result from historic war‐related casualties that characterize the Defense POW/MIA Accounting Agency's (DPAA) casework, these skeletal cases provide guidelines more appropriate than clinically derived criteria developed through assessments of soft tissue injuries. These guidelines can be used by anthropologists and pathologists working with skeletal remain from mass disasters and other complex contexts, as well as provide avenues for future research. [ABSTRACT FROM AUTHOR]

Objective: To determine the accuracy of lung ultrasound (LUS) using the Veterinary Bedside Lung Ultrasound Examination (VetBLUE) protocol and 3‐view thoracic radiographs (TXR) compared to thoracic computed tomography (TCT) for diagnosing the presence and quantification of pulmonary contusions (PC). Design: Prospective cohort study conducted from February 2017 to June 2018. Setting: Private emergency and referral center. Animals: Thirty‐two dogs having sustained motor vehicle trauma were consecutively enrolled. Three dogs were excluded from statistical analysis. All dogs survived to hospital discharge. Interventions: Within 24 hours of sustaining trauma, dogs had LUS, TXR, and TCT performed. Using the VetBLUE protocol, LUS PC were scored according to the presence and number of B‐lines and C‐lines, indicating extravascular lung water. Thoracic radiographs and TCT were scored for PC in a similar topographical pattern to the VetBLUE protocol. Lung ultrasound and TXR were compared to "gold standard" TCT for the presence and quantification of PC. Measurements and Main Results: On TCT, 21 of 29 (72.4%) dogs were positive and 8 of 29 (27.6%) dogs were negative for PC. When LUS was compared to TCT, 19 of 21 dogs were positive for PC (90.5% sensitivity) and 7 of 8 dogs were negative (87.5% specificity) for PC. LUS PC score correlated strongly with TCT PC score (R = 0.8, P < 0.001). When TXR was compared to TCT, 14 of 21 dogs were positive for PC (66.7% sensitivity) and 7 of 8 dogs were negative (87.5% specificity) for PC. TXR PC score correlated strongly with TCT PC score (R = 0.74, P < 0.001). Conclusions: In this population of dogs with motor vehicle trauma, LUS had high sensitivity for diagnosis of PC when compared to "gold standard" TCT. LUS provides reliable diagnosis of PC after trauma. More patients with PC were identified with LUS than with TXR, and additional studies are warranted to determine whether this increased sensitivity is statistically significant. [ABSTRACT FROM AUTHOR]

This study examines patterns of skeletal trauma in propeller‐driven aircraft crashes and blast‐related ground loss incidents from WWII. Specifically, descriptions and criteria used to characterize aircraft deceleration‐ versus blast‐related skeletal injuries are examined from 35 recently identified forensic anthropology cases to determine possible diagnostic traits and characterize skeletal trauma associated with these events. Among these cases, blast trauma is more localized within the skeleton and is associated with one or few primary directions of force. It is recommended that analysts differentiate between secondary and nonspecific blast trauma categories. Conversely, aircraft crash deceleration trauma is more widespread throughout the skeleton, with torsional fractures and injuries occurring from multiple or indeterminate directions. These traits reflect factors such as more complex loading environments than is seen in blast events. Two case studies are presented in detail to further illustrate differences in aircraft crash and blast‐related incidents. Both studies emphasize consideration of the body as a whole unit to facilitate interpretations. While the cases presented herein result from historic war‐related casualties that characterize the Defense POW/MIA Accounting Agency's (DPAA) casework, these skeletal cases provide guidelines more appropriate than clinically derived criteria developed through assessments of soft tissue injuries. These guidelines can be used by anthropologists and pathologists working with skeletal remain from mass disasters and other complex contexts, as well as provide avenues for future research. [ABSTRACT FROM AUTHOR]

Hacking trauma is prevalent in forensic cases involving genocide and dismemberment, but research into the identification of this type of trauma is lacking. The present study examines characteristics of hacking and blunt force skeletal trauma in order to determine if there is a point at which blunt force trauma becomes distinguishable from hacking trauma. Ten implements with a range of blade angles (i.e., the striking surface of the implement) were used in conjunction with a controlled‐force hacking device to impact 100 limb bones of white‐tailed deer (Odocoileus virginianus). Observations of the trauma included the occurrence and degree of fragmentation, the entrance widths of the impacts, and composite scores of six hacking characteristics, especially the distinctive V‐shaped kerf. ANOVA tests and regression analyses were used to assess the relationships between these characteristics and the blade angles. A significant relationship (p‐value = 0.011) was found between the composite hacking scores and the blade angles, indicating that blunt force and hacking trauma can be distinguished. The entrance widths of the impacts exhibited a significant relationship with the blade angles (p‐value = 0.037). There was also a significant relationship between the visibility of a V‐shaped kerf in the bones (p‐value = 0.003), with visibility decreasing around the 60° blade angle. These data should assist in establishing guidelines to differentiate hacking and blunt force skeletal trauma in cases where the implement is on a spectrum between sharp and blunt. [ABSTRACT FROM AUTHOR]

This work describes a new method for recording nasal fracture in skeletonized individuals, suitable for use in biocultural studies of violence and fracture in past societies. The method consists in recording the 'side of fracture', 'side of deviation', 'type of fracture', 'other facial fractures', and stage of 'bone remodeling'. A lateral impact force to the facial area is typical of interpersonal violence. This may result in a unilateral nasal fracture and/or a laterally deviated nose. Given the predominance of right-handedness in human populations, side of fracture and, especially, side of deviation, may be useful indices of interpersonal violence. As regards fracture type, although a distal fracture of the nasal bones is the most common type, their comminution may be associated with higher impact forces. The presence of other facial fractures may also be an indicator of high-energy impacts. Different patterns of nasal trauma may be consistent with different etiologies. The method is focused at improving our ability to distinguish the direction and type of impact that caused the injury and, in particular, whether, at a population or sub-group level, such injuries are likely to be predominantly due to violence or to other causes. Well healed fractures of the nasal bones or injury to the septum may be difficult to identify. Also, it is not possible to confirm if nasal and other facial fractures are temporally concurrent. To test this method using skeletal collections with known trauma history or 3D prints of modern nasal injuries of known etiologies. [ABSTRACT FROM AUTHOR]

In forensic scenarios involving homicide, human remains are often exposed to fire as a means of disposal and/or obscuring identity. Burning human remains can result in the concealment of traumatic injury, the creation of artifacts resembling injury, or the destruction of preexisting trauma. Since fire exposure can greatly influence trauma preservation, methods to differentiate trauma signatures from burning artifacts are necessary to conduct forensic analyses. Specifically, in the field of forensic anthropology, criteria to distinguish trauma from fire signatures on bone is inconsistent and sparse. This study aims to supplement current forensic anthropological literature by identifying criteria found to be the most diagnostic of fire damage or blunt force trauma. Using the skulls of 11 adult pigs (Sus scrofa), blunt force trauma was manually produced using a crowbar and flat-faced hammer. Three specimens received no impacts and were utilized as controls. All skulls were relocated to an outdoor, open-air fire where they were burned until a calcined state was achieved across all samples. Results from this experiment found that blunt force trauma signatures remained after burning and were identifiable in all samples where reassociation of fragments was possible. This study concludes that distinct patterns attributed to thermal fractures and blunt force fractures are identifiable, allowing for diagnostic criteria to be narrowed down for future analyses.

With the growing popularity of winter sports, it is necessary to pay more attention to the types of traumatic injuries that a person can sustain in various incidents related to their practice. We present a case in which an adult man died as a result of a collision with a tree while skiing. Although the deaths are associated with different types and severity of craniocerebral injuries in the majority of the cases, here we are dealing with an abdominal injury with rupture of the stomach, pancreas, and left renal artery. The exact localization of the resulting traumatic injuries and the mechanism of their occurrence were examined. Both macroscopic autopsy findings (gross pathology) and histologically proven ones are presented and described. Presenting this case, we want to raise awareness of the different types of injuries received while skiing, as well as to emphasize the possibility of death in the absence of visible external injuries over the victim's body., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Mileva et al.)

Prevailing over in rotationally unstable pelvic fractures, acetabular fractures or hip dislocations, superior gluteal artery pseudo aneurysm imperceptibly could be found after blunt force trauma of the pelvic region. We present a case of superior gluteal artery pseudo aneurysm after blunt force trauma that became gradually symptomatic in two months following the prime malevolence. Non-resolving gluteal hematoma presented two months after the incident, disregarding standard treatment methods led the diagnosis to plausible entity of pseudo aneurysm. Standard protocol was followed. CT angiography was indicated and it confirmed the suspected diagnosis. Upon indication a treatment plan was established with correspondent angioembolization of the pathologic substrate. Pseudo aneurism of the superior gluteal artery should be considered as differential diagnosis for unexplained hematomas in the posterior pelvic region following a trauma regardless of its nature. [ABSTRACT FROM AUTHOR]