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All Journal Indian Journal of Forensic Medicine & Toxicology
Amal Salama Mahmoud1 , Amany Mohamed Fahmy1 , Alaa Mohamed Mahmoud1, Amani Abdelfattah Bayomi1 , Ahmed Yosri El- Amir2
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Dating of Long Bone Fracture Healing among Egyptian Pediatrics by Radiography (X-Ray) Amal Salama Mahmoud1 , Amany Mohamed Fahmy1 , Alaa Mohamed Mahmoud1, Amani Abdelfattah Bayomi1 , Ahm
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 3 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i3.10511

Abstract

Background: Estimating the timing of skeletal injury accurately is of great importance in forensic cases and has a significant bearing on the judicial process (related to abused children). This work aimed to assess dating of long bone healing in fractures occurring to children aged from 1 to 18 years through using plain radiography (X-Ray) which can determine 6 features of fracture healing process that are especially important in alleged cases of child abuse. The most commonly affected ages were “1-6” years presenting 68%. Males were the majority of cases (56%). The illustrated data of each feature of healing (6 features of fracture healing) form a prototype timetable of fracture healing. These data suggest that fractures with soft-tissue swelling alone are acute fracture (< 1 week old). Fractures with periosteal reaction alone are likely to be recent fracture (between 8 days and 3 weeks old). Once Remodelling, bridging & hard callus fractures detected then old fracture is expected (more than 6 weeks old).
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