:: Volume 24, Issue 4 (2019) ::
Iran J Forensic Med 2019, 24(4): 57-60 Back to browse issues page
A Case of Fifth Metacarpal Neck Fracture
M. Ghadipasha1 , Gh. Jafari 2, A.M. Alimohamadi1 , S. Aram1
1- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
2- Legal Medicine of Tehran, North Branch, Tehran, Iran , ifm1390@gmail.com
Abstract:   (4355 Views)
Aims: Determining the impact mechanism is one of the most important measures in forensic science. The mechanism of fracture of the metacarpal neck is squeezed directly into the fist. Often, this type of fracture is due to the impact of the first depending on the hard. In this study, we introduce a case of this fracture.
Patient’s Information: He was a middle-aged man, who had ache with various areas of the body followed by a quarrel, and came to the forensic medical center in 2018. His injuries included fifth right metacarpal neck fracture in addition to several superficial scratches. The judiciary asked forensic medicine to declare that, inasmuch as the plaintiff acknowledged that the damage had been caused by the iron cutter bow saw, according to the type of injury, with what it was created. Replying to judiciary, the forensic medicine declared that the fifth right metacarpal neck fracture was not due to a bow saw.
Conclusion: If the forensic medicine does not pay attention to the mechanism of trauma in the examinations, due to the non-differentiation of the traumatic consequences of the incident from a traumatic self-made (fabricated) trauma, it may lead to the violation of the rights of individuals and the loss of confidence of the victims and, on the other hand, it will lead to misuse of the perpetrators. In order to identify the mechanism of trauma and the way, in which the lesion is established, interaction with the judiciary is very promising and correspondence and interaction with judiciary should not be ignored in any way.
Keywords: Fracture, Bone, Metacarpus
Full-Text [PDF 387 kb]   (1384 Downloads)    
Type of Article: Case Report |
Received: 2018/08/28 | Revised: 2021/01/30 | Accepted: 2018/09/23 | ePublished: 2019/03/19
References
1. Shkrum MJ, Ramsay DA. Forensic pathology of trauma. Common problems for the pathologist. Totowa, New Jersey: Humana Press; 2007 .p:457. [Link]
2. Pogliacomi F, Mijno E, Pedrazzini A, Tocco S, Tonani M, Ceccarelli F, Vaienti E. Fifth metacarpal neck fractures: fixation with antegrade locked flexible intramedullary nailing. Acta Biomed. 2017;88(1):57-64. [Link]
3. Malik S, Rosenberg N. Fifth Metacarpal Fractures (Boxer's Fracture). Treasure Island (FL): StatPearls Publishing; 2019. [Link]
4. Campagne D. Metacarpal neck fractures (except thumb) [Internet]. Kenilworth, New Jersey: MSD Manual; 2015 [cited 2017 Dec 17]. Available from: https://www.msdmanuals.com/professional/injuries-poisoning/fractures/metacarpal-neck-fractures-except-thumb [Link]
5. Altizer L. Boxer's fracture. Orthop Nurs. 2006;25(4):271-3. [Link] [DOI:10.1097/00006416-200607000-00010]
6. Kural C, Alkas L, Tuzun S, Cetinus E, Ugras AA, Alkas M. Anger scale and anger types of patients with fifth metacarpal neck fracture. Acta Orthop Traumatol Turc. 2011;45(5):312-5. [Link]
7. Boussakri H, Elidrissi M, Azarkane M, Bensaad S, Bachiri M, Shimi M, et al. Fractures of the neck of the fifth metacarpal bone, treated by percutaneous intramedullary nailing: surgical technique, radiological and clinical results study (28 cases). Pan Afr Med J. 2014;18:187. [Link] [DOI:10.11604/pamj.2014.18.187.3347] [PMID] [PMCID]
8. Reihani H, Pirazghandi H, Bolvardi E, Ebrahimi M, Pishbin E, Ahmadi K, et al. Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran. Chin J Traumatol. 2017;20(2):75-80. [Link] [DOI:10.1016/j.cjtee.2016.02.004] [PMID] [PMCID]
9. Segui-Gomez M, MacKenzie EJ. Measuring the public health impact of injuries. Epidemiol Rev.2003;25(1):3-19. [Link] [DOI:10.1093/epirev/mxg007]
10. Alban RF, Lyass S, Margulies DR, Shabot MM. Obesity does not affect mortality after trauma. Am Surg. 2006;72(10):966-9. [Link]


XML   Persian Abstract   Print



Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 24, Issue 4 (2019) Back to browse issues page