A RARE CASE OF DIAPHYSISAL FRACTURES OF THE SHIN BONES IN A CHILD WHEN JUMPING ON A TRAMPOLINE. WAYS TO PREVENT EXPERT ERRORS USING COMPLEX ANALYSIS OF RADIOGRAPHY DATA AND CASE MATERIALS: A CASE FROM PRACTICE

Yu-lin Li, V. A. Klevno, M. Vishniakova
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Abstract

Relevance. Given the significant contribution of childhood injuries to the structure of common problems associated with the health of the child, it is important during the examination to determine the exact mechanism of fractures, in particular, diaphyseal fractures of the shin bones, since the specification of the mechanism for the formation of bodily injuries leads to the actual origins of injuries and allows further development a set of preventive measures to prevent the occurrence of these situations, moreover, it sometimes makes it possible to accurately distribute the burden of responsibility for what happened between the defendants in the case. Description of the expert case. In the presented expert case, the circumstances of bodily injury described by the subject and her legal representative were not consistent with the type and nature of the fractures received during trampoline jumping, while the video recording from the surveillance camera did not provide complete information about the specific conditions of injury. A detailed analysis of the results of radiography of the shin bones, including the determination of the morphological features of fractures and their nature, as well as a frame-by-frame study of the presented video recording, made it possible for the expert to specify the mechanism of injury. Conclusion. The diaphyseal fractures of the shin bones of atypical localization for a "trampoline injury" detected in a child could serve as a source of expert errors in determining the mechanism of their occurrence, however, a thorough comprehensive assessment of all objects for examination submitted for examination: medical documents, including X-ray data, case materials, taking into account the age-specific morphology of the bone tissue of the child, it was possible to determine the exact mechanism of the occurrence of fractures.
儿童在蹦床上跳跃时发生胫骨骨干骨折的罕见病例。利用放射学数据和病例材料的复杂分析防止专家错误的方法:一个来自实践的案例
的相关性。鉴于儿童受伤对与儿童健康有关的常见结构问题的重大贡献,在检查期间确定骨折的确切机制,特别是胫骨骨干骨折,是很重要的,因为对身体损伤形成机制的具体说明将导致损伤的实际起源,并允许进一步制定一套预防措施,以防止这些情况的发生。此外,它有时可以准确地分配案件中被告之间发生的责任负担。专家案例的描述。在本专家案例中,当事人及其法定代理人所描述的身体伤害情况与蹦床时骨折的类型和性质不一致,而监控摄像机的视频记录也没有提供关于具体受伤情况的完整信息。对胫骨x线摄影结果的详细分析,包括骨折的形态特征及其性质的确定,以及对所呈现的视频记录的逐帧研究,使专家能够明确损伤的机制。结论。在儿童中发现的非典型定位的“蹦床损伤”胫骨骨干骨折可能成为确定其发生机制的专家错误的来源,然而,对所有检查对象进行彻底的综合评估后提交检查:医疗文件,包括x射线数据、病例材料,考虑到儿童骨组织的年龄特异性形态,有可能确定骨折发生的确切机制。
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