Académique Documents
Professionnel Documents
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Wound
Classification of Mechanical
Injuries
Blunt Force Injuries/Trauma:
Abrasions.
Contusions,.
Lacerations.
Sharp Force Injuries/Trauma:
Incised wounds.
Stab wounds.
Chop wounds.
Fractures.
Fire arm injuries.
Abrasions
Abrasion
Tangential
Compression
(friction/sliding/scrape)
(crushing/pressure)
Linear
Patterned
(scratch)
Brush
Patterned
(graze)
Impact
Non-
Contact
Age of abrasion
Antemortem
Abrasions
Postmortem
Abrasions
Yellowish in colour.
Translucent area.
Margins are sharply defined.
Absence of vital reactions.
Artifacts in
Abrasion
By
By
By
By
Ants.
Insects.
Animals.
Marine animals.
Medico-Legal
Aspects
Contusion/Bruise
Contusion is an infiltration or
extravasion of blood into the tissue
due to rupture of vessels by the
application of blunt force.
Examples:-Stick,stone or fist.
Its subcutaneous without
discontinuity of skin.
Features of
contusion
Varies in sizes-Haematoma.
Superficial contusions are slightly raised
over the skin.
May not be present at site of the impact.
Superficial contusions appear soon with
red colour.
Deeper contusion appear late,can be
detected by infra red photography.
Contusions over bony prominences are
less visible externally.
contusion
Site of injury.
Vascularity of the part.
Age.
Sex.
Colour of the skin.
Nature of disease.
Shifting of blood due to gravity.
Age of the
contusion
Colour changes.
Histologically.
Healing process depends on:
-Size and situation of contusion.
-Age and physique of the person.
-Presence and absence of
disease.
Antemortem
contusion
Postmortem
contusion
Self inflicted
contusion
Homicidal
contusion
Accidental
contusion
Their
position,arrangement,circumstances
and surroundings.
Medico-Legal
Aspects
Laceration
wounds/Injuries
Margins-Irregular
Floor-Tags of tissue seen across the floor.
Damage to the tissue-Gross and
extensive.
Haemorrhage-Less because of crushing
of vessels.
Foreign substances at the site of injurydust,mud,gravels etc.
Healing-Process delayed due to gross
damage and infection.
Scars-Due to damage to skin and tissue.
Types of lacerated
wounds
Split laceration:
Stretch laceration:
Avulsion wound:
Tears laceration:
Cut laceration:
Medico-Legal
importance
Incised wounds
Features:
Medico-Legal
importance
Weapon
Manner of use of
weapon
Direction of application of
force
Defence wounds
Stab wound\Punctured
wound
Features of punctured
wound
Concealed Punctured
Wound
Complications
Medico-Legal
Importance
Fracture
Direct fracture.
Indirect fracture.
Direct Fracture
Focal fractures
Small force applied to a small area.
Injury to overlying soft tissue is
minimal.
Eg-forearm and leg, where two
bones lie adjacent to each other.
While defending blows during an
attack. Tapping Fracture.
Crush fractures
Penetrating fracture
Indirect Fractures
Traction Fractures
It results when a bone is pulled
apart by traction.
Eg- Transverse patellar fracture
due to violent contraction, of this
type of fracture due to sudden
contraction of quadriceps.
Angular fraction
Rotational fracture
Vertical compression
fracture
Angular-Compression
fracture
Medico-Legal
Importance