Skeletal Trauma (skeletal + trauma)

Distribution by Scientific Domains


Selected Abstracts


The dangers of multi-male groupings: trauma and healing in cercopithecoid monkeys from Cameroon

AMERICAN JOURNAL OF PRIMATOLOGY, Issue 7 2009
Tara J. Chapman
Abstract This study examines the potential linkage between social organization and trauma in a sample of cercopithecids from Cameroon. Skeletal trauma is described in a museum collection of eight sympatric monkey species. Macroscopic analysis was carried out on a total of 139 complete skeletons of mangabeys, colobines and guenons. Species in multi-male groups were found to have higher fracture frequencies than those in uni-male groups. These higher frequencies may be related to intra-specific male,male aggression; however, similarities in fracture patterning between males and females in multi-male groups suggest that other factors may be involved. Although fracture etiology may not be identified with certainty, this study suggests that predation may indirectly be a cause of traumatic injuries in those species of cercopithecid monkeys displaying multi-male social organizations. The data presented also highlight the utility of museum collections as an additional resource in analyses of primate behavior, demonstrating that behavioral information does not die when the animal does. Am. J. Primatol. 71:567,573, 2009. © 2009 Wiley-Liss, Inc. [source]


Trauma in the city of Kerma: ancient versus modern injury patterns

INTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 1 2004
M. Judd
Abstract Injuries, whether accidental or intentional, have incapacitated humans and their primordial ancestors throughout time, although the injury mechanisms have become increasingly more technologically sophisticated. Interpretation of injury aetiology among past peoples is challenging, and often impossible, however, clinical research from developing countries provides a useful analogy with which to evaluate trauma or health patterns of an ancient society. This paper presents a systematic analysis of cranial and postcranial skeletal trauma among 223 adults who were excavated by George Reisner in 1923 from the city of Kerma (1750,1550 BC), Egypt's ancient nemesis in the struggle for control of the Nile River trade route. A total of 156 injuries (fractures, dislocations and muscle pulls among the skull, long bones, extremities and torso) were observed among 88 individuals, 48 of whom had one injury only. The skull was the most frequently traumatized element (11.2%) followed by the ulna (8.3%); 2.4% (48/2029) long bones were fractured. The modal distribution of the Kerma fractures was compared to the fracture distributions of two samples from India and Nigeria where falls were the most common cause of injury. Some characteristics of the three injury patterns were shared: males suffered the greatest frequency of injury, the economically active people (25 to 50 years of age) presented the most injuries among adults, and a small proportion of the victims had more than one major injury. However, the Kerma distribution of the fractured bones varied dramatically from the clinical injury distributions: the ulna and skull were among the least frequently injured bones in the modern samples, while the radius, humerus and lower leg were the most commonly traumatized elements among the modern people, but rare among the ancients. The configuration of the ulna and skull injuries at Kerma was characteristic of those associated with blunt force trauma in other clinical assessments and the absence of these specific lesions from the modern samples where accident was the primary injury mechanism presents a persuasive argument for interpersonal violence among the ancient Kerma people. Copyright © 2004 John Wiley & Sons, Ltd. [source]


Macroscopic Characteristics of Screwdriver Trauma

JOURNAL OF FORENSIC SCIENCES, Issue 6 2007
Alexandra M. Croft M.Sc.
Abstract:, The main objective of the study was to determine the type of macroscopic trauma created by a flat-tipped and a cross-tipped screwdriver. The second objective was to determine if the trauma inflicted by the two screwdrivers could be macroscopically differentiated. Three tests were conducted, each by a male volunteer. Each test consisted of 12 samples of fleshed pig ribs; six were stabbed with a flat-tipped screwdriver and the remaining six with a cross-tipped screwdriver (Phillips®). Each sample received 15 stab wounds during the process. The stabbings were conducted at perpendicular and oblique angles, with fabric variables being utilized. Results illustrate two main categories of macroscopic skeletal trauma, fractures, and puncture wounds. By studying the macroscopic appearance in tandem with differing trauma frequencies, these two screwdriver types can be differentiated. [source]


Young, adult, and old rats have similar changes in mRNA expression of many skeletal genes after fracture despite delayed healing with age

JOURNAL OF ORTHOPAEDIC RESEARCH, Issue 10 2006
Ralph A. Meyer Jr.
Abstract Genes active in fracture healing are not well understood. Because age slows skeletal repair, the change in gene expression between animals of differing ages may illuminate novel pathways important to this healing response. To explore this, 6-, 26-, and 52-week-old female Sprague-Dawley rats were subjected to mid-diaphyseal femoral fracture with intramedullary fixation. The fracture callus was collected at 0, 0.4 (3 days), 1, 2, 4, or 6 weeks after fracture. RNA was extracted and pooled between two animals for each sample. Three samples were done for each time point for each age for a total of 54 Affymetrix U34A GeneChip microarrays. Of the 8700 genes on each array, 3300 were scored as present. Almost all of these genes were affected by femoral fracture with either upregulation or downregulation in the 6 weeks after fracture. Upregulated genes included markers for matrix genes for both cartilage and bone, osteoblasts, osteocytes, osteoclasts, fibroblasts, and mast cells. Downregulated genes included genes related to blood cell synthesis. Nearly all genes presently associated with bone metabolism showed the same response to fracture healing regardless of the age of the animal. In conclusion, skeletal fracture led to similar changes in RNA expression for most skeletal genes despite the delay in the formation of bone to bridge the fracture gap in old rats. Defects in the healing of skeletal trauma in older rats may lie in systems not normally studied by skeletal biologists. © 2006 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 24:1933,1944, 2006 [source]


Biocultural interpretations of trauma in two prehistoric Pacific Island populations from Papua New Guinea and the Solomon Islands

AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 4 2010
Rachel M. Scott
Abstract Two Pacific Island skeletal samples originating from the inland site of Nebira, Papua New Guinea (1230,1650) and a coastal site on the small island of Taumako, Solomon Islands (1530,1698) were examined for evidence of skeletal trauma using a biocultural approach. The types of trauma identified were cranial trauma, postcranial fractures, and piercing and sharp force trauma. Both samples exhibit trauma (Nebira, n = 9/28, 32.1%; Taumako, n = 17/133, 12.8%). Postcranial fractures are significantly higher in males from Nebira (Fisher Exact P value = 0.025). The prevalence of cranial trauma (n = 6/28, 21.4%) is significantly higher in Nebira individuals (Fisher Exact P value = 0.007). There is no conclusive evidence of piercing trauma at Nebira unlike Taumako, which has four individuals with evidence of piercing or sharp force trauma. Both samples show evidence of interpersonal violence and warfare. The results suggest the environment may have contributed to the pattern of trauma at these sites. These patterns are discussed within their cultural and environmental contexts. Am J Phys Anthropol 142:509,518, 2010. © 2010 Wiley-Liss, Inc. [source]


Popliteal artery injury: Royal Perth experience and literature review

ANZ JOURNAL OF SURGERY, Issue 10 2005
Mazri M. Yahya
Background: Popliteal artery injury is uncommon but poses a significant challenge in Australian trauma care. Blunt trauma and knee dislocations appear to be associated with higher amputation rates. The aim of the present study was to review the authors' experience with this condition and discuss the best approach to investigation and management. Methods: The medical records of all patients with popliteal artery injury (n = 19) who were entered prospectively onto the Royal Perth Hospital Trauma Registry from 1995 to 2003 were reviewed. Their demographic data, investigations, primary operative procedures, fasciotomy, primary and secondary amputation rates and mortality were determined. Results: There were 17 male and two female patients with a median age of 34 years (range 17,62 years). Most patients (84%) were under 40 years in age. Blunt trauma was the commonest cause of popliteal artery injury (68.4%), and 84.6% of the patients had associated skeletal injury. The amputation rate in the present study was 26.3% (5/19). There were no intraoperative or in-hospital deaths. Three of 13 patients (23%) with blunt trauma underwent amputation, compared to two of six (33.3%) with penetrating injury. Two of three amputee patients in the blunt trauma group had dislocated knees. Conclusion: Despite technical improvements in management of popliteal artery injury, a high amputation rate is still seen, especially in patients with one or more of the following factors: extensive soft-issue injury, associated skeletal trauma, knee dislocation, and prolonged ischaemia time. Measures to reduce the amputation rate, ranging from more prompt diagnosis to modified surgical treatment techniques, are discussed. [source]