Skip to main content

Injury Assessment, Documentation, and Interpretation

  • Chapter
  • First Online:
Clinical Forensic Medicine

Abstract

Assessing, documenting, and interpreting injuries or scars which have been ­sustained as a result of trauma or violence is one of the key roles of any forensic physician or forensic pathologist. Crimes of violence – for example inter-personal, part of armed conflict, or accident, or terrorism, occur globally. Although crime in general is decreasing in the UK, the incidence of serious violent crime is stable and some (such as sexual assault) is increasing in incidence [1]. Nonjudicial assault (such as torture) has also become more widely recognized and documented [2]. This chapter addresses the issues of physical assault and the assessment and documentation of wounds, scars, or injury. It has been suggested that the definition of physical injury in the forensic medical context should be “damage to any part of the body due to the deliberate or accidental application of mechanical or other traumatic agent” [3]. The latter term would include agents such as heat or cold.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Home Office (2010) Crime in England and Wales: Quarterly Updated to June 2010. 2nd Edition. 166/10. Home Office, London

    Google Scholar 

  2. Peel M, Iacopino V (2002) The Medical Documentation of Torture. Greenwich Medical Media, London

    Google Scholar 

  3. Payne-James JJ (2003) Assault and injury. In: Payne-James JJ, Busuttil A, Smock W (eds) Forensic Medicine: Clinical and Pathological aspects. Greenwich Medical Media, London, pp 543–563

    Google Scholar 

  4. Gall J, Payne-James JJ (2011) Injury interpretation – possible errors and fallacies. In: Gall J, Payne-James JJ (eds) Current Practice in Forensic Medicine. Wiley, London

    Chapter  Google Scholar 

  5. Marsh N (2011) The photography of injuries. In: Gall J, Payne-James JJ (eds) Current practice in forensic medicine. Wiley, London

    Google Scholar 

  6. Irvine AJ (2002) Incisions, are not lacerations. Br Med J 325:1113–1114

    Article  Google Scholar 

  7. Henn V, Lignitz E (2004) Kicking and trampling to death: pathological features, biomechanical mechanisms, and aspects of victims and perpetrators, Chapter 2. In: Tsokos M (ed) Forensic Pathology Reviews volume 1. Humana Press Inc, Totowa

    Google Scholar 

  8. Dolinak D, Matshes E (2005) Blunt force injury, Chapter 5. In: Dolinak D, Matshes EW, Lew EO (eds) Forensic Pathology – Principles and Practice. Elsevier Academic Press, London

    Google Scholar 

  9. Karger B, Rothschild MA, Pfeiffer H (2001) Accidental sharp force fatalities – beware of architectural glass, not knives. Forensic Sci Int 123:135–139

    Article  PubMed  CAS  Google Scholar 

  10. Karger B, Niemeyer J, Brinkmann B (2000) Suicides by sharp force: typical and atypical features. Int J Leg Med 113:259–262

    Article  CAS  Google Scholar 

  11. Bleetman A, Hughes Lt H, Gupta V (2003) Assailant technique in knife slash attacks. J Clin Forensic Med 10:1–3

    Article  PubMed  Google Scholar 

  12. Bleetman A, Watson CH, Horsfall I, Champion SM (2003) Wounding patterns and human performance in knife attacks: optimising the protection provided by knife resistant body armour. J Clin Forensic Med 10:243–248

    Article  PubMed  CAS  Google Scholar 

  13. Langlois NEI, Gresham GA (1991) The ageing of bruises: a review and study of the colour changes with time. Forensic Sci Int 50:227–238

    Article  PubMed  CAS  Google Scholar 

  14. Stephenson T, Bialas Y (1996) Estimation of the age of bruising. Arch Dis Child 74:53–55

    Article  PubMed  CAS  Google Scholar 

  15. Munang LA, Leonard PA, Mok JYQ (2002) Lack of agreement on color description between clinicians examining childhood bruising. J Clin Forensic Med 9(4):171–174

    Article  PubMed  CAS  Google Scholar 

  16. Maguire S, Mann MK, Sibert J, Kemp A (2005) Can you age bruises accurately in children? A systematic review. Arch Dis Child 90:187–189

    Article  PubMed  CAS  Google Scholar 

  17. Maguire S, Mann MK, Sibert J, Kemp A (2005) Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse? A systematic review. Arch Dis Child 90:182–186

    Article  PubMed  CAS  Google Scholar 

  18. Payne-James JJ (2009) Assault: sexually motivated. In: Jamieson A, Moenssens A (eds) Wiley encyclopedia of forensic science. Wiley, New York

    Google Scholar 

  19. Payne-James JJ (2011) Asphyxia. In: Wyatt J, Norfolk G, Squires T, Payne-James JJ (eds) Oxford Handbook of Forensic Medicine. OUP, Oxford

    Google Scholar 

  20. Payne-James JJ, Vanezis P (2005) Sharp and cutting-edge wounds. In: Payne-James JJ, Byard R, Corey T, Henderson C (eds) Encyclopedia of Forensic and Legal Medicine. Academic, Amsterdam

    Google Scholar 

  21. Gall J, Payne-James JJ, Goldney RD (2011) Self-inflicted injuries and associated psychological profiles. In: Gall J, Payne-James JJ (eds) Current practice in forensic medicine. Wiley, London

    Chapter  Google Scholar 

  22. Dana S, DiMaio VJM (2003) Gunshot trauma. In: Payne-James JJ, Busuttil A, Smock W (eds) Forensic Medicine: Clinical and Pathological Aspects. Greenwich Medical Media, London, pp 149–168

    Google Scholar 

  23. MacDonald DG (1974) Bite mark recognition and interpretation. J Forensic Sci Soc 14:229–233

    Article  PubMed  CAS  Google Scholar 

  24. Rawson RD, Ommen RK, Grams K, Johnson J, Yfantis A (1984) Statistical evidence for the individuality of the human dentition. J Forensic Sci 29:245–253

    PubMed  CAS  Google Scholar 

  25. Kieser JA, Bernal V, Waddell JN, Raju S (2007) The uniqueness of the human anterior dentition: a geometric morphometric analysis. J Forensic Sci 52(3):671–677

    Article  PubMed  Google Scholar 

  26. Sheasby DR, MacDonald DG (2001) A forensic classification of distortion in human ­bitemarks. Forensic Sci Int 122(1):75–78

    Article  PubMed  CAS  Google Scholar 

  27. Bush MA, Miller RG, Bush PJ, Dorion BJ (2009) Biomechanical factors in human dermal bitemarks in a cadaver model. J Forensic Sci 54(1):167–176

    Article  PubMed  Google Scholar 

  28. Bush MA, Thorsrud K, Miller RG, Dorion RBJ, Bush PJ (2010) The response of skin to applied stress: investigation of bitemark distortion in a cadaver model. J Forensic Sci 55(1):71–76

    Article  PubMed  Google Scholar 

  29. Pretty IA, Sweet D (2000) Anatomical locations of bite marks and associated findings in 101 cases from the United States. J Forensic Sci 45:812–814

    PubMed  CAS  Google Scholar 

  30. Freeman AJ, Senn DR, Arendt DM (2005) Seven hundred and seventy-eight bite marks: analysis by anatomic location, victim and biter demographics, type of crime, and legal disposition. J Forensic Sci 50:1436–1443

    Article  PubMed  Google Scholar 

  31. Vale GI, Noguchi TT (1983) Anatomical distribution of human bite-marks in a series of 67 cases. J Forensic Sci 28:61–69

    PubMed  CAS  Google Scholar 

  32. Sweet D, Lorente JA, Lorente M, Valenzuela A, Villanueva E (1997) An improved method to recover saliva from human skin: the double swab technique. J Forensic Sci 42:320–322

    PubMed  CAS  Google Scholar 

  33. Sweet D, Shutler G (1999) Analysis of salivary DNA evidence from a bite mark on a body submerged in water. J Forensic Sci 44:1069–1072

    PubMed  CAS  Google Scholar 

  34. Hyzer WG, Krauss TC (1988) “The bite mark standard reference scale – ABFO No. 2. J Forensic Sci 33(2):498–506

    PubMed  CAS  Google Scholar 

  35. Barbenel JC, Evans JH (1974) Bite marks in skin – mechanical factors. J Forensic Sci Soc 14(3):235–238

    Article  PubMed  CAS  Google Scholar 

  36. GDC (2005) Standards for dental professionals. http://www.gdc-uk.org. Last Accessed 01 Oct 2010

  37. Senn D (2007) A critical look at the forensic value of bite mark analysis. Forensic Odontology News, American Society of Forensic. Odontology 1:6–9

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jason J. Payne-James .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Payne-James, J.J., Payne-James, J.J., Hinchliffe, J. (2011). Injury Assessment, Documentation, and Interpretation. In: Stark, M. (eds) Clinical Forensic Medicine. Humana Press. https://doi.org/10.1007/978-1-61779-258-8_4

Download citation

Publish with us

Policies and ethics