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Dating of Other Injuries in Children

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Forensic Pathology of Infancy and Childhood

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Abstract

This chapter will review the features of wound healing that may be used to routinely assist with determining the age of an injury. Incised wounds, bruises, burns, and fractures are covered. It is acknowledged that wounds may not exhibit expected temporal changes, and reasons for this are given. Finally, a practical approach is suggested.

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Bibliography

  • Allbrook D, de C Baker W, Kirkaldy-Willis WH. Muscle regeneration in experimental animals and in man. J Bone Joint Surg. 1966;48(B):153–69.

    CAS  Google Scholar 

  • Ashcroft GS, Horan MA, Ferguson MWJ. The effects of ageing on cutaneous wound healing in mammals. J Anat. 1995;187:1–26.

    PubMed  Google Scholar 

  • Barbian LT, Sledzik PS. Healing following cranial trauma. J Forensic Sci. 2008;53:263–8.

    Article  PubMed  Google Scholar 

  • Betz P. Histological and enzyme histochemical parameters for the age estimation of human skin wounds. Int J Legal Med. 1994;107:60–8.

    Article  CAS  PubMed  Google Scholar 

  • Byard RW, Heath K. Mesenteric fibrosis – a histologic marker of previous blunt abdominal trauma in early childhood. Int J Legal Med. 2010;124:71–3.

    Article  PubMed  Google Scholar 

  • Byard RW, Wick R, Gilbert JD, Donald T. Histologic dating of bruises in moribund infants and young children. Forensic Sci Med Pathol. 2008;4:187–92.

    Article  PubMed  Google Scholar 

  • Byard RW, Gabrielian L, Helps SC, Thornton E, Vink R. Further investigations into the speed of cerebral swelling following blunt cranial trauma. J Forensic Sci. 2012;57:973–5.

    Article  PubMed  Google Scholar 

  • Clark RAF. Wound repair. Overview and general considerations. In: Clark RAF, editor. The molecular and cellular biology of wound repair. New York: Plenum; 1995. p. 3–50.

    Google Scholar 

  • Clark MA, Plank LD, Hill GL. Wound Healing Associated with severe surgical illness. World J Surg. 2000;24:648–54.

    Article  CAS  PubMed  Google Scholar 

  • Converse JM, Wood-Smith D. Thermal Burns. In: Converse JM, editor. Reconstructive plastic surgery, vol. 1. Philadelphia: W B Sanders; 1977. p. 512–3.

    Google Scholar 

  • Emery CF, Kiecolt-Glaser JK, Glaser R, Malarkey WB, Frid DJ. Exercise accelerates wound healing among healthy older adults: a preliminary investigation. J Gerontol. 2005;60A:1432–6.

    Article  Google Scholar 

  • Fenster LF. Focal infiltrations of polymorphic leukocytes in liver biopsies: traumatic lesions? Hepatology. 1987;7:393–4.

    Article  Google Scholar 

  • Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res. 1989;248:283–93.

    PubMed  Google Scholar 

  • Grossman SE, Johnston A, Vanezis P, Perrett D. Can we assess the age of bruises? An attempt to develop an objective technique. Med Sci Law. 2011;51:170–6.

    Article  PubMed  Google Scholar 

  • Kirsner RS, Eaglstein WH. The wound healing process. Dermatol Clin. 1993;11:629–40.

    CAS  PubMed  Google Scholar 

  • Kloen P, Di Paola M, Borens O, Richmond JA, Perino G, Helfet DL, et al. BMP signaling components are expressed in human fracture callus. Bone. 2003;33:362–71.

    Article  CAS  PubMed  Google Scholar 

  • Kohlmeier RE, DiMaio VJM, Sharkey F, Rouse EA, Reeves KE. The timing of histologic changes in liver lacerations. Am J Forensic Med Pathol. 2008;29:206–7.

    Article  CAS  PubMed  Google Scholar 

  • Laiho K. Time dependence of hemoglobin degradation. In: Oehmichen M, Kirchner H, editors. The wound healing process – forensic pathological aspects. Lübeck: Schmidt-Römhild; 1995.

    Google Scholar 

  • Langlois NEI. The science behind the quest to determine the age of bruises – a review of the English language literature. Forensic Sci Med Pathol. 2007;3:241–51.

    Article  Google Scholar 

  • Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42:551–5.

    Article  PubMed Central  PubMed  Google Scholar 

  • Munang LA, Leonard PA, Mok JYQ. Lack of agreement on colour description between clinicians examining childhood bruising. J Clin Forensic Med. 2002;9:171–4.

    Article  CAS  PubMed  Google Scholar 

  • Nádvorník F. The vital reaction and timing of the wound. Acta Univ Carol Med. 1985;31:475–524.

    Google Scholar 

  • Nash KR, Sheridan DJ. Can one accurately date a bruise? State of the science. J Forensic Nurs. 2009;5:31–7.

    Article  PubMed  Google Scholar 

  • Odland G, Ross R. Human wound repair I. Epidermal regeneration. J Cell Biol. 1968;39:135–51.

    Article  CAS  PubMed  Google Scholar 

  • Oehmichen M. Vitality and time course of wounds. Forensic Sci Int. 2004;144:221–31.

    Article  CAS  PubMed  Google Scholar 

  • Oehmichen M, Walter T, Meissener C, Friedrich H-J. Time course of cortical hemorrhages after closed traumatic brain injury: statistical analysis of posttraumatic histomorphological alterations. J Neurotrauma. 2003;20:87–103.

    Article  PubMed  Google Scholar 

  • Pajulo OT, Pulkki KJ, Alanen MS, Reunanen MS, Lertola KK, Mattila-Vuori AI, Viljanto JA. Duration of surgery and patient age affect wound healing in children. Wound Repair Regen. 2000;8:174–8.

    Article  CAS  PubMed  Google Scholar 

  • Pilling ML, Vanezis P, Perrett D, Johnston A. Visual assessment of the timing of bruises by forensic experts. J Forensic Leg Med. 2010;17:143–9.

    Article  CAS  PubMed  Google Scholar 

  • Prosser I, Maguire S, Harrison SK, Mann MK, Sibert JR, Kemp AM. How old is this fracture? Radiologic dating of fractures in children: a systematic review. Am J Roentgenol. 2005;184:1282–6.

    Article  Google Scholar 

  • Püschel K, Schulz-Schaeffer WJ, Brück W. Time-dependent morphological alterations of injection marks. In: Oehmichen M, Kirchner H, editors. The wound healing process – forensic pathological aspects. Lübeck: Schmidt-Römhild; 1995. p. 293–307.

    Google Scholar 

  • Raekallio J, Vijlanto J. Regeneration of subcutaneous connective tissue in children a histological study with application of the CELLSTIC device. J Cutan Pathol. 1975;2:191–7.

    Article  CAS  PubMed  Google Scholar 

  • Robertson I, Hodge PR. Histopathology of healing abrasions. Forensic Sci Int. 1972;1:17–25.

    Article  CAS  Google Scholar 

  • Schäffer M, Barbul A. Lymphocyte function in wound healing and following injury. Br J Surg. 1998;85:444–60.

    Article  PubMed  Google Scholar 

  • Tarran S, Langlois NEI, Dziewulski P, Sztynda T. Using the inflammatory cell infiltrate to estimate the age of human burn wounds: a review and immunohistochemical study. Med Sci Law. 2006;46:115–26.

    Article  PubMed  Google Scholar 

  • Vanezis P. Intrepreting bruises at necropsy. J Clin Pathol. 2001;54:348–55.

    Article  CAS  PubMed  Google Scholar 

  • Walter T, Meissner C, Oehmichen M. Pathomorphological staging of subdural hemorrhages: statistical analysis of posttraumatic histomorphological alterations. Leg Med. 2009;11:S56–62.

    Article  Google Scholar 

  • Zumwalt RE, Fanizza-Orphanos AM. Dating of healing rib fractures in fatal child abuse. In: Fenoglio-Preiser C, editor. Advances in pathology, vol. 3. 1990. p. 193–205.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Forensic Science SA, University of Adelaide, 21 Divett Place, 5000, Adelaide, SA, Australia

    Neil E. I. Langlois

Authors
  1. Neil E. I. Langlois
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Correspondence to Neil E. I. Langlois .

Editor information

Editors and Affiliations

  1. Fulton County Medical Examiner's Office, Emory University School of Medicine, Atlanta, Georgia, USA

    Kim A. Collins

  2. University of Adelaide, Adelaide, South Australia, Australia

    Roger W. Byard

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Langlois, N.E.I. (2014). Dating of Other Injuries in Children. In: Collins, K., Byard, R. (eds) Forensic Pathology of Infancy and Childhood. Springer, New York, NY. https://doi.org/10.1007/978-1-61779-403-2_14

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