Skip to main content

Lethal Traumatic Injuries due to Traffic Accidents

  • Chapter
  • First Online:
Radiology in Forensic Medicine

Abstract

The Global status report on road safety published by the World Health Organization (WHO) in 2015 estimating information from 180 countries indicates that worldwide the total number of road traffic deaths has plateaued at 1.25 million per year. This report, the third Global status report on road safety, shows that low- and middle-income countries are more affected with a mortality rate of 90% of global road traffic deaths.

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

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover 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

Similar content being viewed by others

References

  1. WHO (2015) Global status report on road safety. World Health Organization, Geneva

    Google Scholar 

  2. Saukko P (2016) Knight’s forensic pathology, 4th edn. CRC Press, Taylor and Francis Group, New York

    Google Scholar 

  3. Ndiaye A, Chambost M, Chiron M (2009) The fatal injuries of car drivers. Forensic Sci Int 184:21–27

    Article  CAS  PubMed  Google Scholar 

  4. Panda A, Kumar A, Gamanagatti S, Mishra B (2015) Virtopsy computed tomography in trauma: normal postmortem changes and pathologic spectrum of findings. Curr Probl Diagn Radiol 44:391–406

    Article  PubMed  Google Scholar 

  5. Baglivo M, Winklhofer S, Hatch GM, Ampanozi G, Thali MJ, Ruder TD (2013) The rise of forensic and post-mortem radiology—analysis of the literature between the year 2000 and 2011. J Forensic Radiol Imaging 1:3–9

    Article  Google Scholar 

  6. Ross S, Ebner L, Flach P, Brodhage R, Bollinger SA, Christe A, Thali MJ (2012) Post-mortem whole-body MRI in traumatic cause of death. AJR Am J Roentgenol 199:1186–1192

    Article  PubMed  Google Scholar 

  7. Corradino G, Wolf AL, Mirvis S, Joslyn J (1990) Fractures of the clivus: classification and clinical features. Neurosurgery 27:592–596

    Article  CAS  PubMed  Google Scholar 

  8. Menkü A, Koç RK, Tucer B, Durak AC, Akdemir H (2004) Clivus fractures: clinical presentations and courses. Neurosurg Rev 27:194–198

    PubMed  Google Scholar 

  9. Triolo V, Argo A, Zerbo S, Bono G, Bonifacio A, Pugnetti P, Procaccianti P (2009) Lethal rupture of post-traumatic aneurysm of the vertebral artery case report. J Forensic Legal Med 16:168–171

    Article  Google Scholar 

  10. Añon J, Remonda L, Spreng A et al (2008) Traumatic extra-axial hemorrhage: correlation of postmortem MSCT, MRI, and forensic-pathological findings. J Magn Reson Imaging 28(4):823–836

    Article  PubMed  Google Scholar 

  11. Daly B, Abboud S, Ali Z et al (2013) Comparison of whole-body post mortem 3D CT and autopsy evaluation in accidental blunt force traumatic death using the abbreviated injury scale classification. Forensic Sci Int 225:20–26

    Article  PubMed  Google Scholar 

  12. Kasahara S, Makino Y, Hayakawa M et al (2012) Diagnosable and non-diagnosable causes of death by postmortem computed tomography: a review of 339 forensic cases. Legal Med 14:239–245

    Article  PubMed  Google Scholar 

  13. Jacobsen C, Lynnerup N (2010) Craniocerebral trauma—congruence between post- mortem computed tomography diagnoses and autopsy results: a 2-year retrospective study. Forensic Sci Int 194:9–14

    Article  PubMed  Google Scholar 

  14. Flach PM, Egli TC, Bolliger SA et al (2014) “Blind spots” in forensic autopsy: improved detection of retrobulbar hemorrhage and orbital lesions by postmortem computed tomography (PMCT). Leg Med (Tokyo) 16:274–282

    Article  CAS  Google Scholar 

  15. Jackowski C, Sonnenschein M, Thali MJ et al (2007) Intrahepatic gas at postmortem computed tomography: forensic experience as a potential guide for in vivo trauma imaging. J Trauma 62:979–988

    Article  PubMed  Google Scholar 

  16. Besenski N (2002) Traumatic injuries: imaging of head injuries. Eur Radiol 12:1237–1252

    Article  CAS  PubMed  Google Scholar 

  17. Christe A, Flach P, Ross S, Spendlove D, Bolliger S, Vock P, Thali MJ (2010) Clinical radiology and postmortem imaging (Virtosy) are not the same: specific and unspecific postmortem signs. Legal Med 12:215–222

    Article  PubMed  Google Scholar 

  18. Patzelt D, Lignitz E, Keil W et al (1997) Diagnostic problem of air embolism in a corpse. Beitr Gerichtl Med 37:401–405

    Google Scholar 

  19. Flach PM, Gascho D, Schweitzer W, Ruder TD, Berger N, Ross SG, Thali MJ, Ampanozi G (2014) Imaging in forensic radiology: an illustrated guide for postmortem computed tomography technique and protocols. Forensic Sci Med Pathol 10:583–606

    Article  PubMed  Google Scholar 

  20. Jalalzadeh H, Giannakopoulos GF, Berger FH, Fronczek J, Van de Goot FRW, Reijnders UJ, Zuidema WP (2015) Post-mortem imaging compared with autopsy in trauma victims—a systematic review. Forensic Sci Int 257:29–48

    Article  PubMed  Google Scholar 

  21. Añon J, Remonda L, Spreng A, Scheurer E, Schroth G, Boesch C et al (2008) Traumatic extra-axial hemorrhage: correlation of postmortem MSCT, MRI, and forensic-pathological findings. J Magn Reson Imaging 28(4):823–836

    Article  PubMed  Google Scholar 

  22. Zivković V, Nikolić S, Babić D, Juković F (2010) The significance of pontomedullar laceration in car occupants following frontal collisions: a retrospective autopsy study. Forensic Sci Int 10:13

    Article  Google Scholar 

  23. Burke MP (2012) Forensic pathology of fractures and mechanisms of injury: postmortem CT scanning. CRC Press - Taylor & Francis Group, Boca Raton

    Google Scholar 

  24. Ehara S, Shimamura T (2001) Cervical spine injury in the elderly: imaging features. Skelet Radiol 30:1–7

    Article  CAS  Google Scholar 

  25. Regenbogen VS, Rogers LF, Atlas SW, Kim KS (1986) Cervical spinal cord injuries in patients with cervical spondylosis. AJR Am J Roentgenol 146:277–284

    Article  CAS  PubMed  Google Scholar 

  26. Mkino Y, Yokota H, Hayakawa M, Yajima D, Inokuchi G, Nakatani E, Iwase H (2014) Spinal cord injuries with normal postmortem CT findings: a Pitgall of virtual autopsy for detecting traumatic death. AJR Am J Roentgenol 203:204–244

    Google Scholar 

  27. Uhrenholt L, Boel LW (2010) Contributions from forensic imaging to the investigation of upper cervical fractures. J Forensic Sci 55(6):1598–1602

    Article  PubMed  Google Scholar 

  28. Gonin J, De la Grandmaison GL, Durigon M, Paraire F (2009) Cardiac contusion and hemopericardium in the absence of external thoracic trauma. Case report and review of the literature. Am J Forensic Med Pathol 30:373–375

    Article  PubMed  Google Scholar 

  29. Robinet S, Morimont P, Lambermont B, Defraigne JO (2012) Interventricular septal rupture caused by vehicular trauma. Heart Lung 41(2):200–202

    Article  PubMed  Google Scholar 

  30. Abu-Hmeidan JH, Arrowaili AL, Yousef RS, Alasmari S, Kassim YM, Aldakhil Allah HH, Aljenaidel AM, Alabdulqader AA, Alrashed MH, Alkhinjar MI, Al-Shammari NR (2016) Coronary artery rupture in blunt thoracic trauma: a case report and review of literature. J Cardiothorac Surg 11(1):119

    Article  PubMed  PubMed Central  Google Scholar 

  31. Marshall DT, Gilbert JD, Byard RW (2008) The spectrum of findings in cases of sudden death due to blunt cardiac trauma-commotio cordis. Am J Forensic Med Pathol 29(1):1–4

    Article  PubMed  Google Scholar 

  32. Katz DS, Groskin SA, Wasenko JJ (1994) Pneumorachis and pneumocephalus caused by pneumothorax and multiple thoracic vertebral fractures. Clin Imaging 18:85–87

    Article  CAS  PubMed  Google Scholar 

  33. Aghayev E, Christe A, Sonnenschein M et al (2008) Postmortem imaging of blunt chest trauma using CT and MRI: comparison with autopsy. J Thorac Imaging 23:20–27

    Article  PubMed  Google Scholar 

  34. Bertrand S, Cuny S, Petit P, Trosseille X, Page Y, Guillemot H, Drazetic P (2008) Traumatic rupture of thoracic aorta in real-world motor vehicle crashes. Traffic Inj Prev 9(2):153–161

    Article  PubMed  Google Scholar 

  35. Harmouche M, Slimani EK, Heraudeau A, Verhoye JP (2013) Blunt traumatic aortic rupture of the proximal ascending aorta repaired by resection and direct anastomosis. Interact Cardiovasc Thorac Surg 17(4):739–740

    Article  PubMed  PubMed Central  Google Scholar 

  36. Kodali S, Jamieson WR, Stephens ML, Miyagishima RT, Janusz MT, Tyers GF (1991) Traumatic rupture of the thoracic aorta. A 20-year review: 1969–1989. Circulation 84(5 Suppl):40–46

    Google Scholar 

  37. Aghayev E, Sonnenschein M, Jackowski C et al (2006) Postmortem radiology of fatal hemorrhage: measurements of cross-sectional areas of major blood vessels and volumes of aorta and spleen on MDCT and volumes of heart chambers on MRI. AJR Am J Roentgenol 187(1):209–215

    Article  PubMed  Google Scholar 

  38. Brook OR, Hirshenbaum A, Talor E et al (2012) Arterial air emboli on computed tomography (CT) autopsy. Injury 43:1556–1561

    Article  PubMed  Google Scholar 

  39. Leth PM, Ibsen M (2010) Abbreviated injury scale scoring in traffic fatalities: comparison of computerized tomography and autopsy. J Trauma 68(6):1413–1416

    Article  PubMed  Google Scholar 

  40. Schnider J, Thali MJ, Ross S, Oesterhelweg L, Spendlove D, Bolliger SA (2009) Injuries due to sharp trauma detected by post-mortem multislice computed tomography (MSCT): a feasibility study. Leg Med (Tokyo) 11(1):4–9

    Article  CAS  Google Scholar 

  41. Christe A, Ross S, Oesterhelweg L, Spendlove D, Bolliger S, Vock P, Thali MJ (2009) Abdominal trauma—sensitivity and specificity of postmortem non-contrast imaging findings compared with autopsy findings. J Trauma 66:1302–1307

    Article  PubMed  Google Scholar 

  42. Richter M, Otte D, Gansslen A, Bartram H, Pohlemann T (2001) Injuries of the pelvic ring in road traffic accidents: a medical and technical analysis. Injury 32:123–128

    Article  CAS  PubMed  Google Scholar 

  43. Di Maio V, Di Maio D (2001) Forensic pathology, 2nd edn. CRC Press, Boca Raton

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Zerbo .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zerbo, S., Di Piazza, A., Procaccianti, S., Ventura Spagnolo, E., Lo Re, G. (2020). Lethal Traumatic Injuries due to Traffic Accidents. In: Lo Re, G., Argo, A., Midiri, M., Cattaneo, C. (eds) Radiology in Forensic Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-96737-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-96737-0_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96736-3

  • Online ISBN: 978-3-319-96737-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics