Skull Injuries Caused by Blows With Glass Bottles

  • Burkhard Madea
  • Peter H. Schmidt
  • Eberhard Lignitz
  • Stephan A. Padosch
Part of the Forensic Pathology Reviews book series (FPR, volume 2)

Abstract

The medicolegal literature provides many reports on the morphological appearance of stab injuries caused by pieces of broken glass (e.g., glass splinters). The review presented here focuses on the particular aspect of blow injuries to the head and skull inflicted by glass bottles. Findings from an experimental biomechanical study conducted by the authors as well as 10 case reports are presented and discussed in detail. In order to characterize typical findings and provide valuable guidelines for practical casework, cases of blows to the head with glass bottles that were not followed by any serious injuries are compared to such cases in which the blows resulted in fatal outcome. Combinations of lacerations and incised wounds were encountered in most cases. Interestingly, lacerations were of major severity as opposed to the incised wounds. The latter were, as a rule, only superficial. Differences in bottle shape, weight, and filling conditions did not account for any differences of the resulting injuries and the breaking behavior of the bottles, respectively. Strikingly, even in the cases in which death was attributable to the blow with the glass bottle, the actual cause of death was not related to mechanical damage of bony structures or to brain injury (e.g., comminuted skull fractures or severe cerebral contusions). Here, rather exsanguination from the inflicted lacerations was found to be responsible for fatal outcome. Skull fractures resulting from blows to the head with glass bottles can be considered rare events. Regarding biomechanically relevant factors that are determined by the bottle itself, the minor elasticity of glass, as compared to bone, the filling condition, and the location of impact have to be considered as important. Additional factors related to the victim’s head, such as the quantity of hair, the thickness of the scalp, the configuration and thickness of the skull, and the elasticity of bone, also must be taken into account. Considering the high frequency of assaults against the head using glass bottles, it would be most helpful for forensic practical casework to gain more detailed and sophisticated knowledge on the subject (e.g., about biomechanical principles of skull injuries caused by blows with glass bottles). However, the case reports presented here, complemented by experimental biomechanical data, will contribute to the understanding and assessment of analogous cases in practical forensic casework.

Key Words

Blow glass bottles skull injuries lethal hemorrhage 

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References

  1. 1.
    Patscheider H. Eine ungewöhnliche Stichverletzung der Brustorgane. Arch Kriminol 1972;150:44–48.PubMedGoogle Scholar
  2. 2.
    Dietz G, Waltz H. Stichverletzungen des Herzens durch Glassplitter. Arch Kriminol 1973;152:7–12.PubMedGoogle Scholar
  3. 3.
    Behrens S, Tryba M, Otte D, Gotzen L, Suren EG. Der Einfluss von Rückhaltesystemen auf Glasverletzungen von Pkw-Insassen. Unfallheilkunde 1978;81:502–507.PubMedGoogle Scholar
  4. 4.
    Sauer G, Paar O, Munk P, Passl R. Zur Problematik der Verletzungen mit Glas. Unfallheilkunde 1978; 81:406–408.PubMedGoogle Scholar
  5. 5.
    Ambach E, Rabl W, Tributsch W. Glassplitter im Schädel, Kriminalistik 1990;8/9: 463–470.Google Scholar
  6. 6.
    Ambach E, Tributsch W, Rabl W. Tödliche Verletzungen durch Glasfragmente. Falldarstellungen und Sektionsbefunde. Arch Kriminol 1991;187:39–46.PubMedGoogle Scholar
  7. 7.
    Bajanowski T, Varro A, Sepulchre MA. Tod durch scharfe Gewalt. Kriminologische und kriminalistische Aspekte. Arch Kriminol 1991;187:65–74.PubMedGoogle Scholar
  8. 8.
    Schulz F, Hildebrand E. Ungewöhnliche Todesfälle durch Glassplitterverletzung. Arch Kriminol 1992;189:145–152.PubMedGoogle Scholar
  9. 9.
    Bajanowski T, Paldauf E, Brinkmann B. Morphologie von Glasschnittverletzungen. Rechtsmedizin 1991; 1:47–50.Google Scholar
  10. 10.
    Rothschild MA, Karger B, Schneider V. Puncture wounds caused by glass mistaken for stab wounds with a knife. Forensic Sci Int 2000;121:161–165.CrossRefGoogle Scholar
  11. 11.
    Karger B, Rothschild MA, Pfeiffer H. Accidental sharp force fatalities—beware of architectural glass, not knives. Forensic Sci Int 2001;123:135–139.PubMedCrossRefGoogle Scholar
  12. 12.
    Madea B. Hämorrhagische Gastroenterocolopathie als Folge einer Halsstichverletzung. Rechtsmedizin 1992;2:74–77.Google Scholar
  13. 13.
    Prokop O, Radam G. Atlas der gerichtlichen Medizin. Karger, Basel, 1987, p. 361.Google Scholar
  14. 14.
    Kratter J. Gerichtsärztliche Praxis. Lehrbuch der gerichtlichen Medizin. Enke, Stuttgart, 1919.Google Scholar
  15. 15.
    Madea B, Lignitz E, Weinke H. deSchädelverletzungen durch Schlag mit Glasflaschen. Arch Kriminol 1993;192:73–79.PubMedGoogle Scholar
  16. 16.
    Schmidt PH, Orlopp K, Dettmeyer R, Madea B. Zur praktischen Anwendung des Injury Severity Scores (ISS) in der forensischen Begutachtung. Arch Kriminol 2002;210:172–177.PubMedGoogle Scholar
  17. 17.
    Zimmer G, König HG, Pedal I. Zur Gefährlichkeit von Schlägen mit Glasflaschen. Zentralbl Rechtsmedizin 1992;38:21.Google Scholar
  18. 18.
    Weyrich G. Zur Diagnose des verletzenden Werkzeugs aus Schädelwunden. Dtsch Z ges Gerichtl Med 1933;21:380–386.CrossRefGoogle Scholar
  19. 19.
    Bohnert M, Kneubuehl BP, Ropohl D, Pollak S. Zum Verletzungspotential von Trinkgläsern. Rechtsmedizin 2003;4:224.Google Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2005

Authors and Affiliations

  • Burkhard Madea
    • 1
  • Peter H. Schmidt
    • 2
  • Eberhard Lignitz
    • 3
  • Stephan A. Padosch
    • 2
  1. 1.Institute of Forensic MedicineRheinische Friedrich-Wilhelms-University BonnBonnGermany
  2. 2.Institute of Legal MedicineJohann Wolfgang Goethe University Frankfurt a.M.FrankfurtGermany
  3. 3.Institute of Legal MedicineUniversity of GreifswaldGreifswaldGermany

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