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Pontomedullary lacerations in falls from a height--a retrospective autopsy study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Zivkovic, Vladimir Nikolic, Slobodan Babic, Dragan Djonic, Danijela Atanasijevic, Tatjana Djuric, Marija
Description	Author Affiliation: Zivkovic V ( University of Belgrade - School of Medicine, Institute of Forensic Medicine, Belgrade, Serbia. vladinmejl@yahoo.com)
Abstract	Brainstem pontomedullary laceration (PML) in falls from a height appears as isolated cases and usually in feet-first impacts with a ring fracture. The aim of this study was to determine the frequency of PML in falls from a height, as well as the frequency of concomitant head and neck injuries. Out of 261 cases, PML was present in 40. An impact to the chin, as well as a feet- or buttocks-first impact, most often led to PML owing to transmission of the impact force. Also, a lateral, frontal, or posterior head impact, with subsequent hinge fracture, as well as the frontoposterior hyperextension of the head associated with an upper spine fracture, could be possible mechanisms of PML in falls from a height. The jawbone and other facial bones act as shock absorbers, and their fracture diminishes energy transfer toward the skull and protects the brain and brainstem from injury.
File Format	HTM / HTML
ISSN	00221198
Issue Number	3
Volume Number	57
e-ISSN	15564029
Journal	Journal of Forensic Sciences
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2012-05-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Jaw Research Support, Non-u.s. Gov't Pons Facial Injuries Humans Middle Aged Male Journal Article Young Adult Skull Fractures Adult Female Forensic Pathology Retrospective Studies Accidental Falls Injuries Biophysical Phenomena Discipline Forensic Sciences Aged, 80 And Over Pathology Spinal Injuries Medulla Oblongata Adolescent Aged Energy Transfer
Content Type	Text
Resource Type	Article
Subject	Genetics Pathology and Forensic Medicine

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