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Elder abuse-related rib fractures

Performance of Chest Computed Tomography in Two Case Reports

Bibliographic Data

ID5219753
AuthorsZhilu Zhou (Guiyang Medical University), Peipei Zhuo, P P Zhuo (0000-0002-8223-4331, Shanghai Medical College of Fudan University), Jiemin Chen (Institute of Forensic Science), Lei Wan (0000-0002-7076-6787, Institute of Forensic Science), Xiaoying Yu (0000-0003-1659-2365), X Y Yu (0009-0009-9825-700X, Institute of Forensic Science), Maowen Wang (Institute of Forensic Science), Dan Ran (Institute of Forensic Science), Xiaoping Yang (0000-0001-8702-1813, Institute of Forensic Science), Hongxia Hao (0000-0002-2324-0803), Hong-Xia Hao (Jiamusi University), Wentao Xia (0000-0002-2713-2578, Institute of Forensic Science), Qing Xia (0000-0001-7933-8722, Institute of Forensic Science)
Year2025
Volume10
Issue3
Pagesowaf011-owaf011
Publication date2025-06-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueForensic Sciences Research (JOURNAL)
Journal identifiersISSN: 2471-1411 • E-ISSN: 2096-1790
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1093/fsr/owaf011
PMID40727608
OpenAlexW4412017027
LanguageEN
References cited17

Trauma in victims of abuse often exists in various ways, and the characters usually manifest as non-fatal injuries, repetitive occurrence, and the injured parts are relatively hidden. Forensic experts are optimally positioned to raise suspicion for abuse when comprehensively considering a forensic investigation, reviewing imaging, and other multiple factors of geriatric injury victims. However, few experts received formal or informal training in abuse identification. In this article, we discussed two cases of suspected victims of abuse with rib fractures and attempted to determine the location, timing, and directionality of these injuries to raise the index of suspicion for abuse. We present two cases to characterize the radiographic changes of rib fractures in various stages of healing and radiographic findings in elder abuse events. To improve the accuracy of the imaging diagnosis, we collected a series of computed tomography images of rib fractures and compared all computed tomography images of these two victims with these images. We found that the victims presented with repeated rib fractures and with different stages of healing. We strongly suspect these were abuse cases due to the radiographic findings and clinical recordings demonstrated by these cases. We aim to raise awareness of abuse in radiology and forensic medicine to help these victims and reduce such incidents

Computed tomography · Radiology · Rib cage · Anatomy · Autopsy Techniques and Outcomes · Elder Abuse and Neglect · Medicine · Restraint-Related Deaths

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  • Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States

    Ron Acierno, M A Hernández et al.•American Journal of Public Health•2010

Citation velocityhistorical
Highly citedNo

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