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Type: Journal article
Title: Avulsion of the distal tibial shaft in aircraft crashes - A pathological feature of extreme decelerative injury
Author: Byard, R.
Tsokos, M.
Citation: American Journal of Forensic Medicine and Pathology, 2006; 27(4):337-339
Publisher: Lippincott Williams & Wilkins
Issue Date: 2006
ISSN: 0195-7910
Abstract: A pilot and his passenger were killed on impact with the ground when their light aircraft crashed. Both deaths were caused by extensive injuries involving severe craniocerebral, skeletal, soft tissue, and organ trauma. In both victims, the legs were shortened, with stripping of muscle and soft tissues from the shafts of the lower limb long bones. In addition, fragments of distal tibial shaft had been forced through the soles of the victims' shoes. This sign indicated a fall from height and showed that the direction of the decelerative forces had been along the axis of the legs and that the force of impact was severe enough to cause fracturing of the lower limb bones, with subsequent extrusion of bone fragments downwards through the shoes. When present, this observation represents another feature at autopsy that can add to the understanding of the circumstances of a fatal air crash and the position of the victims immediately prior to impact.
Keywords: Humans
Craniocerebral Trauma
Tibial Fractures
Multiple Trauma
Forensic Medicine
Middle Aged
DOI: 10.1097/01.paf.0000220928.77162.b6
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Appears in Collections:Aurora harvest 6
Pathology publications

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