“Buckle” rib fracture: An artifact following cardio-pulmonary resuscitation detected on postmortem CT

摘要: Buckle rib fractures are incomplete involving the inner cortex alone, and rarely detected on routine chest X-ray or at autopsy. The characteristics of these have not been well evaluated in situ although they commonly observed postmortem CT images especially following CPR. findings 42 cases showing buckle caused by CPR were reviewed. cause death all was non-traumatic. shape, number, location, distribution their relationship to other types using a novel oblique axial multiplanar reconstruction technique. Almost associated with (90.5%). All distributed from second ninth ribs over 95% being within seventh ribs. dominant proportion located vicinity costochondral junctions increases lower Over 97% anterior one third based new measurement method utilizing data. When recognition is taken into account, detection symmetry continuity typically improved compared complete alone. Recognition benefit forensic pathologist evaluating possibility differentiation resuscitative artifact forensically significant visceral injury