TY - JOUR
T1 - Correction to: Fracture patterns of the hyoid-larynx complex after fatal trauma on the neck: retrospective radiological postmortem analysis of 284 cases (International Journal of Legal Medicine, (2020), 134, 4, (1465-1473), 10.1007/s00414-019-02241-8)
AU - de Bakker, Henri M.
AU - Warmbrunn, Moritz V.
AU - van den Biggelaar, Peggy
AU - Soerdjbalie-Maikoe, Vidija
AU - de Bakker, Bernadette S.
N1 - Funding Information: We thank the pathologists, pathology assistants, and management from the NFI and the radiologists and forensic radiographers from the GHH for their continuous professional and pleasant cooperation. Publisher Copyright: © 2020, Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2021/5
Y1 - 2021/5
N2 - Purpose Fatal trauma on the neck occurs frequent in forensic cases and often results in fractures of the hyoid-larynx complex. The aim of the present study is to provide an overview of fractures in the hyoid-larynx complex that occur due to fatal trauma on the neck and can be observed by radiological evaluation. Methods Radiological images from a forensic radiological database created in the Groene Hart Hospital, Gouda, the Netherlands were used for analysis. Hyoid-larynx complexes were explanted in 284 individuals who accordingly to the forensic pathologist allegedly died from fatal trauma on the neck. These explants were imaged with conventional X-rays in eight directions and a CT scan. Radiological images were analyzed for fractures, dislocations, joints, and anatomical variations by a trained analyst and a radiologist. Results In 281/284 cases, the hyoid bone and, in 252/284 cases, the thyroid cartilage could be assessed. In 56 victims (20%), the hyoid bone was fractured, 55 times in the greater horn, 1 fracture in the body. The calcified superior horn of the thyroid showed a fracture in 101 victims (40%). The calcified cricoid cartilage was fractured in one case. Multiple fractures were found in 31/284 cases (11%). Joints between the greater horn and body of the hyoid were present in 74%.
AB - Purpose Fatal trauma on the neck occurs frequent in forensic cases and often results in fractures of the hyoid-larynx complex. The aim of the present study is to provide an overview of fractures in the hyoid-larynx complex that occur due to fatal trauma on the neck and can be observed by radiological evaluation. Methods Radiological images from a forensic radiological database created in the Groene Hart Hospital, Gouda, the Netherlands were used for analysis. Hyoid-larynx complexes were explanted in 284 individuals who accordingly to the forensic pathologist allegedly died from fatal trauma on the neck. These explants were imaged with conventional X-rays in eight directions and a CT scan. Radiological images were analyzed for fractures, dislocations, joints, and anatomical variations by a trained analyst and a radiologist. Results In 281/284 cases, the hyoid bone and, in 252/284 cases, the thyroid cartilage could be assessed. In 56 victims (20%), the hyoid bone was fractured, 55 times in the greater horn, 1 fracture in the body. The calcified superior horn of the thyroid showed a fracture in 101 victims (40%). The calcified cricoid cartilage was fractured in one case. Multiple fractures were found in 31/284 cases (11%). Joints between the greater horn and body of the hyoid were present in 74%.
KW - Forensic radiology
KW - Hyoid fracture
KW - Hyoid-larynx complex
KW - Postmortem computed tomography
KW - Thyroid fracture
UR - http://www.scopus.com/inward/record.url?scp=85090065683&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00414-020-02382-1
DO - https://doi.org/10.1007/s00414-020-02382-1
M3 - Comment/Letter to the editor
C2 - 32870356
SN - 0937-9827
VL - 135
SP - 1105
EP - 1113
JO - International Journal of Legal Medicine
JF - International Journal of Legal Medicine
IS - 3
ER -