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目的:总结分析创伤性骨关节炎法医学鉴定的关键,从而为法医学鉴定提供参考。方法:在2012年2月到2015年8月期间,选取我司法鉴定所受理的20例创伤性骨关节炎案例,对这些鉴定者的相关资料进行回顾分析。结果:创伤性骨关节炎其临床表现出来的疼痛、功能障碍与影像学检查表现出来的严重程度没有明显的关系,20例创伤性骨关节炎中出现功能障碍的有14例,5例表现为生理结构破坏并出现功能障碍,有1例创伤性关节炎人员在功能检查以及生理结构上没有异常。结论:骨折后容易并发骨关节炎,而且主要部位集中在负重关节,对于法医学鉴定,患者的临床症状相对于影像学检查表现更加有价值。
OBJECTIVE: To summarize and analyze the key points of forensic identification of traumatic osteoarthritis, and provide a reference for forensic identification. Methods: From February 2012 to August 2015, 20 cases of traumatic osteoarthritis accepted by forensic examination were selected and relevant data of these experts were retrospectively analyzed. Results: Traumatic osteoarthritis of the clinical manifestations of pain, dysfunction and imaging showed no significant relationship between the severity of traumatic osteoarthritis in 20 cases of dysfunction in 14 cases, 5 cases showed Physiological structure damage and dysfunction, 1 case of traumatic arthritis in functional examination and physical structure is no exception. CONCLUSION: Osteoarthritis is easy to occur after fractures, and the main part is focus on the weight-bearing joints. For forensic identification, the clinical symptoms of patients are more valuable than imaging findings.