Ewa Meissner

Assessment of Bone Age Based on Morphometric Study of the Upper End of the Humerus

Abstract:  Assessment of changes in the spongy bone structure of the upper end of the humerus is one of the common methods of age estimation. This method was devised many years ago (1894) and has never been verified in an objective numerical testing. We projected an objective morphometric method assessment of the upper end of the humerus. The study was carried out on humeri from cadavers of 88 men and 84 women. The surface area of atrophy of the spongy structure (medullary cavity) was calculated on the longitudinal section of the humerus. A new morphometric method was applied, which allowed numerical presentation of results. The results of the study show a lack of statistical correlation between atrophy of the spongy structure within the upper end of the humerus and the chronological age. Therefore, it can be concluded that the assessment of humerus structure should be omitted in the forensic medical age estimation.

Death due to obstruction of the upper airways caused by edema of the laryngeal mucosa in the course of hereditary angioedema.

A rare case of death of a young man due to airway obstruction in the course of angioedema (Quinckes edema). Type I hereditary angioedema due to C1 esterase inhibitor deficiency had been diagnosed in the man while he was alive. The information concerning the mans health state was given in the Public Prosecutors decision ordering medico legal autopsy, which was extremely helpful in recognizing the cause of death.

Iatrogenic Burns of the Neckline in a Patient with Tetraparesis During Tracheotomy

The paper presents a case of an atypical iatrogenic complication after tracheotomy analyzed on the basis of the case dossier materials submitted to the authors by the court of justice to prepare a forensic medical opinion concerning the correctness of the medical procedure. A 37‐year‐old woman was brought by the ambulance service to the hospital with acute respiratory failure due to post‐tracheostomy tracheal stenosis. Tracheotomy was performed on an emergency basis. The patient suffered severe burns of the chest and neck. The experts concluded that the most probable cause of the incident was electrocautery‐induced ignition of the disinfectant used for cleaning the skin before the surgery. It was established that with correct handling of the procedure, the aforementioned incident should not have taken place. Therefore, it cannot be regarded as a normal complication inherent in the risk associated with the procedure, but as a consequence of a medical error.