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Osteonal Microcracking Pattern: A Potential Vitality Marker in Human Bone Trauma

Schwab, Nathalie, Galtés, Ignasi, Winter-Buchwalder, Michelle, Ortega-Sánchez, Marisa, Jordana, Xavier·2023·Biology

Abstract

In forensic anthropology, the differential diagnosis between peri- and postmortem bone fractures is mainly based on macroscopic criteria. In contrast, studies focusing on bone histology are very scarce. In a recent publication, we showed that (perimortem) fractures in fresh human bones exhibit a different osteonal microcracking pattern than (postmortem) damage in dry bones. In the current work, we explored whether this osteonal microcracking pattern is distinctive of the vitality of (perimortem) fresh bone fractures. To this end, we compared the number, length and structural distribution of microcracks in vital humeral fractures from forensic autopsy cases with experimentally reproduced, three point-bending fractures in fresh and dry human humeri. Half of the fresh experimental bones were fractured whilst applying axial compression, i.e., attempting to simulate intra vitam conditions more accurately. The results showed a similar osteonal microcracking pattern between vital fractures and experimental fractures of fresh humeri subjected to axial compression. Interestingly, this pattern was significantly different from the one observed in the experimental fractures of fresh humeri without axial compression and dry humeri. This supports our hypothesis that the osteonal microcracking pattern can potentially be used as a marker for vital perimortem trauma, providing a histomorphometric tool for fracture timing.

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  • A potential explanation for the non-significant differences is the impact-related nature of BFT_autopsy cases, consisting of traffic accidents and falls, which transfers more kinetic energy, involves triaxial stress states and multiple high impact points, unlike a simple three-point bend.

    “A potential explanation for this may be impact-related nature of the BFT_autopsy cases, consisting of traffic accidents and falls, which transfers more kinetic energy, involves triaxial stress states and multiple high impact points on the bone, unlike a fracture caused by a relatively simple three-point bend [16,30].”

    From Osteonal Damage Patterns from Ballistic and Blunt Force Trauma in Human Long Bones (2024) · cites this paper as [16]

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  • So far, there has not been a focus on osteonal microcracking patterns in relation to trauma type but only literature on BFT cases and trauma timing.

    “So far, there has not been a focus on osteonal microcracking patterns in relation to trauma type but only literature on BFT cases and trauma timing [14,15,16].”

    From Osteonal Damage Patterns from Ballistic and Blunt Force Trauma in Human Long Bones (2024) · cites this paper as [16]

    The Introduction describes prior osteonal microcracking work on blunt-force trauma and peri- versus postmortem timing; the Methods say this study also used only blunt-force fractures. These passages support the description of the work discussed, but do not establish the broader claim that no research has focused on osteonal microcracking patterns across trauma types. Page numbers are not available in our copy. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • The mechanics surrounding MCKs are still yet to be fully understood and have mainly been investigated in terms of trauma timing in BFT cases.

    “The mechanics surrounding MCKs are still yet to be fully understood and have mainly been investigated in terms trauma timing in BFT cases [14,15,16].”
  • Void structures inside the osteon such as Haversian canals, osteocyte lacunae and canaliculi act as stress concentration sites where MCKs may initiate.

    “In the literature, the void structures inside the osteon such as the Haversian canals, osteocyte lacunae and canaliculi are said to act as stress concentration sites where MCKs may initiate [12,13,15,16].”
  • In fresh BFT cases, a higher proportion of osteonal MCKs can be observed when compared to dry bone which has greater interstitial MCKs.

    “These studies have demonstrated that in fresh BFT cases, a higher proportion of osteonal MCKs can be observed when compared to dry bone which has greater interstitial MCKs [15,16].”

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Cited by

Sorted by citations

Authors
Schwab, N., Galtés, I., Winter-Buchwalder, M., Ortega-Sánchez, M., & Jordana, X.
Affiliations
  • Biological Anthropology Unit, Department of Animal Biology, Plant Biology and Ecology, Faculty of Biosciences, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08193 Barcelona, Catalonia, Spain
  • Forensic Anthropology Unit, Catalonian Institute of Legal Medicine and Forensic Science (IMLCFC), Ciutat de la Justícia, Gran Via de les Corts Catalanes, 111 Edifci G, 08075 Sabadell, Barcelona, Spain
Venue
Biology
Publisher
MDPI AG
Published
2023-03-03
Volume
12
Issue
3
Pages
399
ISSN
2079-7737
Cited by
8
References
1
Language
en
Funders
  • Research Group in Biological Anthropology (2021SGR00183, PID2021-124112NB-100)
  • Proyectos de Generación de Conocimiento, Agencia Estatal de Investigación (2021SGR00183, PID2021-124112NB-100)

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