title: [Site, number and depth of wounds of the scalp in falls and blows--a contribution to the validity of the so-called hat brim rule].
abstract: The sites, numbers and lengths of wounds of the skin of the scalp and head caused by blunt injuries (falls from standing position, falls downstairs, blows) in an autopsy series. Analysis of the localization, length and number of wounds located at the head in 305 autopsy cases of falls from a standing position (203 cases), falls downstairs (51 cases) and blows with relatively long materials (51 cases). For the distinction between falls and blows, among several other aspects the so-called rule of the hat-brim-line is described: in cases of falls from a standing position down to a flat bottom, contusions can be expected in or near a line which represents the greatest horizontal circumference of the skull, whereas in cases of blows the contusions lay above this area. Although such a tendency was found in our material, a rule could not be confirmed: only approximately 55% of the wound due to blows were above this line, and in cases of falls from a standing position ca. 1/3 of the wounds were above this area. Only in the (dorso-frontal and parietal) region "top of the head" contusions due to falls from a standing position were quite uncommon. The mean length and length distribution of wounds in the hat-brim-zone was not different between the 3 causes of injuries; in positions above this, wounds due to blows were longer compared to those by falls. In falls from a standing position, only exceptionally more than 1 wound was found, whereas in cases of homicide several or many wounds were common. Single wounds due to blows were only found in cases, in which the victims were knocked down but not killed by blunt forces, and death was caused by other methods (e.g. strangulation or stabbing).
authors.affiliation: Institut für Rechtsmedizin der Freien Universität Berlin.
authors.forename: H
authors.initials: H
authors.lastname: Maxeiner
authors.forename: E
authors.initials: E
authors.lastname: Ehrlich
mesh_terms: D000058:Accidental Falls; D002423:Cause of Death; D016489:Head Injuries, Closed / Q000473:pathology*; D006708:Homicide / Q000331:legislation & jurisprudence*; D006801:Humans; D012189:Retrospective Studies; D012535:Scalp / Q000293:injuries* / Q000473:pathology