[Applicational study of 3D reconstruction with spiral computed tomography in evaluation of anatomical complicated bones fracture].
OBJECTIVE
To investigate forensic diagnosis application of three-dimentional reconstruction with spiral computed tomography in fracture of anatomical complicated bones.


METHODS
Selected eleven patients of bone fracture who were examined with SCT 3D and conventional X-ray examination. The location, number and characteristics were observed and analyzed.


RESULTS
In all of eleven patients with bone fractures, X-ray examination could detect thirty-four rib fracture, one scapula fracture, two nasal fracture, one metacarpal bone incomplete fracture and one left tibia-fibula fracture, one pubis fracture. While there were forty-seven rib fracture, one scapula smash fracture, one nasal fracture with obvious displacement and eliminate one misplace, one left tibia-fibula obsolete fracture and one sacroiliac joint dislocation, one No 5 lumbar vertebrae pedicle of vertebrae arch fracture. Combining 3D reconstruction images, coronary and sagittal reconstruction images could show clearly the fracture line, location of fracture, number of fracture, displacement and recovery.


CONCLUSIONS
3D reconstruction technique of SCT is a very useful examination method in the objective forensic diagnosis of anatomical complicated bones fracture, it excels the routine X-ray examination.
Shen
Fu-Min
FM
Shanghai Forensic Science and Technology Research Institute, Shanghai 200083, China.
Liu
Feng-Hua
FH
Xu
Sai-Ying
SY
Yan
Jian-Jun
JJ
Hu
Bin-Wei
BW
Lu
Hong
H
D000328:Adult; D000368:Aged; D005260:Female; D005554:Forensic Medicine; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000000981:diagnostic imaging / Q000293:injuries; D012253:Rib Fractures / Q000000981:diagnostic imaging*; D012540:Scapula / Q000000981:diagnostic imaging / Q000293:injuries; D036542:Tomography, Spiral Computed / Q000379:methods*; D055815:Young Adult