Determination of severity of harm caused to health in depressed skull deformation by «ping-pong» type in an infant

Akbashev V.A.

Kazan State Medical University;
Republican Bureau of Forensic Medical Expertise of the Republic of Tatarstan

ORCID: 0000-0003-2987-007X

Aleksandrova L.G.

Kazan State Medical University

ORCID: 0000-0001-6332-8757

Khusainova A.K.

Republican Bureau of Forensic Medical Expertise of the Republic of Tatarstan

ORCID: 0000-0002-7209-0549

Determination of severity of harm caused to health in depressed skull deformation by «ping-pong» type in an infant

Authors:

Akbashev V.A., Aleksandrova L.G., Khusainova A.K.

More about the authors

Journal: Forensic Medical Expertise. 2023;66(6): 45‑48

DOI: 10.17116/sudmed20236606145

Downloaded: 12

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To cite this article:

Akbashev VA, Aleksandrova LG, Khusainova AK. Determination of severity of harm caused to health in depressed skull deformation by «ping-pong» type in an infant. Forensic Medical Expertise. 2023;66(6):45‑48. (In Russ.)
https://doi.org/10.17116/sudmed20236606145

Подписка 2025-2 (Forensic Medical Expertise)

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THE OBJECTIVE

Is to develop a differential approach to determining the severity of harm caused to health in case of depressed skull injuries in infants, depending on their morphological features and the character of required treatment. The material included data from literature sources on the study of brain injuries in infants, clinical guidelines, describing the features of clinical picture and diagnosis of depressed skull fractures in infants and legal and regulatory framework of forensic medical evaluation of harm caused to health in injury. The following methods of research were used: logical-analytical, logical-synthetic (generalization), comparative, system-analytical (analysis of relations between facts) and radiological method. An algorithm for determining the severity of harm caused to health in depressed skull deformations by «ping-pong» type in an infant is proposed for discussion. The algorithm is based on the data from injury imaging techniques, including X-ray computed tomography, takes into account the clinical picture and the availability of indications for surgical treatment, and will allow to objectively assess the severity of harm caused to health in such cases.

Keywords:

fracture by «dent from ping-pong ball» type

harm to health

medical criteria for determining the severity of harm caused to health

Authors:

Akbashev V.A.

Kazan State Medical University;
Republican Bureau of Forensic Medical Expertise of the Republic of Tatarstan

ORCID: 0000-0003-2987-007X

Aleksandrova L.G.

Kazan State Medical University

ORCID: 0000-0001-6332-8757

Khusainova A.K.

Republican Bureau of Forensic Medical Expertise of the Republic of Tatarstan

ORCID: 0000-0002-7209-0549

Received:

30.01.2023

Accepted:

03.03.2023

List of references:

Popov VL, Karavayev VM. Sudebnaya pediatriya. Sankt-Peterburg: Yuridicheskiy tsentr Press; 2021. (In Russ.).
Mezhetskiy GD, Zagrebin GG, Reshetnik NN. Soprotivleniye materialov. M.: Dashkov i Ko; 2015. (In Russ.).
Shishkov TT. Cherepno-mozgovaya travma v detskom vozraste (obzor literatury). Voprosy sudebnoy meditsiny. Sbornik trudov. M. 1971. (In Russ.).
Kryukov VN, Sarkisyan BA, Yankovskiy VE, et al. Diagnostikum mekhanizmov i morfologii povrezhdeniy myagkikh tkaney pri tupoy travme. Tom 5. Novosibirsk: Nauka; 2011. (In Russ.).
Salnikov YuK. Features of damage to the bones of the cranial vault in childhood. Problemy ekspertizy v meditsine. 2010;10(1-2):15-16. (In Russ.).
Lunt CMB, Roth K, Eich G, et al. Neonatal ping pong fracture. Switzerland: Swiss Society of Neonatology; 2006.
Guzeva VI, Guzeva VV, Guzeva OV, et al. Complications and consequences of traumatic brain injury in children — review of the state of the issue. Sovremennyye problemy nauki i obrazovaniya. 2022;4:130. (In Russ.). https://doi.org/10.17513/spno.31791
Semenova ZhB, Melnikov AV, Savvina IA, et al. Recommendations for the treatment of children with traumatic brain injury. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatologii. 2016;6(2):112-131. (In Russ.).
Ilhan O, Bor M, Yukkaldiran P. Spontaneous resolution of a ‘ping-pong’ fracture at birth. BMJ Case Rep. 2018;226264. https://doi.org/10.1136/bcr-2018-226264
Orlov YuA. Rukovodstvo po diagnostike i lecheniyu cherepno mozgovoy travmy u detey. Kiev: Institut neyrokhirurgii im. akad. A.P. Romodanova AMN Ukrainy; 2002. (In Russ.).
De Paul Djientcheu V, Njamnshi AK, Ongolo-Zogo P, et al. Depressed skull fractures in children: Treatment using an obstetrical vacuum extractor. Pediatr Neurosurg. 2006;42(5):273-276. https://doi.org/10.1159/000094061
Demyanenko VA, Kabanyan AB, Baydakov AP, et al. Reconstructive operations at the pressed bone fracture of a skull at the children. Kubanskij nauchnyj medicinskij vestnik. 2012;6(135):90-93. (In Russ.).
Ivanov OV, Semichev YeV, Sobakar YeG, Dryannykh AA. Method of closing the milling hole of the skull. Patent holder of the Federal Siberian NCC FMBA. No. RU 2706144 C1, application no. 13.03.19; publ. 14.11.19, Bul. No. 31. (In Russ.).
Osipenkova-Vichtomova TK. Sudebno-meditsinskaya ekspertiza kostey. M.: Binom; 2017. (In Russ.).
Potapov AA, Likhterman LB, Kravchuk AD, et al. Legkaya cherepno-mozgovaya travma: klinicheskiye rekomendatsii. M.: Assotsiatsiya neyrokhirurgov Rossii; 2016. (In Russ.).
Receiver 30.01.2023

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