The Importance of Bone Prosthesis in the Identification From Human Skeleton

Authors

  • Uğur Koçak Afyonkarahisar Kocatepe Üniversitesi Tıp Fakültesi, Adli Tıp AD https://orcid.org/0000-0003-0569-4374
  • Murat Yağan Afyonkarahisar Adli Tıp Şube Müdürlüğü
  • Erdal Özer Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Adli Tıp AD
  • Emre Kaçar Afyonkarahisar Kocatepe Üniversitesi Tıp Fakültesi, Radyoloji AD

DOI:

https://doi.org/10.17986/blm.201318127

Keywords:

identification, forensic radiology, bone prosthesis, exhumation

Abstract

In this study, we present a negative identification case, which the claim by the relatives of the exhumed corpse has been invalidated by the macroscopic and Radiologic examination of the skeleton.
According to the information obtained via legal documents, a woman died in 2009, another woman died the next day and was buried in the same cemetery. The claimants has suggested that the brother of the other women has forgotten the place of burial, moved their mother’s gravestone elsewhere and constructed a marble grave for his sister. They stated that their mother had total hip replacement surgery in 2006 due to fracture on right side and presented the medical records and x-rays concerning this operation.
Both femoral heads were intact and no hip prosthesis was detected neither macroscopically nor on the radiological examination of the exhumed bones.
Contrary to the claimant’s suggestions, the postmortem examination of the exhumed bones excluded the possibility of the bones belonging to their mother. So, no further investigation like DNA profiling was performed.
Our case indicated that comparison between antemortem and postmortem radiographs has a significant value in identification. Therefore, antemortem radiographs should be kept as long as possible.

Keywords: Identification; Forensic Radiology; Bone Prosthesis; Exhumation

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Author Biography

  • Uğur Koçak, Afyonkarahisar Kocatepe Üniversitesi Tıp Fakültesi, Adli Tıp AD

    In 1994, he graduated from the Faculty of Medicine, Hacettepe University. After completing his compulsory service he started his family medicine Specialization in Taksim Training and Research Hospital and became a Family Medicine Specialist in 2000. After completing the Forensic Medicine specialization at the Council of Forensic Medicine in 2004, he became a Forensic Medicine Specialist. In the National Judicial Network Project carried out by the Ministry of Justice, he took part in the development of the Forensic Medicine Module as a Functional User of Forensic Medicine. In 2005, he was commissioned by the Minister of Justice to construct the Department of Computer Crimes established under the body of the Council of Forensic Medicine. In 2006, he made observations at the London Metropolitan Police High Technology Crimes Laboratory and the Netherlands Institute of Forensic Sciences. He attended Microsoft Systems Engineering, C Programming, SQL Database, WEB Programming, Electronic Signature courses to improve himself in the field of informatics.

    As a result of the investigations, He prepared a report stating that the procedures to be carried out in the Cyber ​​Crimes, Audio and Video Analysis Branches which will be put into operation in the Council of Forensic Medicine are not similar to the examination subjects of the Physical Examination Department and should be carried out under a specialized new department by the professionals consisting of graduate and doctoral students and presented to the Presidency of the Council of Forensic Medicine. He was appointed to the Rize Branch Office of the Council of Forensic Medicine. In 2007, he took part in the organization of Forensic Informatics Course by Forensic Scientists Association and Izmir Institute of High Technology. In 2009, he was appointed as academic member to the Department of Forensic Medicine, Faculty of Medicine, Rize University. He gave lectures on Forensic Medicine and Medical Informatics. Between November 2012 and November 2018 he worked as the chair of Forensic Medicine Department of Afyon Kocatepe University. He is currently working as a lecturer in the Department of Forensic Medicine, Tayfur Sökmen Medical Faculty, Mustafa Kemal University, Hatay. He is married and has 2 children. Assist. Dr. Uğur Koçak is fluent in English.

References

Büyük Y, Çağdır AS, Yazıcı YA, Eke M. Ante-Mortem Grafilerin Post-Mortem Kimliklendirme Çalışmalarına Katkısı. 2 Ulusal Adli Tıp Kongresi; 30/04/2006-02/05/2006; Poster; Abant-Bolu 2006.

Afşin H, Günce ME. Kimliklendirmenin Bilimsel Metodları. Klinik Adli Tıp. 2002;2(2):65-78.

Telmon N, Allery JP, Scolan V, Rouge D. A case report demonstrating the value of chest X-rays in comparative identification. Journal of clinical forensic medicine. 2001;8(2):77-80. https://doi.org/10.1054/jcfm.2001.0472. PubMed PMID: 15274976. DOI: https://doi.org/10.1054/jcfm.2001.0472

Brogdon BG. Radiological Identification of Individual Remains. Forensic Radiology, First Edition: CRC Press; 1998. p. 153-76. DOI: https://doi.org/10.1201/b10323-16

Kahana T, Hiss J. Identification of human remains: forensic radiology. Journal of clinical forensic medicine. 1997;4(1):7-15. PubMed PMID: 15335591. DOI: https://doi.org/10.1016/S1353-1131(97)90002-X

Afşin H, Yaşar ZF, Günce ME. Dişlerden Kimliklendirmenin Bilimsel Metodları. Adli Bilimler Dergisi. 2003;2(3):9-15.

Aka PS, Canturk N, Dagalp R, Yagan M. Age determination from central incisors of fetuses and infants. Forensic Sci Int. 2009;184(1-3):15-20. https://doi.org/10.1016/j.forsciint.2008.11.005. PubMed PMID: 19117707. DOI: https://doi.org/10.1016/j.forsciint.2008.11.005

Nalbant L. Total Protezin Tüm Diş Noksanlığı Olan Çocuk Hastalarda Uygulanması. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi. 1998:84-7.

Aydemir H, Ceylan G, Koca. Orta Karadeniz Bölgesinde Yaşayan Bireylerin Ağız-Diş Sağlığı Düzeyi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 1999;9(1):96-9.

Sönmez NŞ, Gül EB. Yaşlı Hastaların Protetik Yönden Değerlendirilmesi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2006(Suppl.):45-52.

İşcan MY, Helmer RP. Craniofacial Image Analysis and Reconstruction. Forensic Analysis of the Skull : Craniofacial Analysis, Reconstruction, and Identification. New York, N.Y.: Wiley-Liss; 1993. p. 1-9.

Çağdır AS. Kimlik Tespitinde Fasiyal Rekonstrüksiyonun Yeri [Uzmanlık Tezi]. İstanbul: Adli Tıp Kurumu; 1996.

İmamoğlu Ö, Karapirli M, Akboyun N. Diş Örneklerinden DNA Elde Edilme Metotlarının Karşılaştırılması ve Adli Bilimler Açısından Değerlendirilmesi. Adli Tıp Dergisi. 2012;26(1):38-49. DOI: https://doi.org/10.5505/adlitip.2012.72792

Kotan LD. Silika Metodu İle Kemikten DNA Ekstraksiyonu [Yüksek Lisans Tezi]. Adana: Çukurova Üniversitesi; 2010.

Vural B, Atlıoğlu E, Özbek U, Büyükdevrim S, Kolusayın Ö, Özçelik T. Ülkemizde DNA Analizi (HLADQA1, LDLR, GYPA, GBGG ve GC Lokusları) İle Değerlendirilen İlk Paternite Olguları. Adli Tıp Bülteni. 2002;7(1):5-13. DOI: https://doi.org/10.17986/blm.200271467

Arslan MT. Genetik Testlerin Faturalandırılması Sorunları ve Çözüm Önerileri. Sosyal Güvenlik Dünyası. 2011;14(72):60-8.

Krogman WM, İşcan MYa. The human skeleton in forensic medicine. 2nd ed. Springfield, Ill., U.S.A.: C.C. Thomas; 1986. xv, 551 p. p.

Scheuer L. Application of osteology to forensic medicine. Clinical anatomy. 2002;15(4):297-312. https://doi.org/10.1002/ca.10028. PubMed PMID: 12112359. DOI: https://doi.org/10.1002/ca.10028

İşcan MY. Forensic anthropology of sex and body size. Forensic Science International. 2005;147(2–3):107-12. https://doi.org/10.1016/j.forsciint.2004.09.069. DOI: https://doi.org/10.1016/j.forsciint.2004.09.069

Arıcan N, Ekizoğlu O. Adli Raporların Hazırlanmasında Kullanılan Kılavuz. İçinde: Çetin G, Yorulmaz C, editors. Yeni Yasalar Çerçevesinde Hekimlerin Hukuki ve Cezai Sorumluluğu, Tıbbi Malpraktis ve Adli Raporların Düzenlenmesi. Sempozyum Dizisi No:48. 1. Basım ed. İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri; 2006. p. 147-84.

Gök Ş, Erölçer N, Özen C. Adli Tıpta Yaş Tayini. 2. Baskı ed. İstanbul: Adli Tıp Kurumu Yayınları; 1985.

Isır AB. Adli Hekimlikte Yaş Tayini. Klinik Gelişim. 2009;22(Adli Tıp Özel Sayısı):114-21.

Büken B, Demir F, Büken E. 2001-2003 Yılları Arasında Abant İzzet Baysal Üniversitesi Düzce Tıp Fakültesi Adli Tıp Anabilim Dalı’na Gönderilen Yaş Tayini Olgularının Analizi ve Adli Tıp Pratiğinde Karşılaşılan Güçlükler. Düzce Tıp Fakültesi Dergisi. 2003;5(2):18-23.

Thali MJ, Jackowski C, Oesterhelweg L, Ross SG, Dirnhofer R. VIRTOPSY - the Swiss virtual autopsy approach. Leg Med (Tokyo). 2007;9(2):100-4. https://doi.org/10.1016/j.legalmed.2006.11.011. PubMed PMID: 17275386. DOI: https://doi.org/10.1016/j.legalmed.2006.11.011

Verhoff MA, Ramsthaler F, Krahahn J, Deml U, Gille RJ, Grabherr S, et al. Digital forensic osteology--possibilities in cooperation with the Virtopsy project. Forensic Sci Int. 2008;174(2-3):152-6. https://doi.org/10.1016/j.forsciint.2007.03.017. PubMed PMID: 17451898. DOI: https://doi.org/10.1016/j.forsciint.2007.03.017

Campobasso CP, Dell'Erba AS, Belviso M, Di Vella G. Craniofacial identification by comparison of antemortem and postmortem radiographs: two case reports dealing with burnt bodies. Am J Forensic Med Pathol. 2007;28(2):182-6. https://doi.org/10.1097/PAF.0b013e31806195cb. PubMed PMID: 17525575. DOI: https://doi.org/10.1097/PAF.0b013e31806195cb

Simpson EK, James RA, Eitzen DA, Byard RW. Role of orthopedic implants and bone morphology in the identification of human remains. Journal of forensic sciences. 2007;52(2):442-8. Epub 2007/02/24. https://doi.org/10.1111/j.1556-4029.2006.00370.x. PubMed PMID: 17316248. DOI: https://doi.org/10.1111/j.1556-4029.2006.00370.x

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Published

2014-06-15

Issue

Section

Case Report

How to Cite

1.
Koçak U, Yağan M, Özer E, Kaçar E. The Importance of Bone Prosthesis in the Identification From Human Skeleton. Bull Leg Med. 2014;18(1):25-30. https://doi.org/10.17986/blm.201318127