Abrasion

Abrasion


Abrasions

Injuries involving superficial layers of the skin and are caused by

  • Impact of an object.
  • Fall on rough surface.
  • Pressure of finger nails,teeth,muzzle of -a gun/rope.
Types of abrasions   

1.Scratch abrasion

  • Synonym: linear abrasion
  • Sharp or pointed object not sharp enough to cause incised wound, but pointed enough to scratch
  • E.g. thorn, fingernails(Crescent shaped abrasion ), tip of knife
  • Clean area at the start of the wound and tags at the end
  • Helps in determining the direction of force

2.Graze abrasion

  • Synonyms: grinding or sliding abrasions, brush burns
  • Most common type – Commonly seen in road traffic accidents
  • Mimics burn
  • Occurs when the skin is rubbed (friction) against some rough surface
  • Uneven, longitudinal parallel lines of abrasion are seen
  • Epithelium heaped up at the end of these lines which indicates the direction of force

3. Pressure abrasion

  • Synonym: crushing abrasion
  • Sustained pressure of a rough object at 90° – crushing of the superficial layers of the skin
  • No force on impact, but sustained pressure after the object comes in contact with body surface
  • E.g. Ligature mark in hanging and strangulation

4. Impact abrasions

  • Synonym: Contact abrasion or Imprint abrasion
  • There is a moment of forceful impact, after that no contact of the object with body
  • E.g: radiator grill mark, tyre tread marks seen in RTA 
Patterned abrasion

  • lmpact abrasion or pressure abrasion, which show pattern of the object (causing injury) are called patterned abrasion.
  • Examples are pattern of cycle chain, pattern of whip, pattern of teeth ond nails,Pattern of tyre, pattern of string in hanging and strangulation (ligature mark), pattern of head light/bumper/radiator in vehicles occident, and pottern of porallel lines in (railwoy line pattern) blow with a stick.

 Artifacts in Abrasion 

  • By Ants.
  • By Insects.
  • By Animals.
  • By Marine animals. 

Medico legal importance

  • Gives a clue about the direction of trauma 
   

 
          
  • Helps to identify certain features of the causative agent 

Imprint of the muzzle of a shotgun (Abrasion ring)

 

        

Imprint of the hilt guard of a knife

  • Helps in finding the time of injury  
  • The pattern of abrasions provide evidence of the nature and the mechanism of trauma. 
  • eg. grazed abrasions in different directions all over exposed areas of the body indicate that a body has been thrown on a rough surface in different directions.
  • An abrasion can be categorized for medico legal purposes .  
  • Helps in reconstructing the incident  eg. finger nail abrasions in strangulation helps in finding the relative position of both victim and the assailant
  • Indicates the type of crime  eg. strangulation, sexual offence etc
  Antemortem Abrasions

  • Reddish brown colour.
  • Margins are blurred due to vital reactions.
  • Antemortem Abrasions can be confused with ant bite marks.
 Postmortem Abrasions
  • Yellowish in colour.
  • Translucent area.
  • Margins are sharply defined.
  • Absence of vital reactions

Exam Important

 Types of abrasions   

1.Scratch abrasion

  • Synonym: linear abrasion
  • E.g. thorn, fingernails(Crescent shaped abrasion ), tip of knife

2.Graze abrasion

  • Synonyms: grinding or sliding abrasions, brush burns
  • Most common type – Commonly seen in road traffic accidents
  • Mimics burn

3. Pressure abrasion

  • Synonym: crushing abrasion
  • E.g. Ligature mark in hanging and strangulation

4. Impact abrasions

  • Synonym: Contact abrasion or Imprint abrasion
Patterned abrasion

  • lmpact abrasion or pressure abrasion, which show pattern of the object (causing injury) are called patterned abrasion.
  • Examples are pattern of cycle chain, pattern of whip, pattern of teeth ond nails,Pattern of tyre, pattern of string in hanging and strangulation (ligature mark), pattern of head light/bumper/radiator in vehicles occident, and pottern of porallel lines in (railwoy line pattern) blow with a stick.

 Antemortem Abrasions

  • Reddish brown colour.
  • Margins are blurred due to vital reactions.
  • Antemortem Abrasions can be confused with ant bite marks
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