Skip to main content
Top
Published in: International Journal of Legal Medicine 5/2020

Open Access 01-09-2020 | Skull Fracture | Case Report

Beer stein blast to the head a rare case of combined blunt and sharp force trauma

Authors: S. N. Kunz, N. Gorges, F. Fischer, J. Adamec

Published in: International Journal of Legal Medicine | Issue 5/2020

Login to get access

Abstract

Cases of combined blunt and sharp force trauma to the head caused by one striking tool are rare. When beer steins are used as an assault weapon, they can cause blunt traumas upon initial contact phase. If the impact force exceeds the mechanical stability of the beer stein, it breaks into several sharp-edged pieces, which then can cause sharp force trauma injuries due to the interaction between the head and the stein fragments.
We present a case of a 43-year old man, who suffered from blunt and sharp force head traumas due to one single blow with a 1-l beer stein. A forensic-biomechanical analysis of the event, together with witness testimony evaluation and experimental comparison helped to reconstruct the most probable chain of events. Based on these findings as well as on the medical diagnoses and treatment, the assault was assessed as a nonacute life-threatening, but potentially fatal offence. The case was indicted as grievous bodily harm.
Literature
6.
go back to reference Advani S, Powell W, Huston J, Ojala S. Human head impact response - experimental data and analytical simulations. in: Proceedings International IRCOBI Conference on the Biomechanics of Impact (1975) 153–162 Advani S, Powell W, Huston J, Ojala S. Human head impact response - experimental data and analytical simulations. in: Proceedings International IRCOBI Conference on the Biomechanics of Impact (1975) 153–162
7.
go back to reference Alan R, Moritz MD (1943) Mechanisms of heads injury. Ann Surg 117:562–575CrossRef Alan R, Moritz MD (1943) Mechanisms of heads injury. Ann Surg 117:562–575CrossRef
8.
go back to reference Adamec J, Graw M (2015) Biomechanische Grundlagen. Rechtsmedizin. 25:243–253CrossRef Adamec J, Graw M (2015) Biomechanische Grundlagen. Rechtsmedizin. 25:243–253CrossRef
9.
go back to reference Adamec J, Dorfner P, Graw M (2012) Ein Maßkrug und seine Folgen. MMW-Fortschr Med 15:1–2 Adamec J, Dorfner P, Graw M (2012) Ein Maßkrug und seine Folgen. MMW-Fortschr Med 15:1–2
10.
go back to reference Adamec J, Muggenthaler M, Schuller E, Graw M (2010) Maßkrug als Schlagwerkzeug. Rechtsmedizin. 20:370 Adamec J, Muggenthaler M, Schuller E, Graw M (2010) Maßkrug als Schlagwerkzeug. Rechtsmedizin. 20:370
11.
go back to reference Adamec J, Dorfner P, Graw M, Lochner S, Kunz SN (2018) Injury potential of one-litre beer steins. Int J Legal Med 133:1075–1081CrossRef Adamec J, Dorfner P, Graw M, Lochner S, Kunz SN (2018) Injury potential of one-litre beer steins. Int J Legal Med 133:1075–1081CrossRef
12.
go back to reference Kunz SN, Tutsch-Bauer E, Graw M, Adamec J (2016) Biomechanische Aspekte des 0.5l- Tonkrugs als Schlagwaffe. Rechtsmedizin. 26:189–196CrossRef Kunz SN, Tutsch-Bauer E, Graw M, Adamec J (2016) Biomechanische Aspekte des 0.5l- Tonkrugs als Schlagwaffe. Rechtsmedizin. 26:189–196CrossRef
13.
go back to reference Kunz SN, Lochner S, Bedacht M, Adamec J (2016) Spezifische Biomechanik eines Steinkrugschlages gegen den Schädel. Kriminalistik. 4:87–93 Kunz SN, Lochner S, Bedacht M, Adamec J (2016) Spezifische Biomechanik eines Steinkrugschlages gegen den Schädel. Kriminalistik. 4:87–93
14.
go back to reference Adamec J, Dorfner P, Schneider K, Graw M (2011) Maßkrugschlag – mechanische Einflussfaktoren auf die resultierende Verletzungsgefahr. Rechtsmedizin. 4:425 Adamec J, Dorfner P, Schneider K, Graw M (2011) Maßkrugschlag – mechanische Einflussfaktoren auf die resultierende Verletzungsgefahr. Rechtsmedizin. 4:425
15.
go back to reference Adamec J, Dorfner P, Schneider K, Graw M (2011) Zur Biomechanik des Maßkrugschlags II – Maßkrugfestigkeit. Frühjahrstagung DGRM Süd, München Adamec J, Dorfner P, Schneider K, Graw M (2011) Zur Biomechanik des Maßkrugschlags II – Maßkrugfestigkeit. Frühjahrstagung DGRM Süd, München
16.
go back to reference Nahum AM, Gatts CW, Danforth JP. Impact tolerance of the skull. Proc. 12th Stapp Car Crash Conference. (1968) 302–317 Nahum AM, Gatts CW, Danforth JP. Impact tolerance of the skull. Proc. 12th Stapp Car Crash Conference. (1968) 302–317
17.
go back to reference Allsop D, Perl R, Warner C. Force/deflection and fracture characteristics of the temporo-parietal region of the human head. SAE Technical Paper (1991) 912907 Allsop D, Perl R, Warner C. Force/deflection and fracture characteristics of the temporo-parietal region of the human head. SAE Technical Paper (1991) 912907
18.
go back to reference Yoganandan N, Pintar A, Sances JR, Walsh PR, Ewing C, Thomas D, Snyder RG (1995) Biomechanics of skull fracture. J Neurotrauma 12:659–668CrossRef Yoganandan N, Pintar A, Sances JR, Walsh PR, Ewing C, Thomas D, Snyder RG (1995) Biomechanics of skull fracture. J Neurotrauma 12:659–668CrossRef
19.
go back to reference Montava M, Masson C, Lavieeille JP, Mancini J, Soussan J, Chaumoitre K, Arnoux P (2016) Temporal bone fracture under lateral impact: biomechanical and macroscopic evaluation. Med Biol Eng Comput 54:351–360CrossRef Montava M, Masson C, Lavieeille JP, Mancini J, Soussan J, Chaumoitre K, Arnoux P (2016) Temporal bone fracture under lateral impact: biomechanical and macroscopic evaluation. Med Biol Eng Comput 54:351–360CrossRef
20.
go back to reference Mole CG, Heyns M, Cloete T. How hard is hard enough? An investigation of the force associated with lateral blunt force trauma to the porcine cranium L eg Med (Tokyo) 17 (2015) 1–8 Mole CG, Heyns M, Cloete T. How hard is hard enough? An investigation of the force associated with lateral blunt force trauma to the porcine cranium L eg Med (Tokyo) 17 (2015) 1–8
21.
go back to reference Siegenthaler L, Strehl M, Vaghi A, Zysset P, Kneubuehl BP, Frenz M (2020) Threshold of the skull injury for blunt force impacts under free and constraint boundary conditions. Int J Legal Med 134:553–563CrossRef Siegenthaler L, Strehl M, Vaghi A, Zysset P, Kneubuehl BP, Frenz M (2020) Threshold of the skull injury for blunt force impacts under free and constraint boundary conditions. Int J Legal Med 134:553–563CrossRef
Metadata
Title
Beer stein blast to the head a rare case of combined blunt and sharp force trauma
Authors
S. N. Kunz
N. Gorges
F. Fischer
J. Adamec
Publication date
01-09-2020
Publisher
Springer Berlin Heidelberg
Keyword
Skull Fracture
Published in
International Journal of Legal Medicine / Issue 5/2020
Print ISSN: 0937-9827
Electronic ISSN: 1437-1596
DOI
https://doi.org/10.1007/s00414-020-02353-6

Other articles of this Issue 5/2020

International Journal of Legal Medicine 5/2020 Go to the issue