The influence of incomplete rib fractures on the forensic clinical disability degree assessment
肋骨不完全性骨折在法医临床致残程度鉴定中的影响

摘要

目的 探究肋骨不完全性骨折在法医临床致残程度鉴定中的影响。方法 对2024年1—12月某法医鉴定中心86份因车祸致肋骨骨折的残疾鉴定病例进行回顾性分析。结果 86个病例共涉及816根骨折，其中不完全性骨折462处，占比56.6%；评残等级最低骨折数量上的案例（临界案例）共有24例，其中将不完全性肋骨骨折计算入骨折根数而获得相应等级的例数为16例，占临界案例的比例为66.67%。结论 随着基层医疗机构越来越多的配备CT影像设备，不完全性肋骨骨折在胸部损伤中检出的比例较高，建议法医临床鉴定行业可以细化胸部损伤致肋骨骨折的评定标准，为推动司法鉴定行业科学发展。

Abstract

Objective To explore the impact of incomplete rib fractures on the disability assessment in forensic clinical practice.
Methods A retrospective analysis was conducted on 86 cases of rib fractures due to traffic accidents from January to December 2024 at a certain forensic appraisal center.
Results Among the 816 fractures in 86 cases, 462 were incomplete fractures, accounting for 56.6%. There were 24 cases at the lowest disability grade (critical cases), among which 16 cases were classified to the corresponding grade by including incomplete rib fractures in the total number of fractures, accounting for 66.67% of the critical cases.
Conclusion   With the increasing availability of CT imaging equipment in primary medical institutions, the detection rate of incomplete rib fractures in chest injuries is relatively high. It is suggested that the forensic clinical appraisal industry refine the assessment standards for rib fractures caused by chest injuries to promote the scientific development of the judicial appraisal industry.