novice forensic medicine

Chapter 187 Spiral Fracture

Orthopedic surgeon.

After all, it is an office, without the tense atmosphere of a conference room, so everyone finds a seat and sits down.

Xia Momo still turned on her laptop and played the recorded spiral X-ray video. There was also a video taken by Zhou Ning holding the tibia, which fully showed the shape of the rotating crack on the bone.

An authoritative doctor in his 40s pushed up his glasses, raised a foot wearing a hole shoe, and said thoughtfully:

"The reason why the fracture line is spiral is mainly because the two ends of the fracture are opposed and twisted in opposite directions. To put it bluntly, the upper and lower sides of the tibia are inward and outward, so that the spiral fracture line is formed.

Last year, I received a patient who rolled down the stairs. His humerus was a spiral fracture. One advantage of this fracture is that the fracture generally does not cause a large area of ​​hematoma in the surrounding tissue, and some of them are even in place. , Conservative treatment, manipulative reduction, and fixation will do. "

Several other doctors also nodded. There was an old doctor with white hair who seemed to be remembering. He raised his hand and said:

"Now all kinds of testing equipment are complete. Before 1990, there were only [-] CT machines in the whole country, and the effect at that time was incomparable with what it is now.

I remember that in 1990 or [-], the Qindao Theater was rehearsing a certain play. There was a set of movements in it, which were commonly used by other Peking opera actors, that is, turning sideways from one end of the stage to the other. "

The first middle-aged doctor who spoke interrupted the old doctor.

"In Peking Opera, it's called Xiaofanshen."

The old doctor nodded.

"It's about the same, but this movement is professionally practiced by other Peking Opera actors. They haven't practiced it before, and they are not guided by professional personnel. They just follow the choreography. Suddenly, five actors couldn't move their legs after practicing.

They were sent to the central hospital. After examination, we found that five people had spiral fractures of the tibia and fibula to varying degrees, and one of the most serious was bilateral fractures of the tibia and fibula.

At that time, all the teachers who took me were brought back, and they collectively reset these people. However, the person with bilateral fractures of the tibia and fibula still had some problems walking. "

Zhou Ning kept nodding. Adults have not undergone professional training, so it is understandable to come into contact with it by accident. However, according to the state of the deceased's bones, she caused such fractures and fractures continuously when she was a child. Could it be that she had frequent contact?

"Everyone, I would like to ask about the condition of the deceased. According to her healing marks, we can find that the two fractures and fractures should have been caused when she was about ten years old. Is it possible for children to be exposed to such high-intensity training?" ?”

"Yes, the Beijing Opera Troupe in the city takes a few children every year, and the provincial team also recruits some children with special skills, such as gymnastics or other sports."

A younger doctor added:

"There are also dancing children. Recently, the orthopedics department has sent more."

The middle-aged doctor clicked his tongue.

"That's different. Children in Latin dance have more lumbar spine injuries. There are two natures. If you want to say this, many children who practice ballet may also have such a situation. After all, children in the developmental period, too strenuous exercise, are likely to cause differences. The degree of injury, the ballerina dances beautifully, but none of their feet is not scarred."

Zhou Ning paused, and suddenly thought that the deceased's feet were sawed off. At that time, he was doubting the nature of the deceased's work. Perhaps it could be seen from the feet, not to mention that this direction seemed possible.

"Doctor, as far as you know, apart from ballet girls, is there any industry that has changed a lot, that is, the kind of people who know what this person does at a glance?"

The doctor thought about it.

"I think you are limited, because no matter what sport or industry, there will be different types of foot injuries, but other positions will still change, such as the lumbar spine of a dancer just mentioned, such as the knee of a sprinter, and then Like a tennis player's elbow."

Zhou Ning suddenly realized, stood up and bowed to the doctor.

"Thank you for your clarification, we won't bother you anymore!"

The middle-aged doctor waved his hands tightly, with a strong interest on his face.

"I said forensic doctor Zhou, if it's convenient for the case to end, talk to Director He and ask him to tell us and fill our curiosity. After all, you are lucky enough to encounter a case when you go camping. "

Zhou Ning's cheeks trembled, he suppressed a smile, and glanced at Lao He with a livid face. It was really embarrassing for him. In order to find a professional consultation, it was all an embarrassment for self-preservation.

"Definitely, let's say goodbye first, why don't I send you back."

Old He rolled his eyes, and mouthed a word.

Zhou Ning raised his hand. He knew that Lao He was really embarrassed. After all, he made a fool of himself and narrowed the relationship with the orthopedics department. No one would believe him when he said it.

"Okay, I'll get out now, so you are on the night shift, right? Someone will bring you food to the emergency room later, remember to take it!"

After speaking, Zhou Ning didn't look back, and walked outside, raising his hand and shaking it.

Da Zhao stared at Lao He, seeing the guilty look on his face, he couldn't help laughing, ran two quick steps to catch up with Zhou Ning, and poked Zhou Ning's lower back.

"Zhou Xiaozhou, you can fool Lao He. You are not smart at first, and your IQ drops after being tired every day. You still lie to him to give him food. It's too unscrupulous."

Zhou Ning shook his head.

"You go to the door in a while and find a place. It doesn't have to be too good to order two dishes, one is meat and the other is vegetarian. If you want two more rice, I will call Xiao Yu and ask her to pick it up and deliver it."

Da Zhao froze for a moment.

"I'm going, Zhou Xiaozhou, you are going too far. Is this killing three birds with one stone? Why don't you spend so much effort on me? On the one hand, let Lao He feel guilty, on the other hand, let Xiao Yu know that Lao He is busy, and on the other hand, let Lao He feel that Xiao Yu cares about her. You are using one share of money as three shares."

Zhou Ning took out 50 yuan and handed it to Da Zhao.

"I can't overspend. I'm a person with a loan now, and my monthly living expenses need to be reduced. Remember to order that Northeast restaurant, half of which is stewed in an iron pot. Of course, you don't have to have two dishes. There is everything here, old man. He murmured several times, saying that their home is delicious."

Xia Momo glanced at the time, it was already past five o'clock.

"Don't be so troublesome, let's go together, I'll treat you guys to dinner, and make a copy for Xiao Yu to send to Lao He, what do you think?"

Just as Zhou Ning was about to refuse, Da Zhao had already given Zhou Ning 50 yuan.

"Stop talking nonsense, our teacher Xia has already spoken, so hurry up and drive to the Northeast restaurant. May I ask Mr. Xia, can I order a big goose stewed in an iron pot?"

Xia Momo looked back at Zhou Ning and tugged on his sleeve.

"Call Zhu Xingxing and Yang Zheji, and let them come together. I'm calling Liu Fayi and Dr. Lu, just in time for everyone to get together."

After finishing speaking, before Zhou Ning objected, he dragged Zhou Ning into the restaurant.

After all, there are a lot of people calling, and I still have to bring rice for Lao He. Naturally, I can't bring so little. Xia Momo quickly arranged two pots, one is stewed goose in an iron pot, and the other is ribs stewed with beans and potatoes And sweet potato flour, of course, there is a steamer on the top, one steamed with pork buns, and the other steamed with salt and pepper flower rolls.

But within ten minutes, the smell came out, people arrived one after another, Xiao Yu arrived earlier, and looked at Zhou Ning with a puzzled face.

"Brother, what are you doing with me so much? I'm a few minutes late for dinner, can I still eat up?"

Zhou Ning dragged her to one side, lowered his voice and said:

"The last time we went to Little Fukushima, we neither ate well nor played well. At that time, you and He Shancun both vomited so badly. He is very pitiful today.

We went to him for help, only to find out that we have to work the night shift for a colleague at night. The night shift in the emergency department is quite tiring. You can send him a meal first, how about we eat slowly when we come back?Of course you can also eat there with him!

I don't mean to force you to do anything. After all, you two have shared weal and woe on the island. Could it be that Mr. Xia should send it off, or my master?This is not appropriate either! "

Xiao Yu looked around, Zhu Xingxing and the others hadn't come yet, Da Zhao was busy all the time, helping a few people pouring water, and putting side dishes on the table, she was not good at greeting people, Xia Momo was in her heart It's not suitable for the sister-in-law who agrees, to run errands, and as for Liu Fayi, who is his cousin's master, it is even more inappropriate.

"That's it!"

With that said, he picked up the two old-fashioned lunch boxes prepared by Da Zhao and walked towards the Central Hospital.

Liu Yongxin came over and bumped Zhou Ning on the shoulder.

"I said baby apprentice, the direction of business development is very comprehensive. You have taken over the job of media protection now?"

Zhou Ning was amused.

"My sister is not good at words, and I can't meet any suitable people. Although Lao He has a bad mouth, he is very good overall. I think the two of them seem to be very suitable. Let's create more opportunities."

Liu Yongxin nodded and leaned into Zhou Ning's ear.

"Don't patronize others, Mr. Xia, have you taken it? Your big house must at least have a hostess. Your grandfather will have something to eat when he goes there, right?"

Zhou Ning smiled and said nothing, Xia Momo seemed to sense something, looked over and handed Liu Yongxin a cup of tea.

"Liu Fayi, let's sit down, Zhu Xingxing and Yang Xuetong are here."

Seeing that everyone is here, Xia Momo invites them to sit around the two big pots, the heat keeps rising, and the weather suddenly drops in temperature, eating such hot food around the pots is simply not very happy.

Da Zhao swallowed a mouthful of saliva, and his eyes were about to fall into the big goose stewed in the iron pot. At this time, Dr. Lu opened his mouth first, and asked the waiter to put the buns aside, and wait for Zhou Xiaoyu.

"Zhou Xiaozhou heard that you have another case?"

Zhou Ning nodded and introduced the case in a few sentences. Liu Yongxin raised his head and seemed a little surprised by this.

"This person's anti-reconnaissance awareness is strong enough. He discarded his head, sawed off his hands and feet, and put them in a suitcase and threw them into the sea. The standard destruction of corpses and traces, is it a colleague?"

As soon as Liu Yongxin said this, everyone was stunned.

(End of this chapter)