The diagnostic value of synovial membrane hemorrhage and bloody discoloration of synovial fluid ("inner knee sign") in autopsy cases of fatal hypothermia.

International Journal of Legal Medicine
P HejnaM Tsokos

Abstract

We describe and discuss autopsy findings of synovial membrane hemorrhage and bloody discoloration of synovial fluid ("inner knee sign") within a study population comprising 36 cases of fatal hypothermia and 300 control cases. Synovial membrane hemorrhage and bloody discoloration of synovial fluid of the knees were seen in 27 cases of fatal hypothermia (75%). Though we are not dealing here with an obligatory autopsy finding in fatal hypothermia, the detection of the inner knee sign might be used as another corroborative sign of vital hypothermia after considering all differential diagnostic aspects. However, the absence of this finding does not exclude death due to hypothermia.

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Jan 17, 2009·International Journal of Legal Medicine·Slobodan NikolićGoran Stanojkovski
Feb 13, 2010·Forensic Science, Medicine, and Pathology·Elisabeth E Turk
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Jan 12, 2011·International Journal of Legal Medicine·Friedrich SchulzClaas T Buschmann
Sep 22, 2011·International Journal of Legal Medicine·Friedrich SchulzMichael Tsokos
Sep 29, 2011·International Journal of Legal Medicine·Cristian Palmiere, Patrice Mangin

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Citations

Jul 10, 2012·International Journal of Legal Medicine·Cristian Palmiere, Patrice Mangin
Feb 22, 2014·International Journal of Legal Medicine·Cristian PalmierePetr Hejna
Jan 15, 2013·Forensic Science International : Synergy·Cristian PalmiereDominique Werner
Jan 1, 2014·Forensic Science International : Synergy·Krzysztof BańkaGrzegorz Buszewicz
May 27, 2014·Forensic Science International : Synergy·Cristian Palmiere, Dominique Werner
Jan 25, 2018·Forensic Science, Medicine, and Pathology·Vladimir Živković, Slobodan Nikolić
Jul 1, 2018·International Journal of Legal Medicine·Takahiro UmeharaKazuya Ikematsu

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