A Case of Fifth Metacarpal Neck Fracture

Aims: Determining the impact mechanism is one of the most important measures in forensic science. The mechanism of fracture of the metacarpal neck is squeezed directly into the fist. Often, this type of fracture is due to the impact of the first depending on the hard. In this study, we introduce a case of this fracture. Patient’s Information: He was a middle-aged man, who had ache with various areas of the body followed by a quarrel, and came to the forensic medical center in 2018. His injuries included fifth right metacarpal neck fracture in addition to several superficial scratches. The judiciary asked forensic medicine to declare that, inasmuch as the plaintiff acknowledged that the damage had been caused by the iron cutter bow saw, according to the type of injury, with what it was created. Replying to judiciary, the forensic medicine declared that the fifth right metacarpal neck fracture was not due to a bow saw. Conclusion: If the forensic medicine does not pay attention to the mechanism of trauma in the examinations, due to the non-differentiation of the traumatic consequences of the incident from a traumatic self-made (fabricated) trauma, it may lead to the violation of the rights of individuals and the loss of confidence of the victims and, on the other hand, it will lead to misuse of the perpetrators. In order to identify the mechanism of trauma and the way, in which the lesion is established, interaction with the judiciary is very promising and correspondence and interaction with judiciary should not be ignored in any way.