Determination of Death by Suicide or Homicide through Hyoid Bone Fracture Patterns
Roger Sherman
Distinguishing between a true suicidal hanging and a homicidal strangulation with subsequent simulated hanging is difficult even for highly trained professionals. A possible way to distinguish between the two modes of death is through examination and comparison of the neck structures, particularly the hyoid bone and noticeable fractures. Not much work has been done on identifying differences in fracture patterns, as most investigators search for obvious and less inconspicuous signs that indicate the mode of death. Hyoid bone models were created using clinical cone beam CT imaging on real hyoids from both sexes, which generated STL files to print using FibreTuff material with 3D printing. The models were crushed at various angles using a hydraulic press to determine the amount of force required to fracture the bones at each tested angle. They were placed inside ballistic gel neck models to simulate suicidal hangings and homicidal strangulations. Various ligatures were tested to determine their influence, and fractures were compared between simulations. It is expected that there will be slight differences in fractures during the simulations, particularly around the greater horns, which would require less force to fracture. The information gathered about hyoid bone fracture patterns could allow for better detection of staged suicides and provide more resources to investigators to determine the mode of death.
Keywords: hyoid, manner of death, strangulation
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