Evidence map›Paper›PMID 38878109›Full record

ArticleForensic science, medicine, and pathology2025

Effect of hot water maceration, rehydration, and soft tissue presence on 3D geometry of bone.

Martin Bittner-Frank, Andreas Strassl, Ewald Unger, Lena Hirtler, Franz Kainberger, Reinhard Windhager, Francesco Moscato, Emir Benca

Abstract read
In one paragraph

Article in Forensic science, medicine, and pathology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Martin Bittner-FrankDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Andreas StrasslDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Ewald UngerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Lena HirtlerCenter for Anatomy and Cell Biology, Medical University of Vienna, Vienna, Austria.
Franz KainbergerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.
Reinhard WindhagerDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Francesco MoscatoCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Emir BencaDepartment of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria. emir.benca@muv.ac.at.ORCID 0000-0002-9029-7172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn forensic medicine, maceration is often essential for examining bone surfaces, serving purposes such as identifying cut marks, making geometric measurements, and determining the victim's age. While hot water maceration removes soft tissue effectively, it is known to cause bone surface shrinkage. This raises the question of whether this effect is permanent or if it can be partially reversed through rehydration, considering the presence of soft tissue.

methodsComputed tomography (CT) scans were conducted on the radii of 20 paired human anatomic forearm specimens. Subsequently, the radii were extracted, macerated in 60 °C water, CT-scanned in an air environment, rehydrated, re-implanted into the forearms, and CT-scanned again.

resultsMaceration resulted in a mean shrinkage of 0.12 mm on the outer bone surface. This shrinkage was nearly fully recoverable for the diaphysis after rehydration and accounting for soft tissue surrounding the bone. In contrast, the epiphysis showed permanent shrinkage, likely due to the loss of small bone fragments. Analysis of the inner bone surface indicated a smaller effect, but with significant standard deviations, especially for the epiphysis, possibly related to the less well-defined nature of the inner bone surface.

conclusionThe epiphyseal surface of hot water-macerated bone will, on average, be approximately 0.15 mm deflated and cannot retain the original surface. On the other hand, the diaphyseal surface is less affected and can be nearly completely restored after rehydration and accounting for soft tissue surrounding the bone.

Indexed as

Hot TemperatureRadiusSpecimen HandlingWaterAdultAgedDiaphysesEpiphysesFemaleHumansImaging, Three-DimensionalMaleMiddle AgedTomography, X-Ray ComputedWater3D modelBoneComputed tomographyDimensional accuracyForensic anthropologyMacerationRehydration

Identifiers

PMID38878109
PMCPMC11953162

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.