[Problems of expert application of «Medical criteria to determine the severity of harm caused to human health» in closed injury of the shoulder joint].

The represented analysis shows the mechanism of formation of traumatic shoulder dislocation and potential intra-articular anatomic-morphological damages of humeral head according to the Hill-Sachs type in order to objectify the criteria of determination the severity of harm caused to human health. The potential Hill - Sachs classifications of shoulder dislocation are considered depending on size of humeral head defect. During the period of 2015 to 2020, 250 «conclusions» of forensic investigations of patients with the injuries of the shoulder joint were analyzed, performed by an expert traumatologist.

[Primary injuries of corpus callosum vessels in craniocerebral injuries].

The aim of the scientific work is to establish morphological characteristics of hemorrhages in the corpus callosum as a marker of primary vascular injuries in diffuse axonal injury (DAI) in relation to the goals and objectives of forensic examination. Changes in the structures of corpus callosum were analyzed in 45 corpses of persons with traumatic brain injury who died in hospital from DAI diagnosed according to clinical and instrumental data within 24 hours after the trauma. The changes were characterized by rectic hemorrhages () in combination with successively developing vascular, tissue, and cellular post-traumatic reactions.

[Morphological markers of pathophysiological changes in the neuronal processes in the acute post-traumatic period of diffuse axonal injury].

The purpose of the study was to establish morphological markers of pathophysiological changes in the neuronal processes of in the acute (up to 36 hours) post-traumatic period of diffuse axonal injury (DAI) for the purposes of expert practice. Histological examination of the body of corpus callosum of the corpses of 66 persons dead from DAI and of 25 persons dead from various non-violent and violent causes, excluding head trauma, was performed (control group). Morphological markers of specific pathophysiological changes in the neuronal process were established by light microscopy with the use of immunohistochemical examination in acute period DAI.

[Expert errors in formulating a forensic diagnosis and conclusions in cases of diffuse axonal brain damage].

The study objective is to review expert errors in the wording of a post-mortem diagnosis and expert conclusions in cases of traumatic brain injury with diffuse axonal brain damage. We reviewed 50 corpse examinations of those who died from a traumatic brain injury with diffuse axonal brain damage. A retrospective analysis of the results of expert examinations, the structure of the post-mortem forensic diagnosis, and the validity of expert conclusions showed that expert errors were made in 30% of cases.

[Clinical presentation and gross appearance of diffuse axonal injury in the early post-injury period].

The objective of the study was to investigate and characterize the clinical presentation, and establish macroscopic diagnostic signs of diffuse axonal injury (DAI) in the early (up to 3 days) post-injury period. In DAI, coma develops immediately after head injury and persists for 3 days post-injury until death. The coma is accompanied by dominant primary stem neurological symptoms, hemodynamic and respiratory disturbances and does not progress to a vegetative state.