• The doctor must document in medicolegal report the dimension /shape/size of the bruise because it may connect the victim and the object or weapon used in the specific case, e.g., chain, cane stick, rifle butt, boots, ligature, vehicle etc.
• The age of injury can be detected by the status of color of bruise, the extent and severity of violence or force used may be determined from the size and swelling of bruise, character and manner of the injury may be known from its distribution over the body.
• Bruising of the arm may indicate restraining the person. Bruising of the shoulder blades indicates firm pressure on the body against the ground or other resisting surface. In manual strangulation, the position and number of bruises nail marks may give an indication on the method of attack and the position of the assailant.
• The pattern bruises on chest/neck and mouth is also very important in diagnosing resuscitative injury in medicolegal cases which are invariably confused by doctor as manual strangulation/smothering.
• Pattern bruise is an important tool for diagnosing torture injury and very commonly appreciated in sole/flexor aspect of hands/buttock and back of thighs by doctors.
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