Table 7 Reasons for nondetection of internal findings at TA

Hemosinus

Difficult to access without mutilating the soft tissues and bones of the face

Facial fracture

Time-consuming techniques like superficial subcutaneous dissection on the face are required to interpret the exact fractures of the bones which at times may disfigure the face if not dissected patiently. Chances of overreporting the fractures on the account of palpation technique alone

Clavicle fracture

The soft tissues need to be cleared to locate the fracture unless there is gross dislocation

Scapula fracture

Difficult to find even by palpation due to thick muscles of the back covering the bone

Pelvis fracture

The genitals and the soft tissues over the groin need to be cleared to locate the fracture which fails to ensure the dignified management of dead, unless there is gross dislocation

Hairline fractures of long bones

To locate the hairline fractures at TA, the exact site of the fracture on the bone needs to be known to explore the site. PMCT does a better job to document the same

Air inside the body cavity (head, chest, abdomen)

Due to the mutilating procedure for examination in TA, the air collected inside the cavity is escaped, and hence, the findings are destroyed