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Assessment of Facial Injury by "Slock" in Incarcerated Patients
Charles Dodge Rees1, Patrick Spiller2, Adam Blancher1
1Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
Summary
Padlocks used as weapons, known as "slocks," cause significant facial fractures in correctional facilities. This study found a doubling in these injuries, highlighting the need to restrict padlock access to prevent trauma.
Area of Science:
- Forensic Medicine
- Trauma Surgery
- Correctional Healthcare
Background:
- Padlocks, sometimes fashioned into weapons called "slocks," pose a unique threat in correctional settings.
- Facial fractures resulting from blunt force trauma are a significant concern in incarcerated populations.
Purpose of the Study:
- To assess the prevalence, injury patterns, and severity of facial fractures caused by padlocks and slocks.
- To analyze trends in padlock-related facial fractures within a correctional system.
Main Methods:
- Retrospective analysis of 435 incarcerated patients surgically treated for facial fractures between 2011 and 2019.
- Data collection included injury mechanism, specifically identifying padlock or slock use.
Main Results:
- Padlock-induced facial fractures occurred in 16% of patients (57/435), with 6% (23/435) specifically from slocks.
- The incidence of padlock-related facial fractures doubled between 2012 and 2017.
- Padlock-induced fractures were significantly more complex than those caused by fists (p < .001).
Conclusions:
- Padlock-related facial trauma is a growing issue in correctional facilities.
- Reducing access to padlocks is recommended to mitigate facial trauma in this population.
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