What pattern bruising is referred to as a tram track pattern?

The tram track pattern of bruising is specifically associated with injuries resulting from the impact of broad, flat instruments, often described in cases involving lathi strikes. This term refers to the appearance of two parallel lines of bruising that resemble the tracks of a tram. The mechanism of these injuries typically involves a forceful blow from the flat surface of the instrument, which causes bruises to form on either side of the area where the object impacted.

In the context of other types of bruising, pattern bruising from falling might not exhibit such distinct parallel lines, as the impact area can vary widely depending on how the person fell. Bruising from the impact with a solid object may create more localized and irregular bruises rather than the specific linear pattern seen with lathi hits. Moreover, bruising caused by sharp object trauma usually results in different types of wounds, such as cuts or abrasions, rather than larger bruises.

Thus, the tram track pattern is most accurately associated with lathi strikes due to the nature of the instrument and the resultant force and distribution of the resulting bruises.