FEATURED WINTER 2012 ARTICLE


Skeleton Crew

A professor in the School of Medicine and a student in the School of Podiatric Medicine collaborate on forensic podiatry—or, using feet to solve crimes.

By Samantha Drake

A pile of bones behind a Philadelphia elementary school contained clues to a crime — and to the professional
future of Michael Sganga, a student in the School of Podiatric Medicine.

Sganga became intrigued when he accompanied Associate Professor Arthur Washburn, CLA ’95, ’96, who consults with the Philadelphia Medical Examiner’s Office, to examine the skeletal remains in spring 2010.

“That case really got me thinking about forensic podiatry,” Sganga says, “because we also found a coalition, or fusion, in the foot bones. While it’s fairly common, it’s uncommon to see in an adult. If one has it as a child, it’s often painful or symptomatic and he or she has it taken care of.”

Such a bone fusion might have been an identifying feature. And, if investigators had an idea of which neighborhoods to target, they could ask if anyone in the
area walked with a limp or complained of a painful foot, Sganga points out.

He and Washburn—who teaches anatomy in the School of Medicine
also did some forensic analysis at the site where the bones were found to help determine the person’s identity.

podiatrists
Michael Sganga (left), a student in the School of Podiatric Medicine, and Arthur Washburn, CLA ’95, ’96, associate professor of anatomy in the School of
Medicine, underscore the importance of forensic podiatry at Temple. Photo: Joseph V. Labolito

“Fortunately, we uncovered a wallet, which made it a little easier,” Sganga admits, as he and Washburn laugh. While taking one of Washburn’s anatomy courses, Sganga learned about his work with the city and asked to tag
along on his next case. Washburn began consulting with the Medical Examiner’s
Office about 20 years ago and says he consults on four or five cases annually.

His work begins with measuring and examining skeletal remains and feeding the information into a computer program that compares the data to the characteristics
of various racial, ethnic and geographic groups. Washburn then writes a report
for the Medical Examiner’s Office, which might use the information in an investigation
or file it away for use in a future missing-person case.

Clues Are Afoot
A wealth of data can be gleaned from just a few key bones. For example, the skull
and pelvis are typically used to determine an individual’s race, ethnicity and sex.
“You can really learn a lot from the skeleton of a person based on the ridges and prominences of the bones,” Sganga explains. “If they were stocky, then they were muscular; if they ran, then they were active—things like that.”

Foot bones are similarly illuminating, but underutilized by the forensic community.
“I was surprised to find out that you can learn the sex of a person from just a heel
bone,” Sganga says. The length and width of the heel bone, like the more commonly accepted measurements of the skull and pelvis, can accurately determine whether
the remains belong to a male or female, he adds. For instance, male skulls tend to
be slightly larger, Washburn says, and they tend to have a more prominent brow
ridge. Due to women’s childbearing capabilities, the standard measurements
and angles of female and male pelves also differ.

In Someone Else’s Shoes

In addition to bones, forensic podiatrists gather information from footprints, which,
at first glance, are similar to fingerprints. “Each footprint can only be made by that
foot,” Sganga says. “No two footprints are alike, and it does take an expert to
distinguish that.” But the similarities end there. “Fingerprints are created by ridges
and furrows in the layers of the skin, and that’s unique to the individual hand,” he explains. “It’s a little different in that aspect, because the footprint is more [about]
weight distribution and length.”

Washburn adds, “When you are talking about fingerprints you are looking at the
little whorls and unique features of the little dermal ridges and we do have those on
the toes. But when you are a leaving a crime scene, your weight is distributed very differently than when you are leaving fingerprints. So while there are probably
unique whorls and swirls on the toe and heel — though there is a lot of wear on
the heel — when you are talking about footprint analysis, it’s not the same as
talking about fingerprint analysis. It’s more along the lines of determining how a
person distributes his or her weight.”

Distribution of weight comes into play when analyzing the wear and tear on an
individual’s shoes. “You can figure out just from looking at a pair of shoes where
someone is putting pressure,” Sganga points out. “One can determine foot types
or gait patterns, some of which are very rare and unique.”

Gradually, shoes stretch and conform so much to the specific way a person’s weight
is distributed, Washburn says, that “whenever you put your foot in someone else’s
shoe, you know right away that it’s not yours.”

Welcome to the Club
Sganga became hooked, but he discovered that no podiatric medical school in the
U.S. offered a course in forensic podiatry. So, with Washburn’s guidance, Sganga
launched the first forensic podiatry club in the country in fall 2010. Through lectures, discussions and other activities, students of podiatric medicine and other club
members learn how to process information related to unidentified remains and crime scenes, and promote the field of podiatric forensics.

“There’s a lot more to forensics than what is shown on TV,” he says. “There’s a lot
of hard science behind it.” The club attracted about 80 members and a variety of
speakers in its first months of existence. Monthly meetings at the School of Podiatric Medicine are open to the Temple and Philadelphia communities. Sganga and
Washburn hope to strengthen and expand Temple’s relationship with the Medical Examiner’s Office and forge a relationship with the American Society of Forensic
Podiatry in Bandon, Ore.

Sganga, 26, is in his third of four years in the School of Podiatric Medicine and is
the club’s president. Along with fellow third-year students Vice President Regina
Snow, Secretary Jennifer Lipman, Treasurer Saba Afzal and second-year liaison
Carly Chapman, Sganga says he wants to promote forensic podiatry as a profession
within the School of Podiatric Medicine and beyond.

“I think it’s a great opportunity for interdisciplinary collaborations,” he says. He adds
that he still plans to become a podiatric surgeon, but he also has become interested
in being a forensic podiatry consultant.

A New Advantage
Identifying a suspect based on his or her gait seems like a twist straight out of a television crime drama, but it does happen. In England in 2009, a suspect caught
on tape leaving a crime scene was convicted in part by testimony from a podiatrist
that a suspect’s gait pattern was exclusive to him.

Steve Olszewski, chief forensic investigator at the Philadelphia Medical Examiner’s
Office, says forensic podiatry has not been a focus for the agency, but “we are
open to using it in any way we can.” Forensic podiatry is a relatively new field,
he says, noting, “Any advantage in solving a crime should be used.”

Temple’s forensic podiatry club will help spread the word about how fascinating the
field of forensics is, Olszewski adds.

Sganga agrees. “Forensics is an area where we would be welcomed, and it’s an
area where we can use what we’ve already been taught and really help people in
a different way,” he says. “Forensic podiatry has a lot of room to grow.”


Samantha Drake is a writer and editor based in Lansdowne, Pa. Her work has
appeared in numerous university publications and in regional publications such as

Philadelphia City Paper and Main Line Today.