Penetrating Thoracoabdominal Injuries With Arrows: Experience With 63 Patients

Jacob, Ollapallil J.

doi:10.1111/j.1445-2197.1995.tb01766.x

Cited by 29 publications

(14 citation statements)

References 1 publication

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“…The entrance wound morphology depends primarily on the shape of the arrowhead [15,16,27]. The broadhead, a hunting weapon, has three or more razor-edged metal blades radiating outwards from a central shaft and therefore produces star-shaped or triangular entrance wounds depending on the anatomical region and the tissue tension (Fig.…”

Section: Discussionmentioning

confidence: 99%

Crossbow homicides

et al. 2004

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A total of eight cases of homicide by crossbow are reported, including six intentional, assault-like killings and one hired killer. The bolts showed a high penetration capacity despite the rather low kinetic energy (<100 J): a field-tip traversed one upper arm and the thorax (36 cm) and two broadheads caused perforating injuries of the thorax (25-26 cm). This was due to the high sectional density and the split-like penetration mechanism. Wound morphology was especially important if the perpetrator had extracted the bolt, which occurred in half of the cases. The shape of the entrance wound depended on the type of arrowhead: broadheads produced star-shaped to triangular wounds, field-tips caused circular, oval or slit-like injuries. Foreign material from the arrowhead was found inside two injuries. In assaults, the crossbow was used to hunt the victim down from a short distance which does not require practice but still has the advantage of a distance weapon. However, immediate incapacitation occurred rarely so that additional violence was frequently applied. The noiseless character of the weapon explains why many victims were taken by surprise and why the corpses initially remained unnoticed. Crossbows can therefore be considered ideal weapons for man hunting and some were bought for the very purpose of the killing.

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Section: Discussionmentioning

confidence: 99%

Crossbow homicides

et al. 2004

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“…Barbed arrows are an exception because of the risk of extensivedamage to major structures when retrieved. [5] They can generate velocities up to 74 m/s (240 ft/s). These produce impalement wounds in which the offending agent is plunged into the victim along the axis of the blade, resulting in a small puncture wound of the skin and unknown depth.…”

Section: Discussionmentioning

confidence: 99%

Successful removal of an impacted metallic arrowhead penetrating up to the brainstem

Paramhans

Shukla

Batra

et al. 2010

J Emerg Trauma Shock

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A case of impacted metallic arrowhead in the brain through an unusual route of the neck and behind the external carotid artery to the base of the skull up to the brainstem is reported. Review of the literature reveals no previous reports of this type of injury. A 35-year-old man was admitted to the hospital after 36 h of injury, being fully conscious and with partial facial palsy. The arrowhead was successfully removed by exploration of the entry wound, without any neurovascular complications. The patient not only survived the operation but was also discharged in an improved neurological condition.

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“…[3] Arrow and spear wound epidemiology and management have been well described from Papua New Guinea. [4] Of the 13 patients of arrow injury treated at our hospital, there was mortality in 1 patient (7.69%). The causes of mortality were found to be haemorrhagic shock septicaemia pneumonia with respiratory failure.…”

Section: Discussionmentioning

confidence: 99%

Arrow Injuries in Eastern Odisha; A Series of 13 Cases

Mohanty¹,

Behera²,

Behera³

2017

AIMDR

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Background: Although gunshot injuries are the most common penetrating injuries in the developed world, this finding is not the case in the developing world, where knives, spears, arrows, and machetes are the preferred weapons, particularly in tribal societies. Arrow injuries are an extinct form of injuries in most of the developed countries but constitutes 0.1% of the emergency admissions in the developing world. Arrow injuries are frequently seen in tribal areas of Odisha region with homemade bows and arrow. The aim is to study the incidence, various modes of presentation, management and outcome in patients with arrow injuries . Methods: A retrospective review and analysis of patient records was done over a period a period of 3 years from April 2013 to May 2016. The injuries sustained are divided into four groups for the purpose of study. The management depended on the group of the patient. Results: Of the 13 patients of arrow injury treated at our hospital there was death of 1 patient (7.69%). The causes of mortality were found to be haemorrhagic shock and septicaemia. Conclusion: The commonest complication was wound infection seen in 2 patients.

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Penetrating Thoracoabdominal Injuries With Arrows: Experience With 63 Patients

Cited by 29 publications

References 1 publication

Crossbow homicides

Crossbow homicides

Successful removal of an impacted metallic arrowhead penetrating up to the brainstem

Arrow Injuries in Eastern Odisha; A Series of 13 Cases

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