Upper extremity firearm injuries: epidemiology and factors predicting hospital admission

Toston, Roy; Graf, Adam; Dawes, Alexander; Farley, Kevin X.; Hurt, John; Karzon, Anthony; Ojemakinde, Akinade A; Gottschalk, Michael B.; Broida, Samuel E.

doi:10.1007/s00590-022-03258-3

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Поранення верхніх кінцівок вогнепальною зброєю залишалися стабільними протягом останнього десятиліття і становили від 4 до 5 поранень на 100 000 осіб [1], однак використання сучасних видів зброї змінило структуру бойової хірургічної травми. У зв'язку з чим зросла необхідність поглиблення знань про особливості перебігу вогнепальних поранень.…”

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Anatomical Justification for Cutting Posterior Region of Arm

Koval¹

2022

CAOS

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In modern conditions, the need to review the tactics of combat shoulder injury treatment has increased. Sho ulder injuries often require open surgery. It is known that the choice of operative access plays an important role in the successful performance of medical and reconstructive manipulations. Deepening knowledge about the topographical and anatomical features of the posterior shoulder area will allow us to improve the approach to the implementation of existing surgical techniques, as well as to create a foundation for the development of modern surgical approaches.The purpose of the study was to substantiate the performance of the incisions of the posterior shoulder area, taking into account the peculiarities of the intramuscular distribution of nerves and arteries in human fetuses.The study was conducted on preparations of the upper limbs of 37 human fetuses of 4-10 months using macromicroscopic preparation and morphometry.To choose the optimal surgical access, it is necessary to take into account the individual anatomical features of the vessels and nerves of the back of the shoulder, ﬁ rst of all, the way they branch in the thickness of the triceps muscle of the shoulder. In the examined fetuses, the trunk form of the intramuscular branching of the radial nerve was found in the thickness of the lateral and long heads of the triceps muscle of the shoulder, and the mixed form – in the thickness of the medial head of this muscle. The high location of the entry points ofthe main nerves and vessels in the triceps muscle of the shoulder, their longitudinal course in the thickness of the muscle, and the highest concentration of branches in the proximal and middle parts of the triceps muscle of the shoulder were established. The intramuscular distribution of nerves and arteries of the triceps muscle of the shoulder, and its powerful belly, which is adjacent to the humerus along its entire length, allow it to be used for plastic purposes.Taking into account the established features of the fetal topography of the arteries and nerves of the muscles of the back of the shoulder, we consider cuts parallel to the longitudinal axis of the triceps muscle to be the least traumatic.

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Anatomical Justification for Cutting Posterior Region of Arm

Koval¹

2022

CAOS

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Gunshot Defense Wounds: Three Case Reports and a Literature Review

Ambrosi,

Nicolì,

Ferorelli

et al. 2024

Forensic Sciences

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Defense wounds generally occur when a victim attempts to protect vital organs and blood vessels during an assault, and are therefore typically located on the forearms or hands. Gunshot-induced defense wounds are less frequent compared to stab wounds, which have been extensively described in the literature. We present three cases where victims unsuccessfully attempted to defend themselves from gunshots, and where the detailed description of injuries played a key role in the reconstruction of the crime scenes. In the first case, a man was shot with a smooth-bore shotgun, presenting a “through-and-through” gunshot wound on the lateral surface of the left forearm and a large gaping wound on the posterior surface of the same forearm. The second and third cases involved two men who were shot with handguns. The first displayed an entrance wound on the dorsal surface of the right hand, with burned edges and smoke soiling, and an exit wound on the palmar surface. The second case involved two wounds on the left hand: one on the dorsum and the other on the palm. To the best of our knowledge, few studies in the literature emphasize the role of gunshot defense wounds in aiding the reconstruction of crime dynamics. The cases presented in this study highlight the importance of precisely defining the pathological and morphological features of the wounds, as well as the bullet trajectories, to accurately identify defense wounds. These findings are valuable for reconstructing the dynamics of the assault and providing critical information to the public prosecutor.

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Upper extremity firearm injuries: epidemiology and factors predicting hospital admission

Cited by 2 publications

References 23 publications

Anatomical Justification for Cutting Posterior Region of Arm

Anatomical Justification for Cutting Posterior Region of Arm

Gunshot Defense Wounds: Three Case Reports and a Literature Review

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