Gunshot injuries form a major part of trauma but isolated breast injury due to gunshot is rare. Presented is a 40-year-old female with gunshot (pellets) injury of the breast. Initial surgeries to extract pellets resulted in partial amputation of the breast with surgical site infection. Management of this patient presented a dilemma in judgment of treatment in view of the effects of foreign bodi...

We investigated wound tract extension of traumatic gunshot wounds in limb soft tissues as well as wound tract sonographic features and change-patterns when the limb position was changed. The experimental animals included 8 healthy crossbred pigs in the Chengdu plain region. Chinese Type 53 Carbine was used to establish the gunshot wound model of porcine soft tissues. Gunshot-injured zones in th...

OBJECTIVE To describe the incidence, injury severity, resource use, mortality, and costs for children with gunshot injuries, compared with other injury mechanisms. METHODS This was a population-based, retrospective cohort study (January 1, 2006-December 31, 2008) including all injured children age ≤ 19 years with a 9-1-1 response from 47 emergency medical services agencies transporting to 93 ...

According to an old empiric rule related to suicidal gunshot wound still in use, suicides will rarely shoot through their clothing, but will put it aside to expose the nude skin. A bullet defect in victim's clothing was often interpreted as a suspicious finding. In our article, which is based on retrospective consecutive study of gunshot fatalities from 1980 to 2004, where all autopsies were pe...

INTRODUCTION The armed forces of the United States are engaged in the longest conflict in their history. No prior works have described the incidence or epidemiology of gunshot wounds in the U.S. military. METHODS All combat-related gunshot wounds sustained by uniformed servicemembers in the years 2000-2009 were identified using the Defense Medical Epidemiology Database. Demographic informatio...

Lead poisoning has infrequently resulted from gunshot wounds with retained lead particles in adults. This has not been previously found in children. The case of an 8-year-old boy in whom lead poisoning developed soon after a gunshot wound is reported. The child had no symptoms directly related to lead poisoning, but he received chelation therapy. The case demonstrates the need to consider lead ...

Gunshot injuries to the hip can be devastating, leading to posttraumatic arthritis and presenting a surgical challenge at the time of total hip arthroplasty (THA) due to the presence of metallic fragments and damaged soft tissues. However, there are few reports of gunshot-related posttraumatic arthritis. The purpose of this study was to describe the features and report the early outcomes of THA...

CONTEXT The cost of treating gunshot injuries imposes a financial burden on society. Estimates of such costs are relevant to evaluation of gun violence reduction programs and may help guide reimbursement policies. OBJECTIVES To develop reliable US estimates of the medical costs of treating gunshot injuries and to present national estimates for the sources of payment for treating these injurie...

craniocerebral gunshot injuries (cgi) are increasingly encountered by neurosurgeons in civilian and urban settings. unfortunately, more   prevalent condition in developing countries, with major armed conflicts which is still persisting, since the main trigger is violence at the national or state level. management goals of cgi should focus on aggressive resuscitation and correction of coagulopat...

Gunshot wounds to the spine account for 13% to 17% of all gunshot injuries and occur predominantly in the thoracic region. Minimally invasive spine surgery procedures implementing serial muscle dilation and the use of a tubular retracting system with a working channel minimize soft tissue trauma, facilitate less bony and soft tissue resection, decrease blood loss, minimize scarring and improve ...