1. Low-velocity, civilian firearm extremity injuries—review and update for radiologists
- Author
-
Jack Porrino, Kimia Khalatbari Kani, and Felix S. Chew
- Subjects
Adult ,Firearms ,medicine.medical_specialty ,Soft Tissue Injuries ,Forensic Ballistics ,Projectile ,business.industry ,Quantitative Biology::Tissues and Organs ,Physics::Medical Physics ,Adult population ,Ballistics ,Soft tissue ,Extremities ,Trajectory of a projectile ,Condensed Matter::Mesoscopic Systems and Quantum Hall Effect ,Neurovascular bundle ,Wound ballistics ,Quantitative Biology::Cell Behavior ,Radiologists ,Humans ,Medicine ,Wounds, Gunshot ,Radiology, Nuclear Medicine and imaging ,Radiology ,business - Abstract
Firearm injuries are a preventable epidemic in the USA. Extremities are commonly affected in gunshot injuries. Such injuries may be complex with concomitant osseous, soft tissue, and neurovascular components. The maximum wounding potential of a projectile is determined by its kinetic energy and the proportion of the kinetic energy that is transmitted to the target. Accurate assessment of ballistic injuries is dependent on utilizing the principles of wound ballistics, accurate bullet count, and ballistic trajectory analysis. The goals of this article are to review wound ballistics and the imaging evaluation of extremity civilian firearm injuries in the adult population, with emphasis on ballistic trajectory analysis, specific ballistic fracture patterns, and diffuse, secondary soft tissue ballistic injuries.
- Published
- 2021