Abstract

The analysis of trauma to the skeleton is an important aspect of forensic case work, but most pathology references devote limited attention to this topic. This paper describes various aspects of gunshot wounds, including entrance and exit patterns, angle and path, range of fire and velocity, and caliber of the bullet, based on observations of a series of known cases. Skeletal remains of 21 victims of gunshot wounds were studied. In most cases, there was documentation of the investigation, autopsy, and victim's identity. Each case was analyzed in terms of wound location, shape, size and exit/entry surface area ratio, beveling, and direction of shooting. Skull entry wounds were most often round or oval. Unusual shapes were observed in bones like the mandible and mastoid process, but were also found to be triangular, nearly rectangular or irregular. Tunneling was observed in the mastoid process. The expected internal beveling was obvious in all but one skull. External beveling of an entry wound was only observed in one case (parietal bone). Exit wounds were roughly round, oval, square, and rectangular and were always more irregular than entry wounds. External beveling of exit wounds was observed in most vault bones, but there was none in the orbit, maxilla, greater wing of the sphenoid, temporal, or left occipital bone. Tangential gunshot wounds were seen in a mastoid process, zygomatic process, mandibular ramus and condyle, and occipital condyle. Most of the exit to entry surface area ratios (cm2) varied from 1.4 to 2.0. In four cases the ratio indicated that entrances were larger than exists. In conclusion, understanding of gunshot wound characteristics is an important matter to interpret distance, velocity, direction and sometimes caliber size. Assessment of this nature of gunshot wounds helps reconstruct events surrounding the death.

References

1.
La Garde
L
.
Gunshot injuries
.
New York
,
William Wood
1916
.
2.
Adelson
L
.
The pathology of homicide
.
Springfield, IL
,
Charles C Thomas
1974
.
3.
Spitz
W U
,
Fisher
B S
, editors.
Medicolegal investigation of death
.
Springfield, IL
,
Charles C Thomas
1980
.
4.
Di Maio
V JM
.
Gunshot wounds: practical aspects of firearms, ballistics, and forensic techniques
.
Boca Raton, FL
,
CRC Press
1985
.
5.
Knight
B
.
Forensic pathology
.
New York
,
Oxford University Press
1996
.
6.
Coe
J I
.
External beveling of entrance wounds by handguns
.
Am J Forensic Med Pathol
1982 Sep;
3
(
3
):
215
-
9
.
7.
Dixon
D S
.
Keyhole lesions in gunshot wounds of the skull and direction of fire
.
J Forensic Sci
1982 Jul;
27
(
3
):
555
-
66
.
8.
Dixon
D S
Exit keyhole lesion and direction of fire in a gunshot wound of the skull
.
J Forensic Sci
1984 Jan;
29
(
1
):
336
-
9
.
9.
Dixon
D S
.
Pattern of intersecting fractures and direction of fire
.
J Forensic Sci
1984 Apr;
29
(
2
):
651
-
4
.
10.
Fisher
J F
,
Nickell
J
,
Keyhole skull wounds: the problem of bullet-caliber determination
.
Identification News
1986(December):
8
-
10
.
11.
Smith
O C
,
Berryman
H E
,
Lahren
C H
.
Cranial fracture patterns and estimate of direction from low velocity gunshot wounds
.
J Forensic Sci
1987 Sep;
32
(
5
):
1416
-
21
.
12.
Smith
O C
,
Symes
S A
,
Berryman
H E
,
Le Vaughn
M M
.
Characteristic features of entrance wounds from Hollow-Point bullets
.
J Forensic Sci
1993
;
38
(
2
):
323
-
6
.
13.
Smith
O C
,
Berryman
H E
,
Symes
S A
,
Francisco
J T
,
Hnilica
V
.
Atypical gunshot exit defects to the cranial vault
.
J Forensic Sci
1993 Mar;
38
(
2
):
339
-
43
.
14.
Rhine
J
,
Curran
B
.
Multiple gunshot wounds of the head: an anthropological view
.
J Forensic Sci
1990 Sep;
35
(
5
):
1236
-
45
.
15.
Baik
S O
,
Uku
J M
,
Sikirica
M
.
A case of external beveling with an entrance gunshot wound to the skull made by a small caliber rifle bullet
.
Am J Forensic Med Pathol
1991 Dec;
12
(
4
):
334
-
6
.
16.
Peterson
B L
.
External beveling of cranial gunshot entrance wounds
.
J Forensic Sci
1991 Sep;
36
(
5
):
1592
-
5
.
17.
Berryman
H E
,
Smith
O C
,
Symes
S A
.
Diameter of cranial gunshot wounds as a function of bullet caliber
.
J Forensic Sci
1995 Sep;
40
(
5
):
751
-
4
.
18.
Quatrehomme
G
,
İşcan
M Y
.
Postmortem skeletal lesions
.
Forensic Sci Int
06
10
1997
;
89
(
3
):
155
-
65
.
19.
Quatrehomme
G
,
İşcan
M Y
.
Analysis of beveling in gunshot entrance wounds
.
Forensic Sci Int
22
04
1998
;
93
(
1
):
45
-
60
.
20.
Quatrehomme
G
,
İşcan
M Y
.
Gunshot wounds to the skull: comparison of entries and exits
.
Forensic Sci Int
08
06
1998
;
94
(
1–2
):
141
-
6
.
21.
Krogman
W M
,
İşcan
M Y
.
The human skeleton in forensic medicine
.
Springfield, IL
,
Charles C Thomas
1986
.
22.
Gonzales
T A
,
Vance
M
,
Helpern
M
,
Umberger
C J
.
Legal medicine: pathology and toxicology
.
New York
,
Appleton-Century Crofts
,
1954
.
23.
Spitz
W U
.
Gunshot wounds
. In:
Spitz
W
,
Fisher
R
, editors.
Medicolegal investigation of death
.
Springfield, IL
,
Charles C Thomas
1980
;
216
-
74
.
24.
Bhoopat
T
.
A case of internal beveling with an exit gunshot wound to the skull
.
Forensic Sci Int
30
01
1995
;
71
(
2
):
97
-
101
.
25.
Light
F WJ
.
Gunshot wounds of entrance and exit in experimental animals
.
J Trauma
1963
;
3
:
120
-
8
.
26.
Amato
J J
,
Billy
L J
,
Lawson
N S
,
Rich
N M
.
High velocity missile injury. An experimental study of the retentive forces of tissue
.
Am J Surg
1974
;
127
:
454
-
9
.
27.
Simpson
K
.
Forensic medicine
.
London
,
Edward Arnold
1969
.
28.
Thornton
J
,
Cashman
P
.
Glass fracture mechanism: A rethinking
.
J Forensic Sci
1986
;
31
:
818
-
24
.
29.
Tedeschi
C
,
Eckert
W
,
Tedeschi
L
. editors.
Forensic medicine: a study in trauma and environmental hazards. Vol I: Mechanical trauma
.
Tedeschi
C
,
Lekert
W
,
Tedeschi
L
, editors.
Philadelphia
,
Saunders
1977
.
30.
Kolsky
H
.
The role of stress waves in penetration processes
. In:
Labile
R
, editor.
Ballistic materials and penetration mechanics
.
New York
,
Elsevier
1980
:
185
-
223
.
31.
Madea
B
,
Staak
M
.
Determination of the sequence of gunshot wounds of the skull
.
J Forensic Sci Soc
1988 Sep–Dec;
28
(
5–6
):
321
-
8
.
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