Nonmissile penetrating brain injuries are exceedingly uncommon among civilian population and are most often associated with inflicted injury. They show specific characteristics different from that of missile wounds. In this article, we describe a rare case of a 22-month-old child who experienced accidental penetrating head trauma caused by a crossbow. We document neuroimaging studies and review...

An extensive review of the literature showed that trauma is the most common cause of pneumocephalus. Most often the trauma involves the frontoethmoidal or other air sinuses. Three types of injuries are frequently described to be responsible for pneumocephalus: (1) automobile accidents, (2) motorcycle accidents, and (3) missile injuries. A thorough review of the literature revealed that there is...

Wounds to the limbs are the commonest injuries seen during armed conflict and injury results from the transfer of energy from the missile to the tissues. There are a number of factors that determine the transfer of energy, and thus the extent of wounding. These include the velocity of the missile, its shape and stability, and the tissue through which the missile passes. Many of the wounds invol...

Missile peripheral nerve injuries (MPNIs) usually receive secondary consideration, including deferred surgical treatment, mainly because they are not life threatening. Approximately 70% of missile wounds that require exploration include either a complete or partial section of nerve. Surgical management of these wounds is very demanding, requiring considerable attention during the initial examin...

BACKGROUND Wartime missile injuries are frequently high-energy wounds that devitalize and contaminate tissue, with high risk for infection and wound complications. Debridement, irrigation, and closure by secondary intention are fundamental principles for the management of these injuries. However, closure by secondary intention was impractical in Iraqi patients. Therefore, wounds were closed def...

Background: Wartime missile injuries are frequently high-energy wounds that devitalize and contaminate tissue, with high risk for infection and wound complications. Debridement, irrigation, and closure by secondary intention are fundamental principles for the management of these injuries. However, closure by secondary intention was impractical in Iraqi patients. Therefore, wounds were closed de...

C. Options Treatment of small entrance bullet wounds to the head with local wound care and closure in patients whose scalp is not devitalized and have no “significant” intracranial pathologic findings is recommended. (Note: The term “significant” has yet to be clearly defined. However, the volume and location of the brain injury, evidence of mass effect, e.g., displacement of the midline 5 mm o...

INTRODUCTION Tibia fracture caused by high velocity missiles is mostly comminuted and followed by bone defect which makes their healing process extremely difficult and prone to numerous complications. CASE OUTLINE A 34-year-old male was wounded at close range by a semi-automatic gun missile. He was wounded in the distal area of the left tibia and suffered a massive defect of the bone and soft...