130 likes | 457 Vues
INCISED WOUNDS. Dr. Ravi Nanayakkara. Objectives. Discuss the medico legal aspects of Incised wounds and Penetrating injuries/stabs . Incised wounds/Cut injuries. Discontinuity of the skin or any tissue caused by sharp cutting weapons. Incised wounds. Characterized by,
E N D
INCISED WOUNDS Dr. Ravi Nanayakkara
Objectives • Discuss the medico legal aspects of Incised wounds and Penetrating injuries/stabs
Incised wounds/Cut injuries • Discontinuity of the skin or any tissue caused by sharp cutting weapons.
Incised wounds Characterized by, • Surface length is greater than depth. • Edges are clear cut without marginal contusions. • Ends are sharp with tailing effect. • Underlining tissues are evenly cut. • Gape widely and bleed profusely. • Sometimes linear abrasions seen along when weapon being dragged.
Nature of an incised wound depend on… Shape of the blade Sharpness Thickness Length Strength ( pliability) Weight.
Cutting Weapons • Curved blade – sickle Cut from the sharp proximal area with untouched skin in between. • Sward and heavy non pliable knives. Manna, Kathy….. • Axe – Relatively blunt with contused margin • Irregular Glasses, broken pottery, sharp stone.
Injuries due to broken glass Road traffic accidents Self inflicted injuries Industrial/domestic accidents Assaults
Classification • Slashed cut Heavy weapon with a large force Homicidal Injuries to deep structures • Drawn cuts. Drawing the blade over the skin. Usually self inflicted, Homicides possible.
Medico-Legal importance • Nature of the weapon Cutting surface, size etc. • Circumstances Suicidal, self inflicted Homicide 3. Categorization Site of the body, internal damage… • Reconstruct the event • Differentiate from a laceration
Hesitation cuts • Parallel superficial cuts • Final deep fatal cut • Suicidal motive • Handedness is seen
Defense cuts • Homicidal/assaults with a sharp weapon • Victim’s hand or forearm • During self defense or grabbing the weapon • Handedness may be seen
Summary • Definition • Identification and features • Medico legal importance