Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
_General Characters._--Incised wounds are somewhat spindle-shaped,
their superficial extent being greater than their depth; the edges are
smooth and slightly everted, and the wounds are always larger than the
weapon which inflicted them--due to retraction of the divided tissues.
If a wound be in a line with the fibres of a muscle, there will be
less “gaping” than when the wound is directly or obliquely across the
muscle. From muscular contraction, or the elasticity of the skin, an
incised wound may assume a crescentic form. The cellular tissue is
infiltrated with blood, and coagula are found at the bottom and between
the edges of the cut. It must be borne in mind that a wound with smooth
edges may be made by a _blunt_ weapon over bones near the surface,
as on the scalp and over the tibia or shin, but a certain amount of
contusion may, in most cases, be detected by careful inspection a short
time after the receipt of the injury.
It is often of importance to distinguish where the weapon entered, and
where it was drawn out. The end where the weapon entered is usually
more abrupt than the other, which is naturally more drawn out. But in
some cases I have seen, when the weapon was simply drawn across the
part, both ends of the wound alike.
2. Punctured Wounds
The orifice is generally a little smaller than the weapon.
A stab may sometimes present the appearance of an incised wound; the
depth will, however, help to distinguish the one from the other. The
wound may not at all correspond with the shape of the weapon, and the
same pointed instrument may produce very different-shaped wounds in
different parts of the body. Much depends upon the movement of the
instrument in the action of puncturing; in the case of a double-edged
instrument the wound will most probably be fusiform or diamond-shaped.
When made with a knife the wound may be wedge-shaped if the knife have
a thick back. A circular weapon splits the skin and leaves a slit;
broken glass and pottery act in a similar way, but the wounds may
have jagged edges and show signs of contusion in them. On dissection,
two or more punctures may be found in the soft parts, with only one
external orifice; these are due to the weapon being only partially
withdrawn at each stab. Punctured wounds are always more dangerous
than incised. They cause little, if any, hæmorrhage externally, unless
a large vessel, such as the femoral artery, be injured, but they may
cause internal hæmorrhage or penetrate a viscus, _e.g._ the lung or
heart. These wounds generally heal by suppuration, and not infrequently
an abscess is formed in and around the track of the wound. Perforating
wounds generally have a large entrance wound with inverted edges, and a
small exit with everted edges; if the weapon be rough, the reverse may
be the case.
3. Lacerated and Contused Wounds
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