Developmental Dysplasia of the Hip
Tracking Pixel
presents
Wheeless' Textbook of Orthopaedics

Gun Shot Wounds: Missiles Characteristics


- Discussion:
    - common shapes includes round nose, wadcutter, and semi-wad cutter;
    - missile velocity:
          - high velocity:
              - greater than 2000-2500 ft/sec;
              - M16 travels at 3250 ft/sec;
              - associated w/ significant cavitation formation from shock wave;
          - medium velocity:   between 1000-2000 ft/sec;
          - low velocity: less than 1000 ft/sec;
              - not associated w/ cavitation formation;
              - causes local injury and does not tend to comminute metaphyseal bone;
    - yaw: the deviation of a missle's longitudinal axis from the straight line
              of flight, which may lead to tumbling;
    - misc: note that on rare occcassions the surgeon may encounter exploding
              bulllets w/ separate explosive charges;
    - Wad Cutters:
          - wad cutters are cylindrical projectiles w/ flat circular striking
                surface that creates sharply defined holes for target shooting;
          - semi wad cutters: are hybrid projectiles consisting of conical or
                tapered tip w/ sharp shoulder midway back on projectile;
                - this combines the ability to create a sharp hole in paper target
                      w/ improved aerodynamic shape for accuracy and easier feeding
                      into an autoloading weapon;
    - Jacketed Bullets:
          - consist of a soft lead center surrounded by a jacket of various
                alloys of copper;
          - full Metal Jacketed configuration is onen in which the jacket
                surrounds the whole bullet from the tip to the base, while a
                partially jacketed design is one in which the tip of bullet
                is exposed soft lead and the bullet is known as a soft point;
          - jacketed bullets were originally designed for higher velocity
                weapons where lead bulltes would foul rifling of barrel;
          - in lower velocity weapons partially jacketed bullets are used
                to allow controlled expansion of the projectile on impact;














Original Text by Clifford R. Wheeless, III, MD.