Defense wounds FMT

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Defence wounds

Definition: Injuries sustained by a victim while attempting to ward off or resist an assault.
Mechanism
  • Grasping the weapon can produce cuts or stab wounds on the hand.
  • Raising the arms to shield the head, face, or trunk produces injuries on the forearms and upper limbs.
  • Their type depends on the weapon: sharp weapons cause incised/stab wounds; blunt weapons cause abrasions, bruises, or fractures.
Typical sites
  • Palmar or grasping surfaces of hands, especially fingers and thumb
  • Ulnar border of forearm
  • Dorsum of hand/palm when protecting the face
  • Raised arms and shoulders
  • Occasionally legs or back, depending on body position and method of resistance
Medico-legal importance
  • Strongly supports an assault, commonly a homicidal attack.
  • Indicates the victim was conscious, aware of danger, and capable of resistance.
  • May help infer the direction/nature of assault and weapon used.
  • Absence does not exclude homicide: wounds may be absent if the victim was asleep, unconscious, intoxicated, restrained, hands tied, suddenly attacked, or physically unable to resist.
  • Examine wrists and arms carefully for restraint bruises; hand wounds may be obscured after rigor mortis if the fingers are flexed.
Defence wound on palm
Source: Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology, p. 263.
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