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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.
Source: Parikh's Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology, p. 263.
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