Stab Wounds

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Dr Azmatullah

STAB WOUNDS
Definition

 A stab wound is an injury caused by a more or


less pointed weapon when it is driven through
the skin and its depth is greatest.
 Weapon like daggers , knifes , arrows , needle
etc
Stab wound

 Description of stab wound include


 Entry wound
 Depth and direction
 Wound of exit if present
Wound of entry

 The wound of entry is always present in stab


wound and is generally bigger the exit wound
because the tabbing wound have tapering tip.
 Clothes may be pushed into wound of entry
 The shape of entry wound is related to weapon
used
 Knife with on sharp cutting edge and other blunt
edge may produced a wedge shape injury or
injury with one end pointed and another blunt
stab wound

 With double edged knife injury makes


elliptical injury
 A round pointed weapon makes circular injury
 A pointed square shape weapon will make a
cruciate injury
 Occurrence of stab wound in paired pattern
suggest the use of weapon like pair of
scissors.
Depth and direction

 External examination of stab wound gives no


idea of its depth direction and internal
injuries.
 The depth of stab wound is greater then its
length . The stab wound does not depend on
length of weapon alone but it also depend on
force applied.
Depth and direction

 It may correspond to length of the blade but


is greater if injury is caused on the part of the
body such as abdomen
 It is generally not possible to measure the
depth accurately due to presence of injury to
internal viscera and blood clots.
 It is therefore advised to x ray all stab wound
in search of possible broken part of the
weapon of foreign body
 Depth and direction can only be measured
accurately at autopsy
 At autopsy when stab wound is seen to go
though cartilage or bone the cut surfaces
must be saved in formalin for possible tool
mark comparison with a suspected weapon
Exit wound

 The exit wound is generally smaller and its


edges are everted
 Hara kiri is unusual form of suicide where the
abdomen is boldly punctured by a short
sword in sitting position resulting in one large
fatal wound causing sudden evisceration of
abdominal organs followed by collapse and
death.
 From careful examination of a stab wound it
may be possible to determine
 The nature of weapon
 Approximate dimension of weapon
 Position of assailant and victim
 Volitional activity
 Nature of injury
 Stab wound is converging wound

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