Gunshot wounds

Question 1

GSW to hip/tab most commonly associated with

Answer 1

• perforated abdominal viscus (#1)
• vascular injury
• urogenital injury

Question 2

Penetrating vs perforating missile

Answer 2

penetrating = no exit wound
perforating = exit wound

higher energy transfer with penetrating shot

Question 3

Management of extra-articular trans-abdominal GSW with stable fx pattern:

Answer 3

empiric abx and observation

- if intra-articular, must go after the bullet and treat as septic hip as well