Sharp force trauma includes;
- Incised wounds - caused by any implement/ object having a sharp edge. This can include knives and broken glass, for example.
- Stab wounds - which are incised wounds where the length of injury on the surface is less than the depth of penetration into the body.
- Slash wounds - which are incised wounds that are longer than they are deep.
- Chop wounds - are caused by implements such as machetes, meat cleavers, swords, axes etc. They are often severe in nature, and can include extensive soft tissue and bone damage. They represent a combination of sharp and blunt force trauma; the sharpness of the cutting edge influences how clean the wound edges are.
Characteristics of blunt force lacerations vs sharp force incised wounds
|
|
Laceration |
Incised Wound |
|
Cause |
Blunt force trauma |
Sharp force trauma |
|
Edges |
Ragged/ irregular |
Cleanly divided |
|
Bruising/abrasions? |
Yes |
No |
|
Depth |
Variable |
Can be uniform |
|
Presence of tissue bridging? |
Yes |
No |
|
Position |
Particularly bony prominences |
Any location |
|
Presence of foreign bodies? |
Often contaminated wounds |
Usually clean (unless caused by glass) |
|
Hairs |
Intact hairs may cross the wound |
Hairs are cleanly divided |
|
Bony injury |
May have associated fractures |
Scoring or chipping of bone may occur |
|
Healing |
2° intention (with extensive scarring) |
1° intention – good if wound edges apposed. Generally leaves fine scarring |
