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