Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Gunshot wounds of the foot and lower limb

Discussion in 'General Issues and Discussion Forum' started by martinharvey, Apr 12, 2006.

  1. martinharvey

    martinharvey Active Member

    Members do not see these Ads. Sign Up.
    Hello all, I'm trying to collect non-anecdotal, verifiable information re; the above. In particular; type of weapon used, ie: calibre etc', intial presentation & first line medical response, stage at which Podiatrist involved (if anyone bothered!). Sequelae; short, medium, long term. Mangement paradigms etc. Colleagues and I in the UK are currently asembling a study which will include documented analyses of terminal ballistics in human tissue analogues ( weight bearing pigs legs, dead, and no, I wont eat the lead enhanced pork!!) replies via here (preferred 2) or podmart@tiscali.co.uk (preferred 1) or by letter; Martin Harvey, Dosthill Medical Practice, Tamworth, Staffordshire B77 2PU, United Kingdom.

    Many Thanks, Martin
  2. Cameron

    Cameron Well-Known Member


    Many moons ago I attended a Lister Lecture at the Glasgow Royall Hospital which was given by the head of A&E at a major Belfast hospital. He gave an incredible description of the advances made in reconstructive surgery related to "knee capping", and reported the results were so good the terrorists had changed their modus operandi to shooting their victims through the foot. Rehab was less successful. I would imaging you could find useful data there. Also shooting yourself in the foot is reasonably common in the police service (US) and the freedom of information in the States should allow you to get details. If you are not familiar with search on the web ask at your library they will often provide this service at a cost.

    Shooting off a toe or three is also well documented during war time (to avoid action). There is a wealth of literature on that too. Forensics and pathology text should also cover this material extensively so you might have a word with the Law Society.

  3. martinharvey

    martinharvey Active Member

    Thanks Cameron

    Many thanks for the information Cameron. I first encountered a Gun wound, briefly, in a WW2 Veteran. It was on the right dorsum and presented as a cavity some 1cm deep, laterally adjacent to the navicular, which appeared to have suffered a complete fracture in the coronal plane. There was a pronounced dystrophy of that legs gastroc' and soleus, whether related I do not know. The wound, some 50 years later, was still undergoing a regular cycle, over about 8 weeks, of: semi granulation, breakdown of tissue, discharge of dark offensive exudate, re-commencement of granulation and so on. Most effective management plan seemed to have been evolved by trial and error, by the District Nurses over the years, of alternate packing with Bettadine soaked gauze, then later in the cycle inadine and strapping with PB7. As you say, WW1 produced many such, some 3,894 SIW's are recorded by the British War Office at the time, although it was a capital offence there is no record of executions actually being carried out. Favourite way to Self Inflict a called 'Blighty' wound,was, apparently, to place the forefoot under a sandbag and shoot through it, this prevented powder scorching and also reduced the velocity of the bullet so it appeared to be a spent projectile at the termination of its flight. At the time when I encountered the wound previously mentioned there was virtually no readily available source of information on the long term management of such in general practice, and there still appears to be little around, certainly in the UK. 'Battlefield' surgery accounts exist in plenty and the hotly debated question of 'does hydrostatic shock exist' - a term hated with a passion by the US Ballistician Dr Martin Fackler and esposed with equal fervour by his opponants- occupies much space in ballistic tomes. But, little appears published from a Podiatrists perspective of wound management and changes to structure and function.
    Kind Regards, Martin
  4. Felicity Prentice

    Felicity Prentice Active Member

    I saw a delightful gentleman the other day whose medical history included a gunshot to the foot. Turns out he was out rabbit shooting (a fairly common practice in rural Australia about 50 years ago - them varmints made good eatin'). He habitually rested his gun nozzle on his foot between shots, and was always very careful to have the safety on. This time he was holding the shotgun for a friend, who was less careful with the safety mechanism. The gun discharged by accident, but the gentleman in question didn't notice (among the sound of other shots and general farm mayhem). It was only when he was walking home that he felt an uncomfortable amount of fluid in his boots (which of course turned out to be blood). He noticed a hole in the toebox, removed his boot and sock, to reveal a gunshot wound between the 1st and 2nd mets. No damage to bone, and he put a bandaid on the soft tissue wound, and it healed unremarkably. He didn't bother to see a doctor.

    They made farmers tough in those days! And a great story to foster the Aussie legend of Men Who Feel No Pain!

  5. martinharvey

    martinharvey Active Member

    If that dont (toe)cap it all

    Thanks for a good tale Felicity :p , I must shamefacedly confess that I too rest my shotgun on my toe cap between clays. In fact a Pal of mine has a little leather fob stiched to his boot with a peg on it about 1 inch long that fits inside the shotgun muzzle when he too rests it there. He calls the device a 'happy' - dont ask me why. On a more sober note, the last collated Goverment statistics for the UK (2002 - 2003) show over 500 reported 'serious' gun woundings. This does not cover SIWs (self inflicted wounds) and non - criminal ND's (negligent discharges) or non reported incidents. Allan Green, Association of Chief Police Officers lead on Gun Crime, in a speech to Colleagues at their annual conference used the phrases;

    "police attitudes to gun crime have been chaotic. Gun crime is growing in the UK like a cancer, It's coming your way, believe me."

    I must stress that Im not interested in making political points, i will leave my betters to do that, but this increase in woundings means that all of us, as Podiatrists, are more and more likely to encounter the medium to long term sequelae of such wounds. As I briefly mention in a previous post, the effective management of such wounds can be challenging. It is for this reason that I and my Colleagues who are involved in this study hope we can make a small contribution to a perhaps under - explored area of our science. Once again, any information from any forum members would be most welcome, it goes without saying that such contributions would be acknowledged with thanks in any subsequent publication.

    Kind Regards, Martin
  6. NewsBot

    NewsBot The Admin that posts the news.

    Gunshot injury of the foot: treatment and procedures--a role of negative pressure wound therapy.
    Marinović M, Radović E, Bakota B, Mikacević M, Grzalja N, Ekl D, Cepić I.
    Coll Antropol. 2013 Apr;37 Suppl 1:265-9.
  7. NewsBot

    NewsBot The Admin that posts the news.

    Functional Outcomes After Gunshot Wounds to the Foot and Ankle
    Zeeshan S. Husain, DPM, FACFAS, Stephen Schmid, DPM, Nicholas Lombardo, DPM
    Jnl Foot Ank Surg; Article in Press
  8. NewsBot

    NewsBot The Admin that posts the news.

    Americans shooting themselves in the foot: the epidemiology of podiatric self-inflicted gunshot wounds in the United States.
    Cosco TD, King JH.
    Med J Aust. 2015 Dec 14;203(11):458-61.

Share This Page