Abstract

Penetrating projectile injuries from bullets and fragments remain a leading cause of casualties in modern warfare. Understanding the mechanical interaction of these projectiles with biological tissues is crucial for designing and optimizing both modern ammunition and protective systems. Toward this end, we review the mechanics of the interaction of the projectiles with various biological tissues. The review focuses on the relationship between projectile characteristics (velocity, shape, design), specific tissue, and the resulting injury. The aim is to understand the relationship between these factors and the energy or energy density required to inflict specific tissue-specific injuries. The review highlights the distinct failure mechanisms for each tissue for bullets and fragments. Skin failure is manifested by a combination of crushing, shearing, and elastic hole enlargement. Bone fracture predominantly shows conical cavity formation and associated radial and concentric cracks. Muscle and brain failures involve shearing and temporary cavity formation. Eye, due to its delicate nature, is highly susceptible to penetration by small projectiles with minimal compression. The data suggests significant variations in the energy density needed for perforation depending on the tissue type and projectile characteristics. For example, skin perforation requires a lower energy density (0.1–0.2 J/mm2) compared to bone (0.05–3.2 J/mm2). Further, the traditional 80 J energy criteria of a projectile for defining the lethality threshold might be overly conservative, especially for smaller projectiles. This review also highlights the importance of considering energy density as casualty criteria.

References

1.
Breeze
,
J.
,
Sedman
,
A. J.
,
James
,
G. R.
,
Newbery
,
T. W.
, and
Hepper
,
A. E.
,
2014
, “
Determining the Wounding Effects of Ballistic Projectiles to Inform Future Injury Models: A Systematic Review
,”
BMJ Milit. Health
,
160
(
4
), pp.
273
278
.10.1136/jramc-2013-000099
2.
Kneubuehl
,
B. P.
,
2011
,
Wound Ballistics: Basics and Applications
,
Springer Science & Business Media, Berlin
.
3.
Rai
,
K. M., Kale, R., Mohanty, S. K., Chakrabarty, A., Waghray, M. R., Kumar, R., Prasad, D., and Lahiri, A. K.,
2004
, “
Treatment of Casualties in a Forward Hospital of Indian Army: Nine Year Experience
,”
Med. J. Armed Forces India
,
60
(
1
), pp.
20
24
.10.1016/S0377-1237(04)80151-5
4.
Breeze
,
J.
, and
Carr
,
D. J.
,
2016
,
Energised Fragments, Bullets and Fragment Simulating Projectiles, in Blast Injury Science and Engineering
,
Springer
, Switzerland, pp.
219
226
.
5.
Kneubuehl
,
B. P., Coupland, R. M., Rothschild, M. A., and Thali, M. J.
,
2011
, “
Wound Ballistics and Forensic Medicine
,”
Wound Ballistics
,
Springer
, Berlin, pp.
253
303
.
6.
Rustemeyer
,
J.
,
Kranz
,
V.
, and
Bremerich
,
A.
,
2007
, “
Injuries in Combat From 1982–2005 With Particular Reference to Those to the Head and Neck: A Review
,”
Br. J. Oral Maxillofac. Surg.
,
45
(
7
), pp.
556
560
.10.1016/j.bjoms.2007.01.003
7.
Mabry
,
R. L.
,
Holcomb
,
J. B.
,
Baker
,
A. M.
,
Cloonan
,
C. C.
,
Uhorchak
,
J. M.
,
Perkins
,
D. E.
,
Canfield
,
A. J.
, and
Hagmann
,
J. H.
,
2000
, “
United States Army Rangers in Somalia: An Analysis of Combat Casualties on an Urban Battlefield
,”
J. Trauma Acute Care Surg.
,
49
(
3
), pp.
515
529
.10.1097/00005373-200009000-00021
8.
Rautio
,
J.
, and
Paavolainen
,
P.
,
1988
, “
Afghan War Wounded: Experience With 200 Cases
,”
J. Trauma Acute Care Surg.
,
28
(
4
), pp.
523
525
.10.1097/00005373-198804000-00019
9.
Jackson
,
D. S.
,
Batty
,
C. G.
,
Ryan
,
J. M.
, and
McGregor
,
W. S.
,
1983
, “
The Falklands War: Army Field Surgical Experience
,”
Ann. R. Coll. Surgeons Engl.
,
65
(
5
), pp.
281
285
.https://pubmed.ncbi.nlm.nih.gov/6614760/
10.
Matheson
,
J.
,
1968
, “
Missile Wounds Since the Second World War
,”
BMJ Milit. Health
,
114
(
1
), pp.
11
23
.10.1136/jramc-114-01-03
11.
Carey
,
M. E.
,
1996
, “
Analysis of Wounds Incurred by U.S. Army Seventh Corps Personnel Treated in Corps Hospitals During Operation Desert Storm, February 20 to March 10, 1991
,”
J. Trauma Acute Care Surg.
,
40
(
Suppl
), pp.
165S
169S
.10.1097/00005373-199603001-00036
12.
Aras
,
M.
,
Altaş
,
M.
,
Yılmaz
,
A.
,
Serarslan
,
Y.
,
Yılmaz
,
N.
,
Yengil
,
E.
, and
Urfalı
,
B.
,
2014
, “
Being a Neighbor to Syria: A Retrospective Analysis of Patients Brought to Our Clinic for Cranial Gunshot Wounds in the Syrian Civil War
,”
Clin. Neurol. Neurosurg.
,
125
, pp.
222
228
.10.1016/j.clineuro.2014.08.019
13.
McIntyre
,
J.
,
2020
, “
Syrian Civil War: A Systematic Review of Trauma Casualty Epidemiology
,”
BMJ Milit. Health
,
166
(
4
), pp.
261
265
.10.1136/jramc-2019-001304
14.
Hollerman
,
J. J.
,
Fackler
,
M. L.
,
Coldwell
,
D. M.
, and
Ben-Menachem
,
Y.
,
1990
, “
Gunshot Wounds: 1. Bullets, Ballistics, and Mechanisms of Injury
,”
AJR. Am. J. Roentgenol.
,
155
(
4
), pp.
685
690
.10.2214/ajr.155.4.2119095
15.
Shuker
,
S. T.
,
2019
, “
Emergency Treatment of Blast, Shell Fragment and Bullet Injuries to the Central Midface Complex
,”
J. Maxillofac. Oral Surg.
,
18
(
1
), pp.
124
130
.10.1007/s12663-018-1107-2
16.
Stefanopoulos
,
P. K.
,
Pinialidis
,
D. E.
,
Hadjigeorgiou
,
G. F.
, and
Filippakis
,
K. N.
,
2017
, “
Wound Ballistics 101: The Mechanisms of Soft Tissue Wounding by Bullets
,”
Eur. J. Trauma Emergency Surgery
,
43
(
5
), pp.
579
586
.10.1007/s00068-015-0581-1
17.
Karger
,
B.
,
1995
, “
Penetrating Gunshots to the Head and Lack of Immediate Incapacitation II. Review of Case Reports
,”
Int. J. Legal Med.
,
108
(
3
), pp.
117
126
.10.1007/BF01844822
18.
Pandey
,
P. K.
,
Joshi
,
Y. K.
,
Khan
,
M. K.
,
Iqbal
,
M. A.
, and
Ganpule
,
S. G.
,
2024
, “
Experimental Investigation of the Ballistic Response of Head Surrogate Against Fragment Simulating Projectiles
,”
Exp. Mech.
,
64
(
1
), pp.
85
104
.10.1007/s11340-023-01010-4
19.
Christensen
,
A. M.
, and
Rickman
,
J. M.
,
2022
, “
Cone Cracking in Human Bone: A CT Case Review Series
,”
Foren. Imaging
,
30
, p.
200510
.10.1016/j.fri.2022.200510
20.
Liu
,
Y.
,
Chen
,
X.
,
Li
,
S.
,
Chen
,
X.
,
Guo
,
R.
,
Wang
,
D.
,
Fu
,
X.
,
Jiang
,
S.
, and
Xu
,
G.
,
1988
, “
Wounding Effects of Small Fragments of Different Shapes at Different Velocities on Soft Tissues of Dogs
,”
J. Trauma
,
28
(
Suppl
), pp.
S95
S98
.10.1097/00005373-198801001-00021
21.
Mahoney
,
P.
,
Carr
,
D.
,
Arm
,
R.
,
Gibb
,
I.
,
Hunt
,
N.
, and
Delaney
,
R. J.
,
2018
, “
Ballistic Impacts on an Anatomically Correct Synthetic Skull With a Surrogate Skin/Soft Tissue Layer
,”
Int. J. Legal Med.
,
132
(
2
), pp.
519
530
.10.1007/s00414-017-1737-9
22.
Oehmichen
,
M.
,
Meissner
,
C.
,
Konig
,
H.
, and
Gehl
,
H.
,
2004
, “
Gunshot Injuries to the Head and Brain Caused by Low-Velocity Handguns and Rifles: A Review
,”
Foren. Sci. Int.
,
146
(
2–3
), pp.
111
120
.10.1016/j.forsciint.2004.06.023
23.
Mahoney
,
P. F.
,
Carr
,
D. J.
,
Delaney
,
R. J.
,
Hunt
,
N.
,
Harrison
,
S.
,
Breeze
,
J.
, and
Gibb
,
I.
,
2017
, “
Does Preliminary Optimisation of an Anatomically Correct Skull-Brain Model Using Simple Simulants Produce Clinically Realistic Ballistic Injury Fracture Patterns?
,”
Int. J. Legal Med.
,
131
(
4
), pp.
1043
1053
.10.1007/s00414-017-1557-y
24.
Carr
,
D.
,
Lindstrom
,
A.-C.
,
Jareborg
,
A.
,
Champion
,
S.
,
Waddell
,
N.
,
Miller
,
D.
,
Teagle
,
M.
,
Horsfall
,
I.
, and
Kieser
,
J.
,
2015
, “
Development of a Skull/Brain Model for Military Wound Ballistics Studies
,”
Int. J. Legal Med.
,
129
(
3
), pp.
505
510
.10.1007/s00414-014-1073-2
25.
Thali
,
M. J.
,
Kneubuehl
,
B. P.
,
Dirnhofer
,
R.
, and
Zollinger
,
U.
,
2002
, “
The Dynamic Development of the Muzzle Imprint by Contact Gunshot: High-Speed Documentation Utilizing the “Skin–Skull–Brain Model
,”
Foren. Sci. Int.
,
127
(
3
), pp.
168
173
.10.1016/S0379-0738(02)00117-2
26.
Riva
,
F.
,
Lombardo
,
P.
,
Zech
,
W.-D.
,
Jackowski
,
C.
, and
Schyma
,
C.
,
2019
, “
Individual Synthetic Head Models in Wound Ballistics—a Feasibility Study Based on Real Cases
,”
Foren. Sci. Int.
,
294
, pp.
150
159
.10.1016/j.forsciint.2018.11.020
27.
Sterzik
,
V.
,
Kneubuehl
,
B. P.
,
Bohnert
,
M.
,
Riva
,
F.
, and
Glardon
,
M.
,
2017
, “
Bullet Fragmentation Preceding a Contour Shot: Case Study and Experimental Simulation
,”
Int. J. Legal Med.
,
131
(
1
), pp.
173
177
.10.1007/s00414-016-1462-9
28.
Riva
,
F.
,
Fracasso
,
T.
,
Guerra
,
A.
, and
Genet
,
P.
,
2021
, “
Practical Application of Synthetic Head Models in Real Ballistic Cases
,”
Int. J. Legal Med.
,
135
(
6
), pp.
2567
2579
.10.1007/s00414-021-02671-3
29.
Euteneuer
,
J.
,
Gosch
,
A.
,
Cachée
,
P.
, and
Courts
,
C.
,
2019
, “
Evaluation of the Backspatter Generation and Wound Profiles of an Anatomically Correct Skull Model for Molecular Ballistics
,”
Int. J. Legal Med.
,
133
(
6
), pp.
1839
1850
.10.1007/s00414-019-02120-2
30.
Taylor
,
S. C.
,
Ondruschka
,
B.
,
Kieser
,
D. C.
,
Hammer
,
N.
,
Lee
,
M.
,
Hooper
,
G. J.
, and
Kranioti
,
E.
,
2022
, “
Ballistic Trauma Caused by Military Rifles: Experimental Study Based on Synthetic Skull Proxies
,”
Foren. Sci. Med. Pathol.
,
18
(
1
), pp.
30
36
.10.1007/s12024-021-00432-7
31.
Korać
,
Ž.
,
Crnica
,
S.
, and
Demarin
,
V.
,
2006
, “
Histologic Analysis of Pig Muscle Tissue After Wounding With a High-Velocity Projectile-Preliminary Report
,”
Acta Clin. Croat.
,
45
(
1
), pp.
3
7
.https://hrcak.srce.hr/14017
32.
Shergold
,
O. A.
, and
Fleck
,
N. A.
,
2004
, “
Mechanisms of Deep Penetration of Soft Solids, With Application to the Injection and Wounding of Skin
,”
Proc. R. Soc. Lond. Ser. A Math. Phys. Eng. Sci.
,
460
(
2050
), pp.
3037
3058
.10.1098/rspa.2004.1315
33.
Stefanopoulos
,
P. K.
,
Mikros
,
G.
,
Pinialidis
,
D. E.
,
Oikonomakis
,
IN.
,
Tsiatis
,
N. E.
, and
Janzon
,
B.
,
2019
, “
Wound Ballistics of Military Rifle Bullets: An Update on Controversial Issues and Associated Misconceptions
,”
J. Trauma Acute Care Surg.
,
87
(
3
), pp.
690
698
.10.1097/TA.0000000000002290
34.
Bhatnagar
,
A.
,
2006
, “
Bullets, Fragments and Bullet Deformation, in Lightweight Ballistic Composites
,”
Elsevier
, Amsterdam, The Netherlands, pp.
29
71
.
35.
Bowyer
,
G.
,
Cooper
,
G.
, and
Rice
,
P.
,
1995
, “
Management of Small Fragment Wounds in War: Current Research
,”
Ann. R. Coll. Surg. Engl.
,
77
(
2
), pp.
131
134
.https://pmc.ncbi.nlm.nih.gov/articles/PMC2502148/#:~:text=Modern%20munitions%20aim%20to%20incapacitate,in%20those%20casualties%20requiring%20surgery.
36.
Hill
,
P.
,
Edwards
,
D.
, and
Bowyer
,
G. W.
,
2001
, “
Small Fragment Wounds: Biophysics, Pathophysiology and Principles of Management
,”
BMJ Milit. Health
,
147
(
1
), pp.
41
51
.10.1136/jramc-147-01-04
37.
Ryan
,
J
., Cooper, G. J., Haywood, I. R., and Milner, S. M.,
1991
, “
Field Surgery on a Future Conventional Battlefield: Strategy and Wound Management
,”
Ann. R. Coll. Surg. Engl.
,
73
(
1
), p.
13
.https://pmc.ncbi.nlm.nih.gov/articles/PMC2499336/
38.
Szmelter
,
J.
,
Davies
,
N.
, and
Lee
,
C. K.
,
2007
, “
Simulation and Measurement of Fragment Velocity in Exploding Shells
,”
J. Battlefield Technol.
,
10
(
2
), pp.
1
7
.https://repository.lboro.ac.uk/articles/journal_contribution/Simulation_and_measurement_of_fragment_velocity_in_exploding_shells/9564818?file=17197154
39.
Charron
,
Y. J.
,
1979
,
Estimation of Velocity Distribution of Fragmenting Warheads Using a Modified Gurney Method
,
Air Force Institute of Technology, Wright-Patterson AFB, OH
.
40.
Breeze
,
J.
, and
Clasper
,
J. C.
,
2013
, “
Determining the Velocity Required for Skin Perforation by Fragment Simulating Projectiles: A Systematic Review
,”
BMJ Milit. Health
,
159
(
4
), pp.
265
270
.10.1136/jramc-2013-000070
41.
Iremonger
,
M.
, and
Went
,
A.
,
1996
, “
Ballistic Impact of Fibre Composite Armours by Fragment-Simulating Projectiles
,”
Compos. Part A Appl. Sci. Manuf.
,
27
(
7
), pp.
575
581
.10.1016/1359-835X(96)00029-2
42.
Breeze
,
J.
,
James
,
G.
, and
Hepper
,
A.
,
2013
, “
Perforation of Fragment Simulating Projectiles Into Goat Skin and Muscle
,”
BMJ Milit. Health
,
159
(
2
), pp.
84
89
.10.1136/jramc-2013-000065
43.
NATO
Standardization
Agency
,
2003
, “
NATO Standardization Agreement 2920, in Ballistic Test Method For Personal Armour Materials and Combat Clothing
,” 2nd ed.,
NATO Standardization Agency
, Brussels, Belgium.
44.
Bolduc
,
M.
, and
Jager
,
H.
,
2016
, “
Summary of Newly Ratified NATO Standard AEP 2920, Ed. A, V1
,” Personal Armour Systems Symposium PASS 2016 Proceeding Book, pp.
25
40
.
45.
Military Specification MIL-P46593A (ORD),
1962
, “
Projectile, Calibers 0.22,0.30,0.50, and 20 mm Fragment-Simulating
,”
Military Specification MIL-P46593A (ORD)
,
Department of Defense
,
Washington, DC
.
46.
Teng
,
X.
,
Dey
,
S.
,
Børvik
,
T.
, and
Wierzbicki
,
T.
,
2007
, “
Protection Performance of Double-Layered Metal Shields Against Projectile Impact
,”
J. Mech. Mater. Struct.
,
2
(
7
), pp.
1309
1329
.10.2140/jomms.2007.2.1309
47.
Große Perdekamp
,
M.
,
Vennemann
,
B.
,
Mattern
,
D.
,
Serr
,
A.
, and
Pollak
,
S.
,
2005
, “
Tissue Defect at the Gunshot Entrance Wound: What Happens to the Skin?
,”
Int. J. Legal Med.
,
119
(
4
), pp.
217
222
.10.1007/s00414-005-0542-z
48.
Jussila
,
J.
,
Leppäniemi
,
A.
,
Paronen
,
M.
, and
Kulomäki
,
E.
,
2005
, “
Ballistic Skin Simulant
,”
Foren. Sci. Int.
,
150
(
1
), pp.
63
71
.10.1016/j.forsciint.2004.06.039
49.
Geisenberger
,
D.
,
Große Perdekamp
,
M.
,
Pollak
,
S.
,
Thierauf-Emberger
,
A.
, and
Thoma
,
V.
,
2022
, “
Differing Sizes of Bullet Entrance Holes in Skin of the Anterior and Posterior Trunk
,”
Int. J. Legal Med.
,
136
(
6
), pp.
1597
1603
.10.1007/s00414-022-02879-x
50.
Serraino
,
S.
, Milone, L., Picone, D., Argo, A., Salerno, S., and Midiri, M.,
2020
, “
Imaging for Ballistic Trauma: Other Applications of Forensic Imaging in the Living
,”
Radiology in Forensic Medicine
,
Springer
, Switzerland, pp.
169
180
.
51.
Inchingolo
,
F.
,
Tatullo
,
M.
,
Marrelli
,
M.
,
Inchingolo
,
A. D.
,
Pinto
,
G.
,
Inchingolo
,
A. M.
, and
Dipalma
,
G.
,
2011
, “
Short Report of an Unusual Ballistic Trauma
,”
Int. J. Surgery Case Rep.
,
2
(
8
), pp.
272
274
.10.1016/j.ijscr.2011.08.009
52.
Baptista
,
M. V.
,
d’Ávila
,
S. C.
, and
d’Ávila
,
A. M. M.
,
2014
, “
Histopathological Detection of Entry and Exit Holes in Human Skin Wounds Caused by Firearms
,”
J. Foren. Legal Med.
,
25
, pp.
49
52
.10.1016/j.jflm.2014.04.017
53.
Carr
,
D.
,
Kieser
,
J.
,
Mabbott
,
A.
,
Mott
,
C.
,
Champion
,
S.
, and
Girvan
,
E.
,
2014
, “
Damage to Apparel Layers and Underlying Tissue Due to Hand-Gun Bullets
,”
Int. J. Legal Med.
,
128
(
1
), pp.
83
93
.10.1007/s00414-013-0856-1
54.
Pircher
,
R.
,
Preiß
,
D.
,
Pollak
,
S.
,
Thierauf-Emberger
,
A.
,
Perdekamp
,
M. G.
, and
Geisenberger
,
D.
,
2017
, “
The Influence of the Bullet Shape on the Width of Abrasion Collars and the Size of Gunshot Entrance Holes
,”
Int. J. Legal Med.
,
131
(
2
), pp.
441
445
.10.1007/s00414-016-1501-6
55.
Dettmeyer
,
R. B.
,
2014
, “
Gunshot and Blast Wounds
,”
Forensic Medicine: Fundamentals and Perspectives
, Springer, Berlin, pp.
155
170
.
56.
Karger
,
B.
,
2014
, “
Forensic Ballistics: Injuries From Gunshots, Explosives and Arrows
,”
Handbook of Forensic Medicine
, Wiley, Hoboken, NJ, pp.
328
366
.
57.
Fischer
,
V. K. S.
,
Rothschild
,
M. A.
,
Kneubuehl
,
B. P.
, and
Kamphausen
,
T.
,
2024
, “
Skin Simulants for Wound Ballistic Investigation–an Experimental Study
,”
Int. J. Legal Med.
,
138
(
4
), pp.
1357
1368
.10.1007/s00414-024-03223-1
58.
Thali
,
M. J.
,
Kneubuehl
,
B. P.
,
Zollinger
,
U.
, and
Dirnhofer
,
R.
,
2002
, “
A Study of the Morphology of Gunshot Entrance Wounds, in Connection With Their Dynamic Creation, Utilizing the “Skin–Skull–Brain Model
,””
Foren. Sci. Int.
,
125
(
2–3
), pp.
190
194
.10.1016/S0379-0738(01)00638-7
59.
Vellema
,
J.
, and
Scholtz
,
H.
,
2011
,
Forensic Aspects of Ballistic Injury, in Ryan's Ballistic Trauma: A Practical Guide
,
Springer
, Berlin, pp.
149
175
.
60.
Pandey
,
P. K.
, and
Ganpule
,
S. G.
,
2024
, “
Investigation of Dynamic Responses of Skin Simulant Against Fragment Impact Through Experiments and Concurrent Computational Modeling
,”
Front. Bioeng. Biotechnol.
,
12
, p.
1422685
.10.3389/fbioe.2024.1422685
61.
Pandey
,
P. K.
,
Harmukh
,
A.
,
Khan
,
M. K.
,
Iqbal
,
M. A.
, and
Ganpule
,
S. G.
,
2023
, “
Ballistic Response of Skin Simulant Against Fragment Simulating Projectiles
,”
Defence Technol.
,
30
, pp.
70
82
.10.1016/j.dt.2023.04.009
62.
Shergold
,
O. A.
,
Fleck
,
N. A.
, and
Radford
,
D.
,
2006
, “
The Uniaxial Stress Versus Strain Response of Pig Skin and Silicone Rubber at Low and High Strain Rates
,”
Int. J. Impact Eng.
,
32
(
9
), pp.
1384
1402
.10.1016/j.ijimpeng.2004.11.010
63.
Lim
,
J.
,
Hong
,
J.
,
Chen
,
W. W.
, and
Weerasooriya
,
T.
,
2011
, “
Mechanical Response of Pig Skin Under Dynamic Tensile Loading
,”
Int. J. Impact Eng.
,
38
(
2–3
), pp.
130
135
.10.1016/j.ijimpeng.2010.09.003
64.
Khatam
,
H.
,
Liu
,
Q.
, and
Ravi-Chandar
,
K.
,
2014
, “
Dynamic Tensile Characterization of Pig Skin
,”
Acta Mech. Sin.
,
30
(
2
), pp.
125
132
.10.1007/s10409-014-0042-9
65.
Ottenio
,
M.
,
Tran
,
D.
,
Ní Annaidh
,
A.
,
Gilchrist
,
M. D.
, and
Bruyère
,
K.
,
2015
, “
Strain Rate and Anisotropy Effects on the Tensile Failure Characteristics of Human Skin
,”
J. Mech. Behav. Biomed. Mater.
,
41
, pp.
241
250
.10.1016/j.jmbbm.2014.10.006
66.
Joodaki
,
H.
, and
Panzer
,
M. B.
,
2018
, “
Skin Mechanical Properties and Modeling: A Review
,”
Proc. Inst. Mech. Eng., Part H J. Eng. Med.
,
232
(
4
), pp.
323
343
.10.1177/0954411918759801
67.
Stefanopoulos
,
P. K.
,
Hadjigeorgiou
,
G. F.
,
Filippakis
,
K.
, and
Gyftokostas
,
D.
,
2014
, “
Gunshot Wounds: A Review of Ballistics Related to Penetrating Trauma
,”
J. Acute Dis.
,
3
(
3
), pp.
178
185
.10.1016/S2221-6189(14)60041-X
68.
Van der Voort
,
M. M.,
et al.,
2016
, “
Projection Criteria for Insensitive Munitions and Hazard Classification
,” MSIAC, Brussels, Belgium, Report No. O-168.
69.
Georgi
,
B. A.
,
Massad
,
M.
, and
Obeid
,
M.
,
1991
, “
Ballistic Trauma to the Abdomen: Shell Fragments Versus Bullets
,”
J. Trauma Acute Care Surg.
,
31
(
5
), pp.
711
716
.10.1097/00005373-199105000-00016
70.
Mebarki
,
A.
,
Nguyen
,
Q.
, and
Mercier
,
F.
,
2009
, “
Structural Fragments and Explosions in Industrial Facilities: Part II–Projectile Trajectory and Probability of Impact
,”
J. Loss Prev. Process Ind.
,
22
(
4
), pp.
417
425
.10.1016/j.jlp.2009.02.005
71.
Cullis
,
I. G.
,
Dunsmore
,
P.
,
Harrison
,
A.
,
Lewtas
,
I.
, and
Townsley
,
R.
,
2014
, “
Numerical Simulation of the Natural Fragmentation of Explosively Loaded Thick Walled Cylinders
,”
Defence Technol.
,
10
(
2
), pp.
198
210
.10.1016/j.dt.2014.06.003
72.
Moxnes
,
J. F.
,
Prytz
,
A. K.
,
Frøyland
,
Ø.
,
Klokkehaug
,
S.
,
Skriudalen
,
S.
,
Friis
,
E.
,
Teland
,
J. A.
,
Dørum
,
C.
, and
Ødegårdstuen
,
G.
,
2014
, “
Experimental and Numerical Study of the Fragmentation of Expanding Warhead Casings by Using Different Numerical Codes and Solution Techniques
,”
Defence Technol.
,
10
(
2
), pp.
161
176
.10.1016/j.dt.2014.05.009
73.
Wang
,
H.
,
Bai
,
C.
,
Feng
,
C.
,
Xue
,
K.
, and
Zhu
,
X.
,
2019
, “
An Efficient CDEM-Based Method to Calculate Full-Scale Fragment Field of Warhead
,”
Int. J. Impact Eng.
,
133
, p.
103331
.10.1016/j.ijimpeng.2019.103331
74.
Olszta
,
M. J.
,
Cheng
,
X.
,
Jee
,
S. S.
,
Kumar
,
R.
,
Kim
,
Y.-Y.
,
Kaufman
,
M. J.
,
Douglas
,
E. P.
, and
Gower
,
L. B.
,
2007
, “
Bone Structure and Formation: A New Perspective
,”
Mater. Sci. Eng.: R: Rep.
,
58
(
3–5
), pp.
77
116
.10.1016/j.mser.2007.05.001
75.
Unal
,
S.
, Oktar, F. N., Mahirogullari, M., and Gunduz, O.,
2021
, “
Bone Structure and Formation: A New Perspective
,”
Bioceramics
,
Elsevier
, Amsterdam, The Netherlands, pp.
175
193
.
76.
Black
,
J. D.
, and
Tadros
,
B. J.
,
2020
, “
Bone Structure: From Cortical to Calcium
,”
Orthop. Trauma
,
34
(
3
), pp.
113
119
.10.1016/j.mporth.2020.03.002
77.
Hansen
,
U.
, Zioupos, P., Simpson, R., Currey, J. D., and Hynd, D.,
2008
, “
The Effect of Strain Rate on the Mechanical Properties of Human Cortical Bone
,”
ASME J. Biomech Eng.
, 130(1), p.
011011
.10.1115/1.2838032
78.
Kirchner
,
H.
,
2006
, “
Ductility and Brittleness of Bone
,”
Int. J. Fracture
,
139
(
3–4
), pp.
509
516
.10.1007/s10704-006-0050-2
79.
Turner
,
C. H.
,
2006
, “
Bone Strength: Current Concepts
,”
Ann. N. Y. Acad. Sci.
,
1068
(
1
), pp.
429
446
.10.1196/annals.1346.039
80.
Caister
,
A. J.
,
Carr
,
D. J.
,
Campbell
,
P. D.
,
Brock
,
F.
, and
Breeze
,
J.
,
2020
, “
The Ballistic Performance of Bone When Impacted by Fragments
,”
Int. J. Legal Med.
,
134
(
4
), pp.
1387
1393
.10.1007/s00414-020-02299-9
81.
Kieser
,
D. C.
,
Riddell
,
R.
,
Kieser
,
J. A.
,
Theis
,
J.-C.
, and
Swain
,
M. V.
,
2014
, “
Bone Micro-Fracture Observations From Direct Impact of Slow Velocity Projectiles
,”
J. Arch. Milit. Med.
,
2
(
1
).10.5812/jamm.15614
82.
Subhash
,
G.
,
Awasthi
,
A.
, and
Ghosh
,
D.
,
2021
, “
Dynamic Response of Advanced Ceramics
,”
Wiley, Hoboken, NJ
.
83.
Rickman
,
J. M.
, and
Shackel
,
J.
,
2019
, “
Crack Propagation Through Sandwich Bones Due to Low-Velocity Projectile Impact
,”
Int. J. Legal Med.
,
133
(
5
), pp.
1443
1459
.10.1007/s00414-019-02086-1
84.
Bird
,
C. E.
, and
Fleischman
,
J. M.
,
2015
, “
A Rare Case of an Intact Bone Plug Associated With a Gunshot Exit Wound
,”
J. Foren. Sci.
,
60
(
4
), pp.
1074
1077
.10.1111/1556-4029.12756
85.
Chaudhri
,
M. M.
,
2015
, “
Dynamic Fracture of Inorganic Glasses by Hard Spherical and Conical Projectiles
,”
Philos. Trans. R. Soc. A Math., Phys. Eng. Sci.
,
373
(
2038
), p.
20140135
.10.1098/rsta.2014.0135
86.
Zaera
,
R.
, and
Sánchez-Gálvez
,
V.
,
1998
, “
Analytical Modelling of Normal and Oblique Ballistic Impact on Ceramic/Metal Lightweight Armours
,”
Int. J. Impact Eng.
,
21
(
3
), pp.
133
148
.10.1016/S0734-743X(97)00035-3
87.
Smith
,
M. J.
,
James
,
S.
,
Pover
,
T.
,
Ball
,
N.
,
Barnetson
,
V.
,
Foster
,
B.
,
Guy
,
C.
,
Rickman
,
J.
, and
Walton
,
V.
,
2015
, “
Fantastic Plastic? Experimental Evaluation of Polyurethane Bone Substitutes as Proxies for Human Bone in Trauma Simulations
,”
Legal Med.
,
17
(
5
), pp.
427
435
.10.1016/j.legalmed.2015.06.007
88.
Rickman
,
J. M.
, and
Shackel
,
J.
,
2019
, “
A Novel Hypothesis for the Formation of Conoidal Projectile Wounds in Sandwich Bones
,”
Int. J. Legal Med.
,
133
(
2
), pp.
501
519
.10.1007/s00414-018-1946-x
89.
Taylor
,
S. C.
, and
Kranioti
,
E. F.
,
2018
, “
Cranial Trauma in Handgun Executions: Experimental Data Using Polyurethane Proxies
,”
Foren. Sci. Int.
,
282
, pp.
157
167
.10.1016/j.forsciint.2017.11.032
90.
Watson
,
K. E.
,
Henwood
,
B. J.
,
Hewins
,
K.
,
Roberts
,
A.
, and
Hazael
,
R.
,
2023
, “
Ballistic Impact of Hollow‐Point Ammunition on Porcine Bone
,”
J. Foren. Sci.
,
68
(
4
), pp.
1121
1132
.10.1111/1556-4029.15273
91.
Fackler
,
M. L.
,
2006
,
Review of: Terminal Ballistics—A Text and Atlas of Gunshot Wounds by Dodd MJ
,
Wiley Online Library, Hoboken, NJ
.
92.
Berryman
,
H. E.
, and
Gunther
,
W. M.
,
2000
, “
Keyhole Defect Production in Tubular Bone
,”
J. Forensic Sci.
,
45
(
2
), pp.
483
487
.10.1520/JFS14712J
93.
Watkins
,
F.
,
Pearce
,
B.
, and
Stainer
,
M.
,
1988
, “
Physical Effects of the Penetration of Head Simulants by Steel Spheres
,”
J. Trauma Acute Care Surg.
,
28
(
Suppl
), pp.
S40
S54
.10.1097/00005373-198801001-00011
94.
Carr
,
D. J.
,
Stevenson
,
T.
, and
Mahoney
,
P. F.
,
2018
, “
The Use of Gelatine in Wound Ballistics Research
,”
Int. J. Legal Med.
,
132
(
6
), pp.
1659
1664
.10.1007/s00414-018-1831-7
95.
Nguyen
,
T.-T.
,
Breeze
,
J.
, and
Masouros
,
S. D.
,
2022
, “
Penetration of Energised Metal Fragments to Porcine Thoracic Tissues
,”
ASME J. Biomech. Eng.
,
144
(
7
), p. 071002.10.1115/1.4053212
96.
Farjo
,
L. A.
, and
Miclau
,
T.
,
1997
, “
Ballistics and Mechanisms of Tissue Wounding
,”
Injury
,
28
, pp.
C12
C17
.10.1016/S0020-1383(97)90088-7
97.
DiMaio
,
V. J.
,
2015
,
Gunshot Wounds: Practical Aspects of Firearms, Ballistics, and Forensic Techniques
,
CRC Press, Boca Raton, FL
.
98.
Karger
,
B.
,
1995
, “
Penetrating Gunshots to the Head and Lack of Immediate Incapacitation
,”
Int. J. Legal Med.
,
108
(
2
), pp.
53
61
.10.1007/BF01369905
99.
Krauss
,
M.
,
1957
, “
Studies in Wound Ballistics: Temporary Cavity Effects in Soft Tissues
,”
Milit. Med.
,
121
(
4
), pp.
221
231
.10.1093/milmed/121.4.221
100.
Jenkins
,
D. H.
,
2011
, “
The Effects of Bullets
,”
Ryan's Ballistic Trauma: A Practical Guide
, Springer, London, UK, pp.
37
40
.
101.
Breeze
,
J.
, and
Powers
,
D.
,
2017
,
Ballistic Trauma
, Vol.
2
,
Springer, Berlin
.
102.
Holt
,
G. R.
, and
Kostohryz
,
G.
,
1983
, “
Wound Ballistics of Gunshot Injuries to the Head and Neck
,”
Arch. Otolaryngol.
,
109
(
5
), pp.
313
318
.10.1001/archotol.1983.00800190035009
103.
Humphrey
,
C.
, and
Kumaratilake
,
J.
,
2016
, “
Ballistics and Anatomical Modelling–A Review
,”
Legal Med.
,
23
, pp.
21
29
.10.1016/j.legalmed.2016.09.002
104.
Cooper
,
G.
, and
Ryan
,
J.
,
1990
, “
Interaction of Penetrating Missiles With Tissues: Some Common Misapprehensions and Implications for Wound Management
,”
Br. J. Surg.
,
77
(
6
), pp.
606
610
.10.1002/bjs.1800770604
105.
Dougherty
,
P. J.
,
Sherman
,
D.
,
Dau
,
N.
, and
Bir
,
C.
,
2011
, “
Ballistic Fractures: Indirect Fracture to Bone
,”
J. Trauma Acute Care Surg.
,
71
(
5
), pp.
1381
1384
.10.1097/TA.0b013e3182117ed9
106.
Bir
,
C.
,
Andrecovich
,
C.
,
DeMaio
,
M.
, and
Dougherty
,
P. J.
,
2016
, “
Evaluation of Bone Surrogates for Indirect and Direct Ballistic Fractures
,”
Foren. Sci. Int.
,
261
, pp.
1
7
.10.1016/j.forsciint.2016.01.023
107.
Fackler
,
M. L.
,
1987
,
What’s Wrong With the Wound Ballistics Literature, and Why
, Vol.
239
,
Letterman Army Institute of Research Presidio of San Francisco, CA
.
108.
Amato
,
J. J.
,
Billy
,
L. J.
,
Lawson
,
N. S.
, and
Rich
,
N. M.
,
1974
, “
High Velocity Missile Injury: An Experimental Study of the Retentive Forces of Tissue
,”
Am. J. Surg.
,
127
(
4
), pp.
454
459
.10.1016/0002-9610(74)90296-7
109.
Demuth
,
W. E.
, Jr.
,
1968
, “
High Velocity Bullet Wounds of the Thorax
,”
Am. J. Surg.
,
115
(
5
), pp.
616
625
.10.1016/0002-9610(68)90087-1
110.
Harvey
,
E. N.
, and
McMillen
,
J. H.
,
1947
, “
An Experimental Study of Shock Waves Resulting From the Impact of High Velocity Missiles on Animal Tissues
,”
J. Exp. Med.
,
85
(
3
), pp.
321
328
.10.1084/jem.85.3.321
111.
Bhatoe
,
H.
, and
Singh
,
P.
,
2003
, “
Missile Injuries of the Spine
,”
Neurol. India
,
51
(
4
), pp.
507
511
.https://journals.lww.com/neur/fulltext/2003/51040/missile_injuries_of_the_spine.15.aspx
112.
Marshall
,
E. P.
, and
Sanow
,
E. J.
,
1992
,
Handgun Stopping Power: The Definitive Study
, Vol.
11
,
Paladin Press
,
Boulder, CO
.
113.
Courtney
,
M.
, and
Courtney
,
A.
,
2011
, “
History and Evidence Regarding Hydrostatic Shock
,”
Neurosurgery
,
68
(
2
), pp.
E596
E597
.10.1227/NEU.0b013e3182041992
114.
Suneson
,
A.
,
Hansson
,
H.-A.
,
Kjellström
,
B. T.
,
Lycke
,
E.
, and
Seeman
,
T.
,
1990
, “
Pressure Waves Caused by High-Energy Missiles Impair Respiration of Cultured Dorsal Root Ganglion Cells
,”
J. Trauma Acute Care Surg.
,
30
(
4
), pp.
484
488
.10.1097/00005373-199004000-00021
115.
Kolsky
,
H.
,
1980
,
The Role of Stress Waves in Penetration Processes, in Methods and Phenomena
,
Elsevier
, Amsterdam, The Netherlands, pp.
185
223
.
116.
Fackler
,
M.
, and
Peters
,
C.
,
1991
, “
The “Shock Wave” Myth (and Comment)
,”
Wound Ballistics Rev
,
1
(
1
), pp.
38
40
.
117.
Harvey
,
E. N.
, and
Korr
,
I. M.
,
1947
, “
Secondary Damage in Wounding Due to Pressure Changes Accompanying the Passage of High Velocity Missiles
,”
Surgery
,
21
(
2
), pp.
218
239
.https://pubmed.ncbi.nlm.nih.gov/20284789/
118.
Tikka
,
S.
,
Cederberg
,
A.
, and
Rokkanen
,
P.
,
1982
, “
Remote Effects of Pressure Waves in Missile Trauma. The Intra-Abdominal Pressure Changes in Anesthetized Pigs Wounded in One Thigh
,”
Acta Chir. Scand. Suppl.
,
508
, pp.
167
173
.https://pubmed.ncbi.nlm.nih.gov/6952676/
119.
Oehmichen
,
M.
,
Meissner
,
C.
, and
König
,
H. G.
,
2000
, “
Brain Injury After Gunshot Wounding: Morphometric Analysis of Cell Destruction Caused by Temporary Cavitation
,”
J. Neurotrauma
,
17
(
2
), pp.
155
162
.10.1089/neu.2000.17.155
120.
Fackler
,
M. L.
,
1988
, “
Wound Ballistics: A Review of Common Misconceptions
,”
JAMA
,
259
(
18
), pp.
2730
2736
.10.1001/jama.1988.03720180056033
121.
Suneson
,
A.
,
Hansson
,
H.
, and
Seeman
,
T.
,
1987
, “
Peripheral High-Energy Missile Hits Cause Pressure Changes and Damage to the Nervous System: Experimental Studies on Pigs
,”
J. Trauma
,
27
(
7
), pp.
782
789
.10.1097/00005373-198707000-00016
122.
Suneson
,
A.
,
Hansson
,
H.-A.
, and
Seeman
,
T.
,
1990
, “
Pressure Wave Injuries to the Nervous System Caused by High-Energy Missile Extremity Impact: Part II. Distant Effects on the Central Nervous System—A Light and Electron Microscopic Study on Pigs
,”
J. Trauma Acute Care Surg.
,
30
(
3
), pp.
295
306
.10.1097/00005373-199003000-00007
123.
Mahoney
,
P. F.
,
Carr
,
D. J.
,
Miller
,
D.
, and
Teagle
,
M.
,
2017
, “
The Effect of Helmet Materials and Simulated Bone and Tissue Layers on Bullet Behaviour in a Gelatine Model of Overmatch Penetrating Head Injury
,”
Int. J. Legal Med.
,
131
(
6
), pp.
1765
1776
.10.1007/s00414-017-1665-8
124.
Thali
,
M. J.
,
Kneubuehl
,
B. P.
,
Zollinger
,
U.
, and
Dirnhofer
,
R.
,
2002
, “
The “Skin–Skull–Brain Model”: A New Instrument for the Study of Gunshot Effects
,”
Foren. Sci. Int.
,
125
(
2–3
), pp.
178
189
.10.1016/S0379-0738(01)00637-5
125.
Mahoney
,
P. F.
,
Carr
,
D. J.
,
Delaney
,
R. J.
, and
Gibb
,
I. E.
,
2020
, “
Shooting Through Windscreens: Ballistic Injury Assessment Using a Surrogate Head Model—Two Case Reports
,”
Int. J. Legal Med.
,
134
(
4
), pp.
1409
1417
.10.1007/s00414-019-02170-6
126.
Karger
,
B.
,
Puskas
,
Z.
,
Ruwald
,
B.
,
Teige
,
K.
, and
Schuirer
,
G.
,
1998
, “
Morphological Findings in the Brain After Experimental Gunshots Using Radiology, Pathology and Histology
,”
Int. J. Legal Med.
,
111
(
6
), pp.
314
319
.10.1007/s004140050178
127.
Scott
,
R. A.
,
2011
,
Eyes, in Ryan’s Ballistic Trauma: A Practical Guide
,
Springer
, London, UK, pp.
349
378
.
128.
Duck
,
F.
,
2013
,
Physical Properties of Tissues: A Comprehensive Reference Book
,
Academic Press, Cambridge, MA
.
129.
Hugar
,
D. L.
, and
Ivanisevic
,
A.
,
2013
, “
Materials Characterization and Mechanobiology of the Eye
,”
Mater. Sci. Eng.: C
,
33
(
4
), pp.
1867
1875
.10.1016/j.msec.2013.02.009
130.
Zhang
,
Y.
,
Kang
,
X.
,
Wu
,
Q.
,
Zheng
,
Z.
,
Ying
,
J.
, and
Zhang
,
M.-N.
,
2023
, “
Explosive Eye Injuries: Characteristics, Traumatic Mechanisms, and Prognostic Factors for Poor Visual Outcomes
,”
Milit. Med. Res.
,
10
(
1
), p.
3
.10.1186/s40779-022-00438-4
131.
Wang
,
S.
,
Li
,
F.
,
Jin
,
S.
,
Zhang
,
Y.
,
Yang
,
N.
, and
Zhao
,
J.
,
2023
, “
Biomechanics of Open-Globe Injury: A Review
,”
Biomed. Eng. Online
,
22
(
1
), p.
53
.10.1186/s12938-023-01117-8
132.
Gray, W., Sponsel, W. E., Scribbick, F. W., Stern, A. R., Weiss, C. E., Groth, S. L., and Walker, S. D., 2011, “Numerical Modeling of Paintball Impact Ocular Trauma: Identification of Progressive Injury Mechanisms,”
Invest. Ophthalmol. Vis. Sci.
, 52(10), pp.
7506
7513
.10.1167/iovs.11-794210.1167/iovs.11 7942
133.
Knyazer
,
B.
,
Levy
,
J.
,
Rosen
,
S.
,
Belfair
,
N.
,
Klemperer
,
I.
, and
Lifshitz
,
T.
,
2008
, “
Prognostic Factors in Posterior Open Globe Injuries (Zone‐III Injuries)
,”
Clin. Exp. Ophthalmol.
,
36
(
9
), pp.
836
841
.10.1111/j.1442-9071.2009.01922.x
134.
Scott
,
R. A.
,
2023
,
Blast Injuries of the Eye, in Blast Injury Science and Engineering: A Guide for Clinicians and Researchers
,
Springer
, New Zealand, pp.
201
207
.
135.
Zhou
,
Y.
,
DiSclafani
,
M.
,
Jeang
,
L.
, and
Shah
,
A. A.
,
2022
, “
Open Globe Injuries: Review of Evaluation, Management, and Surgical Pearls
,”
Clin. Ophthalmol. (Auckland, NZ)
,
16
, pp.
2545
2559
.10.2147/OPTH.S372011
136.
Dogramaci
,
M.
,
Erdur
,
S. K.
, and
Senturk
,
F.
,
2021
, “
Standardized Classification of Mechanical Ocular Injuries: Efficacy and Shortfalls
,”
Beyoglu Eye J.
,
6
(
3
), pp.
236
242
.10.14744/bej.2021.01488
137.
Liu
,
X.
, Chen, D., Geng, X., and Fan, Y.,
2022
, “
Biomechanical Study on the Mechanism of Eye Injuries
,”
Biomechanics of Injury and Prevention
,
Springer
, Singapore, pp.
97
128
.
138.
MacPherson
,
D.
,
1994
,
Bullet Penetration: Modeling the Dynamics and the Incapacitation Resulting From Wound Trauma
,
Ballistic Publications, Adelaide, South Australia
.
139.
Mabbott
,
A.
,
Carr
,
D. J.
,
Champion
,
S.
, and
Malbon
,
C.
,
2016
, “
Comparison of Porcine Thorax to Gelatine Blocks for Wound Ballistics Studies
,”
Int. J. Legal Med.
,
130
(
5
), pp.
1353
1362
.10.1007/s00414-015-1309-9
140.
Journée
,
F.-A.
,
1907
, “
Journée
,”
Rapport Entre la Force Vive Des Balles et la Gravité Des Blessures Qu'elles Peuvent Causer, Par M
,
Berger-Levrault, Boulogne-Billancourt, France
.
141.
Grundfest
,
H.
, et al.,
1945
, “
Ballistics of the Penetration of Human Skin by Small Spheres
,”
Committee Med. Res. Off. Sci. Res. Dev. Missile Casual. Rep.
,
11
, pp.
1
11
.https://findingaids.nlm.nih.gov/repositories/4/archival_objects/61353
142.
Sperrazza
,
J.
, and
Kokinakis
,
W.
,
1968
, “
Ballistic Limits of Tissue and Clothing
,”
Ann. N. Y. Acad. Sci.
,
152
(
1
), pp.
163
167
.10.1111/j.1749-6632.1968.tb11973.x
143.
Mattoo
,
B.
,
1984
, “
Discussion of “Minimal Velocities Necessary for Perforation of Skin by Air Gun Pellets and Bullets”
,”
J. Foren. Sci.
,
29
(
3
), pp.
700
703
.https://pubmed.ncbi.nlm.nih.gov/6619774/
144.
Mattoo
,
B.
,
Wani
,
A.
, and
Asgekar
,
M.
,
1974
, “
Casualty Criteria for Wounds From Firearms With Special Reference to Shot Penetration—Part II
,”
J. Foren. Sci.
,
19
(
3
), pp.
585
589
.10.1520/JFS10215J
145.
Tausch
,
D.
,
Sattler
,
W.
,
Wehrfritz
,
K.
,
Wehrfritz
,
G.
, and
Wagner
,
H.-J.
,
1978
, “
Experiments on the Penetration Power of Various Bullets Into Skin and Muscle Tissue
,”
Z. Rechtsmed.
,
81
(
4
), pp.
309
328
.10.1007/BF02096436
146.
Valsamos, G., Casadei, F., Larcher, M., and Solomos, G., 2015, “
Implementation of Flying Debris Fatal Risk Calculation in EUROPLEXUS
,” Institute for the Protection and Security of the Citizen, Joint Research Centre of the European Commission, Luxembourg.https://op.europa.eu/en/publication-detail/-/publication/109cfed2-c5ff-440f-bdee-b317b075b890
147.
Sellier
,
K. G.
,
K. B. P.
,
1994
,
Wound Ballistics and the Scientific Background
,
Elsevier
,
Amsterdam, The Netherlands; New York
.
148.
Huelke
,
D. F.
,
Harger
,
J. H.
,
Buege
,
L. J.
, and
Dingman
,
H. G.
,
1968
, “
An Experimental Study in Bio-Ballistics: Femoral Fractures Produced by Projectiles—II Shaft Impacts
,”
J. Biomech.
,
1
(
4
), pp.
313
321
.10.1016/0021-9290(68)90025-0
149.
Hostetler
,
Z. S.
,
Stitzel
,
J. D.
, and
Weaver
,
A. A.
,
2019
, “
Comparing Rib Cortical Thickness Measurements From Computed Tomography (CT) and Micro-CT
,”
Comput. Biol. Med.
,
111
, p.
103330
.10.1016/j.compbiomed.2019.103330
150.
Nguyen
,
T.-T. N.
,
Carpanen
,
D.
,
Stinner
,
D.
,
Rankin
,
I. A.
,
Ramasamy
,
A.
,
Breeze
,
J.
,
Proud
,
W. G.
,
Clasper
,
J. C.
, and
Masouros
,
S. D.
,
2020
, “
The Risk of Fracture to the Tibia From a Fragment Simulating Projectile
,”
J. Mech. Behav. Biomed. Mater.
,
102
, p.
103525
.10.1016/j.jmbbm.2019.103525
151.
DiMaio
,
V. J. M.
,
Copeland
,
A. R.
,
Besant-Matthews
,
P. E.
,
Fletcher
,
L. A.
, and
Jones
,
A.
,
1982
, “
Minimal Velocities Necessary for Perforation of Skin by Air Gun Pellets and Bullets
,”
J. Foren. Sci.
,
27
(
4
), pp.
894
898
.10.1520/JFS12207J
152.
Breeze
,
J.
,
Lewis
,
E.
, and
Mahoney
,
P.
,
2020
, “
Minimum Depths to Essential Structures in a UK Military Population Using Computed Tomography: application to Stab-Resistant Body Armour
,”
Int. J. Legal Med.
,
134
(
2
), pp.
691
695
.10.1007/s00414-020-02256-6
153.
Rahko
,
P. S.
,
2008
, “
Evaluation of the Skin-to-Heart Distance in the Standing Adult by Two-Dimensional Echocardiography
,”
J. Am. Soc. Echocardiogr.
,
21
(
6
), pp.
761
764
.10.1016/j.echo.2007.10.027
154.
Breeze
,
J.
,
Carr
,
D. J.
,
Mabbott
,
A.
,
Beckett
,
S.
, and
Clasper
,
J. C.
,
2015
, “
Refrigeration and Freezing of Porcine Tissue Does Not Affect the Retardation of Fragment Simulating Projectiles
,”
J. Foren. Legal Med.
,
32
, pp.
77
83
.10.1016/j.jflm.2015.03.003
155.
Breeze
,
J.
,
Hunt
,
N.
,
Gibb
,
I.
,
James
,
G.
,
Hepper
,
A.
, and
Clasper
,
J.
,
2013
, “
Experimental Penetration of Fragment Simulating Projectiles Into Porcine Tissues Compared With Simulants
,”
J. Foren. Legal Med.
,
20
(
4
), pp.
296
299
.10.1016/j.jflm.2012.12.007
156.
Stitzel
,
J. D., Duma, M. S.,
Cormier, J. M., and Herring, I. P.,
2002
, “
A Nonlinear Finite Element Model of the Eye With Experimental Validation for the Prediction of Globe Rupture
,” Stapp. Car Crash J., 46, pp.
81
102
.
157.
Powley
,
K. D.
,
Dahlstrom
,
D. B.
,
Atkins
,
V. J.
, and
Fackler
,
M. L.
,
2004
, “
Velocity Necessary for a BB to Penetrate the Eye: An Experimental Study Using Pig Eyes
,”
Am. J. Foren. Med. Pathol.
,
25
(
4
), pp.
273
275
.10.1097/01.paf.0000147281.80203.20
158.
Marshall
,
J. W.
,
Dahlstrom
,
D. B.
, and
Powley
,
K. D.
,
2011
, “
Minimum Velocity Necessary for Nonconventional Projectiles to Penetrate the Eye: An Experimental Study Using Pig Eyes
,”
Am. J. Foren. Med. Pathol.
,
32
(
2
), pp.
100
103
.10.1097/PAF.0b013e31820c2be2
159.
Williams
,
R. L.
, and
Stewart
,
G. M.
,
1964
, “
Ballistic Studies in Eye Protection
,”
Am. J. Ophthalmol.
,
58
, pp.
453
–4
64
. 10.1016/0002-9394(64)91224-3
160.
Hw
,
R.
, and
Gm
,
S.
,
1957
, “
Eye Protection Against Small High-Speed Missiles
,”
Trans. Am. Acad. Ophthal. Otolaryngol. Am. Acad. Ophthalmol. Otolaryngol.
,
61
(
3
), pp.
404
410
.https://pubmed.ncbi.nlm.nih.gov/13455686/
161.
Tillett
,
C. W.
,
Rose
,
H.
, and
Herget
,
C.
,
1962
, “
High-Speed Photographic Study of Perforating Ocular Injury by the BB
,”
Am. J. Ophthal.
,
54
(
4
), pp.
675
688
.10.1016/0002-9394(62)92199-2
162.
Kennedy
,
E. A., Ng, T. P., McNally, C., Stitzel, J. D., and Duma, S. M
.,
2006
, “
Risk Functions for Human and Porcine Eye Rupture Based on Projectile Characteristics of Blunt Objects
,” Stapp. Car Crash J., 50, pp.
651
671
.
163.
Rohne
,
H.
,
1896
, Schießlehre für Infanterie unter besonderer Berücksichtigung des Gewehr 88 und der Schießvorschrift für die Infanterie. Ernst Siegfried Mittler und Sohn, Berlin 1986.
164.
Rettinger
,
G.
,
2017
, “
The “80 Joule Criterion” Reconsidered Today
,”
Foren. Sci. Int.
,
276
, pp.
64
70
.10.1016/j.forsciint.2017.04.020
165.
Catovic
,
A.
, and
Kljuno
,
E.
,
2021
, “
A Novel Method for Determination of Lethal Radius for High-Explosive Artillery Projectiles
,”
Defence Technol.
,
17
(
4
), pp.
1217
1233
.10.1016/j.dt.2020.06.015
166.
Hokanson
,
J.
, Vargas, L. M., Whitney, M. G., and Moseley, P. K.,
1981
, “
Fragment and Debris Hazards From Accidental Explosions
,”
Naval Surface Weapons Center, Dahlgren, VA
, p.
13
.
167.
Henderson
,
J.
,
2010
, “
Lethality Criteria for Debris Generated From Accidental Explosions
,” ADM002313, 34th Department of Defence Explosion of Safety Board Seminar.https://apps.dtic.mil/sti/tr/pdf/ADA532158.pdf
168.
Qin
,
H.
, and
Stewart
,
M. G.
,
2021
, “
Casualty Risks Induced by Primary Fragmentation Hazards From High-Explosive Munitions
,”
Reliab. Eng. Syst. Saf.
,
215
, p.
107874
.10.1016/j.ress.2021.107874
169.
Pangher
,
J.
,
1909
, Mitteilungen über Gegenstände des Artillerie- und Geniewesens, 40. Jahrgang, Druck und Kommissionsverlag der Druckerei und Verlags Aktienge- sellschaft, Wien.
170.
Gurney
,
R.
,
1944
,
A New Casualty Criterion
,
Ballistic Research Laboratories
,
Aberdeen Proving Ground, MD
, p.
498
.
171.
Swisdak
,
M. M.
,
Tatom
,
J. W.
, and
Conway
,
R. T.
,
2017
, “
Procedures For The Collection, Analysis and Interpretation Of Explosion-Produced Debris—Revision 2
,” Department of Defense Explosives Safety Board, Alexandria, VA, p.
21
.
172.
Janser
,
P. W.
,
1982
, “
Lethality of Unprotected Persons Due to Debris and Fragments
,” Proc., 20th Explos. Saf. Seminar.https://apps.dtic.mil/sti/pdfs/ADP000495.pdf
173.
SIPRI Institute
,
1978
,
Anti-Personnel Weapons
,
Taylor and Francis
,
London, UK
.
174.
Bai
,
C.
,
Wang
,
H.
, and
Feng
,
C.
,
2019
, “
Analysis of Criteria for Assessing Safety Distance for Focused Warhead Fragments Based on CDEM
,”
Math. Probl. Eng.
,
2019
(
1
), pp.
1
12
.10.1155/2019/8735481
175.
O.
,
Su Cheok
,
W. K.
,
J.
,
2005
, “
Weapon Danger Area Variation With Incapacitation Criteria
,”
DSTA Horizons
,
Defence Science & Technology Agency
,
Singapore
, pp.
96
101
.
176.
Li
,
Z.
,
Peng
,
Y.
,
Yang
,
H.
,
Li
,
N.
, and
Huang
,
X.
,
2023
, “
Simulation and Experimental Studies of Debris Penetrating Skull
,”
J. Biomech.
,
151
, p.
111551
.10.1016/j.jbiomech.2023.111551
177.
Tomasello
,
K.
, Jacq, C., Baker, E., and Sharp, M., 2019, “
NATO AC326 Subgroup B Ammunition Systems Design and Assessment–Insensitive Munitions Test STANAG Updates
,”
Insensitive Munitions & Energetic Materials Technology Symposium
,
Spain
,
Seville
, pp.
21
24
.
178.
Caranta
,
R.
, and
Legrain
,
D.
,
1993
, “
L'efficacité Des Munitions D'armes de Poing
,”
Editions Crépin-Leblond, France
.
179.
Dzieman
,
A.
,
1960
, “
A Provisional Casualty Criteria for Fragments and Projectiles
,”
Chemical Warfare Laboratory
,
Edgewood Arsenal, MD, Report No. 2391
.
180.
Sturdivan
,
L. M.
, and
Md
,
E.
,
1973
, “
A Mathematical Model for Assessing Weapons Effects From Gelatin Penetration by Spheres
,” Defense Technical Information Center, Fort Belvoir, VA.
181.
Kokinakis
,
W.
, and
Sperrazza
,
J.
,
1965
, “
Criteria for Incapacitating Soldiers With Fragments and Flechettes
,” Army Ballistic Research Laboratory, Aberdeen Proving Ground, MD, Report No.
1269
.https://apps.dtic.mil/sti/pdfs/AD0359774.pdf
182.
Bir
,
C. A.
,
Stewart
,
S. J.
, and
Wilhelm
,
M.
,
2005
, “
Skin Penetration Assessment of Less Lethal Kinetic Energy Munitions
,”
J. Foren. Sci.
,
50
(
6
), p.
JFS2004551
.10.1520/JFS2004551
183.
James
,
G. R.
,
2020
,
Development of Models to Assess Penetrating Injury From Ballistic Projectiles
,
United Kingdom Defence Academy/Cranfield University, Shrivenham, UK
.
184.
Hanna
,
T. N.
,
Shuaib
,
W.
,
Han
,
T.
,
Mehta
,
A.
, and
Khosa
,
F.
,
2015
, “
Firearms, Bullets, and Wound Ballistics: An Imaging Primer
,”
Injury
,
46
(
7
), pp.
1186
1196
.10.1016/j.injury.2015.01.034
185.
Penn-Barwell
,
J. G.
, and
Stevenson
,
T.
,
2017
,
The Effect of Projectiles on Tissues
,
A Practical Guide
,
Ballistic Trauma
, Switzerland, pp.
35
46
.
186.
Missliwetz
,
J.
,
1987
, “
Zur Grenzgeschwindigkeit Bei Der Haut
,”
Beitr. Gerichtl. Med.
,
65
, pp.
411
432
.
187.
Krauss
,
M.
, and
McDonald
,
W.
,
1960
, “
The Effects of Low Velocity Impacts of Eighteen Gram Sub-Missiles on Goats and Human Skulls
,”
U.S. Army Chemical Research and Development Laboratories
, Edgewood Arsenal, MD, pp.
1
24
.
188.
Kerkhoff
,
W.
,
Visser
,
M.
,
Mattijssen
,
E. J. A. T.
,
Hermsen
,
R.
, and
Alberink
,
I. B.
,
2022
, “
A Combined Cowhide/Gelatine Soft Tissue Simulant for Ballistic Studies
,”
Foren. Sci. Int.
,
338
, p.
111392
.10.1016/j.forsciint.2022.111392
189.
Jin
,
Y.
,
Haitao
,
L.
,
Cheng
,
W.
,
Wang
,
X.
,
Han
,
R.
,
Li
,
R.
, and
Dong
,
D.
,
2019
, “
The Experimental and Numerical Investigation on the Ballistic Limit of BB—Gun Pellet Versus Skin Simulant
,”
Foren. Sci. Int.
,
298
, pp.
393
397
.10.1016/j.forsciint.2019.02.033
190.
Lewis
,
J. H.,
et al.,
1978
, “
An Empirical/Mathematical Model to Estimate the Probability of Skin Penetration by Various Projectiles
,” U.S. Army Armament Research and Development Command, Chemical Systems Laboratory, Picatinny, NJ, Report No. ARCSL-TR-78004.
191.
Blackmore
,
D.
,
1985
, “
Energy Requirements for the Penetration of Heads of Domestic Stock and the Development of a Multiple Projectile
,”
Vet. Rec.
,
116
(
2
), pp.
36
40
.10.1136/vr.116.2.36
192.
Bowyer
,
G. W.
,
Cooper
,
G.
, and
Rice
,
P.
,
1996
, “
Small Fragment Wounds: Biophysics and Pathophysiology
,”
J. Trauma Acute Care Surg.
,
40
(
Suppl
), pp.
159S
164S
.10.1097/00005373-199603001-00035
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