Forensic Medicine · Mechanical Injuries (Blunt, Sharp, Regional Injuries)

A defence wound is characteristically seen on which surface of the upper limb when a victim tries to ward off blows from a knife-wielding assailant?

  • A Palmar surface of both hands
  • B Medial aspect of the upper arms
  • C Ulnar border and dorsal surface of the forearms
  • D Flexor aspect of the elbows
Correct answer: C. Ulnar border and dorsal surface of the forearms

Explanation

Defence wounds are incised or stab wounds inflicted on the victim's own limbs while attempting to block an assailant's weapon. When shielding against a knife, the victim instinctively raises their arms with palms facing outward; the blade then strikes the ulnar border of the forearm and dorsum of the hand and fingers. These locations — particularly the ulnar forearm, dorsal hands, and interdigital web spaces — are the classic sites for defence wounds and strongly suggest homicide rather than suicide.

Reference: The Essentials of Forensic Medicine and Toxicology (Narayan Reddy), 34th ed.

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