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Review
. 2025 Aug;41(3):269-280.
doi: 10.1016/j.hcl.2025.03.002. Epub 2025 Apr 30.

Military Ballistic Injuries of the Upper Extremity

Affiliations
Review

Military Ballistic Injuries of the Upper Extremity

Mason H Adams et al. Hand Clin. 2025 Aug.

Abstract

The management of military ballistic trauma of the upper extremity has evolved to reflect the advancement of military-grade ballistic weapons which continue to advance in their technology, design, and capacity to cause devastating orthopedic trauma. The early management of these injuries is critical to the eventual functional outcome of the extremity and includes battlefield tourniquet placement, damage control orthopedics, and temporary revascularization. Throughout the process of debridement, these patients are cared for by multidisciplinary teams with early consideration given to both preservation and reconstruction and soft tissue coverage.

Keywords: Ballistic; Damage control orthopedics; Military; Reconstruction; Trauma.

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Conflict of interest statement

Disclosures None.