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High-velocity injuries, in practical terms are a form of penetrating traumatic brain injuries, which are much less common than blunt traumatic brain injuries and distinguished from low-velocity penetrating brain injuries by the amount of kinetic energy deposited in the skull and brain parenchyma, which in turn has implications for the pattern and severity of injury. 

Damage to the bone and soft tissues of the head by high-velocity projectiles is dependant on a number of factors, such as shape and size, however, the dominant factor is the amount of kinetic energy they deposit as they traverse tissues.

High velocity injuries may include the following :

  • Knee pain and hematomas

  • Headaches and head hematomas

  • Shoulder pain

  • Numbness and tingling in arms or legs from nerve damage

  • Wrist fractures

  • Traumatic brain injury

  • Spinal cord injury

  • Paralysis

  • Neck Sprains

  • Concussions

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