Are Exit Wounds Always Bigger Than Entrance Wounds?

The study of wound ballistics examines the effects of a projectile on biological tissue, seeking to understand the resulting damage patterns. Media often portrays a simplistic view where a bullet always creates a small entry point and a significantly larger, destructive exit wound. The reality of firearm injuries is highly variable, depending on a complex interaction between the projectile’s energy and the specific characteristics of the body tissue it traverses. While exit wounds are frequently larger, this outcome is not guaranteed and is instead dictated by the physical processes occurring inside the body.

The Morphology of Entrance Wounds

Entrance wounds are typically characterized by their relatively clean and defined appearance, often closely mirroring the diameter of the projectile. When a bullet initially contacts the skin, it temporarily pushes the highly elastic tissue aside before penetrating. Because the skin is stretchy, it can contract around the defect once the projectile has passed through, sometimes resulting in an entrance hole smaller than the actual caliber of the bullet.

A distinctive feature of a distant-range entrance wound is the presence of an abrasion collar, also known as an abrasion rim. This narrow ring of scraped, abraded skin immediately surrounds the central defect. The abrasion collar is formed by the friction of the projectile as it compresses and rubs against the outermost layers of the skin during penetration.

The resulting mechanical friction creates this characteristic rim of damaged tissue. This feature is important in forensic analysis because it helps to identify the entry point. The entrance wound appearance is generally uniform and predictable, reflecting the initial, stable contact of the projectile.

Understanding Tissue Damage Mechanics

The extent of damage a projectile causes is directly tied to how it transfers kinetic energy to the tissues. Damage involves two distinct types of cavities that form along the projectile’s path. The first is the permanent cavity, the actual track of crushed and lacerated tissue left behind by the bullet’s physical passage.

The size of the permanent cavity is roughly proportional to the diameter of the projectile. The far more damaging effect is caused by the second mechanism, known as temporary cavitation. This phenomenon involves the rapid and massive stretching of tissue away from the projectile’s path, generated by the transfer of kinetic energy.

Kinetic energy is related to the projectile’s mass and, more significantly, the square of its velocity. This means a small increase in speed results in a disproportionately larger energy transfer. As the bullet moves through the body, it creates a powerful pressure wave that momentarily forces the surrounding tissue outward. This temporary cavity can be many times the diameter of the permanent wound track, existing for only milliseconds before the elastic tissue attempts to snap back into place.

The overall destruction is determined by the tissue’s ability to tolerate this stretching. Organs with low elasticity and high density, such as the liver, are highly susceptible to damage from temporary cavitation, often bursting or fracturing. Conversely, highly elastic tissue like the lung is better able to absorb the stretching forces with less permanent destruction.

Factors Determining Exit Wound Size

An exit wound is the result of the projectile and the pressure wave of the temporary cavity attempting to vent from the body. Whether this wound is larger than the entrance depends on the amount of kinetic energy the projectile has transferred just before it breaches the skin barrier. If a projectile passes through with little energy loss, the exit wound may be small and slit-like, potentially even smaller than the entrance.

Energy Dump and Deceleration

A large exit wound is often the result of the projectile slowing down significantly within the body, a process called “energy dump.” This deceleration releases the maximum amount of energy into the tissue immediately adjacent to the exit point.

Yaw and Fragmentation

The destructive potential is amplified if the projectile begins to tumble or turn sideways, known as yaw. When a bullet yaws, it presents a much larger surface area to the tissue, causing rapid deceleration and a massive increase in the size of the temporary cavity. If the projectile fragments within the body, multiple pieces of the bullet become secondary missiles. These fragments, along with bone shards they may create, combine to push outward, resulting in a large, irregular, and often stellate-shaped exit defect.

Tissue Density

The density of the tissue directly beneath the exit point also plays a role in determining the wound’s final size. If the temporary cavity expands against a dense, unyielding structure, the pressure cannot dissipate easily. This concentrated force, combined with fragmentation or yaw, can cause the overlying skin to tear dramatically as the energy is finally released, creating the large, irregular exit wounds frequently seen in high-energy trauma.