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Bullet Markers - A Simple Technique To Assist In The Evaluation Of Penetrating Trauma
  1. Capt A Brooks, FRCS RAMC(V), Specialist Registrar1,
  2. Maj DMG Bowley, FRCS RAMC, Trauma Fellow2 and
  3. K D Boffard, BSc(Hons), FRCS (Eng), FRCS (Edin), FACS, Chief Surgeon and Head3
  1. 1General Surgery, Queen’s Medical Centre, University Hospital, Nottingham, NG7 2UH. adambrooks{at}
  2. 2Johannesburg Hospital Trauma Unit, Department of Surgery, University of Witwatersrand, Johannesburg, South Africa.
  3. 3Trauma Unit, Professor and Clinical Head Department of Surgery, Johannesburg Hospital, University of Witwatersrand, Johannesburg, South Africa.


Radio-opaque markers in penetrating trauma are useful in both the clinical evaluation of the injuries and in the permanent record of the location of the wounds. The use of an unfolded paperclip taped over the wound as a marker is recommended as a valuable adjunct in the radiological evaluation of penetrating trauma.

  • Gunshot wounds
  • trauma
  • penetrating injury
  • radio-opaque markers

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