Paramilitary punishments in Northern Ireland traditionally involved sh
ooting in the limbs with low-velocity handguns. During the recent IRA
ceasefire they were replaced with beatings by clubs and similar object
s. We carried out a retrospective review of patients who had suffered
punishment beatings who presented to the Royal Victoria Hospital, Belf
ast. Patients were more likely to have fractures and more severe soft-
tissue injuries. The time spent in hospital was often longer, and ther
e was a greater chance of requiring operations (often multiple). Copyr
ight (C) 1996 Elsevier Science Ltd.