The analysis of trauma to the skeleton is an important aspect of forensic c
ase work, but most pathology references devote limited attention to this to
pic. This paper describes various aspects of gunshot wounds, including entr
ance and exit patterns, angle and path, range of fire and. velocity, and ca
liber of the bullet, based on observations of a series of known cases. Skel
etal remains of 21 victims of gunshot wounds were studied. In most cases, t
here was documentation of the investigation, autopsy, and victim's identity
. Each case was analyzed in terms of wound location, shape, size and exit/e
ntry surface area ratio, beveling, and direction of shooting. Skull entry w
ounds were most often round or oval. Unusual shapes were observed in bones
like the mandible and mastoid process, but were also found to be triangular
, nearly rectangular or irregular. Tunneling was observed in the mastoid pr
ocess. The expected internal beveling was obvious in all but one skull. Ext
ernal beveling of an entry wound was only observed in one case (parietal bo
ne). Exit wounds were roughly round, oval, square, and rectangular and were
always more irregular than entry wounds. External beveling of exit wounds
was observed inmost vault bones, but there was none in the orbit, maxilla,
greater wing of the sphenoid, temporal, or left occipital bone. Tangential
gunshot wounds were seen in a mastoid process, zygomatic process, mandibula
r ramus and condyle, and occipital condyle. Most of the exit to entry surfa
ce area ratios (cm(2)) varied from 1.4 to 2.0. In four cases the ratio indi
cated that entrances were larger than exists. In conclusion, understanding
of gunshot wound characteristics is an important matter to interpret distan
ce, velocity, direction and sometimes caliber size. Assessment of this natu
re of gunshot wounds helps reconstruct events surrounding the death.