Explode Metacarpal Bone by Gunshot: A Case Report

Background: the incidence of firearm related non-fatal and fatal accidents has been increased worldwide. most of the unintentional or intentional nonfatal gunshot injuries involve an extremity.case report: a 33-year-old man was admitted to emergency department with a complaint of injury related to 5th metacarpal area of right hand. the patient reported that he is a police officer who suffered gunshot injury during crashes with smugglers in himself right hand. at arriving time into hospital, hand was neurologically intact and no vascular injury was noted. there was a distractive entrance wound in the 5th metacarpal hypothenar palmar area and a distractive exit wound on the dorsal side. the wound was irrigated and debrided. all lose bone fragments were removed. the lose area covered by distant flap of skin from the abdomen. all of the wounds were healed on postoperative 15th day.conclusion: this report is an attempt to present the problem of firearm injury and appeal to a wide range of disciplines working to expand their knowledge and redirect new energy to address the urgent problem of firearm injury.