Current Evidence in the Management of Ballistic Peripheral Nerve Injuries

Nerve injuries after ballistic injury can cause devastating consequences to the patient, in part, due to no management guidelines on how to approach and manage these scenarios. While discontinuous nerve lesions after ballistic injury are often less challenging to diagnose and have clearer guidelines for the timing and type of treatment, nerve in-continuity injuries from ballistic wounds are challenging to diagnose and manage. This review on nerve injuries after ballistic wounds covers the etiology, evaluation, and management of these injuries and provides insight on how our institution manages these scenarios. Normal appearing nerves intraoperatively should be treated expectantly.