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Updated: Feb 4, 2026

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Ricochet Nail Gun Penetration of Zone II With a Deep Cervical Trajectory: A Case Report
Mohannad M Aladawi1, Fayez G Aldarsouni2, Afnan Alsultan3
1Surgery, King Saud University Medical City, Riyadh, SAU.
Cureus
|February 2, 2026
Summary
Nail gun neck injuries are rare but dangerous. A ricochet caused a deep neck injury, successfully treated with CT angiography and surgical removal, highlighting the need for thorough evaluation.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Radiology
Background:
- Nail gun injuries to the neck are uncommon but pose significant risks due to vital neurovascular and aerodigestive structures.
- Ricochet incidents can lead to unexpected nail trajectories and deep penetrations, even with low-velocity tools.
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