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Aim This study aimed to investigate the prevalence of physical violence and head and neck injuries among children and adolescents who suffered physical aggression, firearm aggression, and white gun aggression referred to the Legal Medical Department in a southern city in Brazil. Methods This study was performed at Legal Medical Department in the city of Pelotas, RS, Brazil, from January 2011 to December of 2015. Data were collected from medical reports of children and adolescents (0-19 years old). Demographic information such as sex, age, and skin color was collected. Data were submitted to Chi-square test and multivariate Poisson regression analysis. Results In this study, 2,716 physical examination reports were analyzed, with a total of 2,171 exams resulting from violence; lesions that had physical aggression as their etiology (1,951) had a higher prevalence. The analysis of the exams revealed that the majority were adolescents (90,05%), white (84.09%), and female (50.21%). The head and neck regions were affected in most cases of violence (57.90%). In the adjusted model, the occurrence of injuries in the head and neck region was higher in males (PR 1.16, CI 95% 1.08 - 1.25), among adolescents (PR 1.28, CI 95% 1.10 - 1.48) and in victims of physical aggression compared to victims of the firearm (2.81, CI 95% 1.79 - 4.40). Conclusion The results revealed a high prevalence of head and face injuries in victims of violence and that there was a greater prevalence of physical violence among adolescents compared to children and males. Brazil Pelotas RS 201 2015 019 0 19 (0-1 old. old . old) sex age Chisquare Chi square 2716 2 716 2,71 analyzed 2171 171 2,17 1,951 1951 1 951 (1,951 90,05%, 9005 90,05% , 90 05 (90,05%) 84.09%, 8409 84.09% 84 09 (84.09%) 50.21%. 5021 50.21% 50 21 (50.21%) 57.90%. 5790 57.90% 57 (57.90%) model PR 116 16 1.16 95 108 08 1.0 1.25, 125 1.25 25 1.25) 128 28 1.28 110 10 1.1 1.48 148 48 2.81, 281 81 (2.81 179 79 1.7 4.40. 440 4.40 4 40 4.40) 20 01 (0- 271 71 2,7 217 17 2,1 1,95 195 (1,95 900 90,05 9 (90,05% 840 84.09 8 (84.09% 502 50.21 5 (50.21% 579 57.90 (57.90% 11 1. 12 1.2 1.4 14 2.81 (2.8 7 44 4.4 (0 27 2, 1,9 (1,9 90,0 (90,05 84.0 (84.09 50.2 (50.21 57.9 (57.90 2.8 (2. 4. ( 1, (1, 90, (90,0 84. (84.0 50. (50.2 57. (57.9 2. (2 (1 (90, (84. (50. (57. (90 (84 (50 (57 (9 (8 (5