I recently read an excerpt from the US Army Medical Corps evaluation of wound trauma in WW2. (Sorry, I lost the link) The upshot was a criticism of the .45 ACP with it's lower muzzle velocity compared to enemy handguns. The report observed that handgun bullets with muzzle velocities greater than 1000 fps would shatter bone to a greater degree than .45 hardball.
With a much greater understanding in wound ballistics over the intervening 75 years, what is/are the current conclusions?
From what I've read, there isn't much difference in wounding between .38 spl LRN 158 gr, 9mm and .45 RN FMJ. All of which have small wound channels due to the round nose shape of the bullet disrupting little tissue. The overpenetration means that the bullets almost always exit. Is the main difference in the rounds' effectiveness the degree in which bones are broken?