A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
With regard to musket–shot, the form presents several features for
the consideration of the military surgeon. In discussing the subject,
however, it must not be omitted to be borne in mind that we have no
experience of the effects of round musket–balls propelled with the
same amount of force as recent improvements in fire–arms have given
to balls furnished with a conical vertex; although, in the old,
two–grooved rifle, with its belted round ball, a momentum was procured
far exceeding that of the common smooth–bore musket. The change in
form from the round to the prolonged cylindro–conoidal ball seems to
derive its chief importance in surgery from the conical end possessing
the mechanical characteristic of a wedge, while the former acted
simply as an obtuse body. From this quality the power of penetration
of conical bullets is greater, independent of the increased momentum
communicated to them by the construction of the weapons from which they
are discharged. Thus, supposing one of the old musket–bullets to strike
a limb at 80 yards, and an Enfield rifle conical bullet of the same
weight at 800 yards, the rate of velocity being similar in each case,
the injury from the latter may be expected to be considerably greater
than that from the former, on account of its shape. The wedge–like
quality of the conical bullet is rendered particularly obvious on its
being driven into the shafts of the long bones of the extremities.
The solid, osseous texture of which the cylindrical portion of these
bones is composed is split up into fragments, having mainly a direction
parallel with the central cavity; and fissures not unfrequently extend
from the seat of injury to their terminations in the joints, of which
they form component parts. Such results were scarcely ever noticed
from the impulse of round balls. The bone might be comminuted, but
the fragments were of a more cuboid shape, and the long fissuring did
not occur. It has been stated that the screw motion impressed on the
ball by the rifling of the musket contributes to its increased power
of injury on bone; but its shape, combined with its momentum, seem
sufficient to explain the severity of its effects above those of the
round bullet. Another result of the tapering form of the conical bullet
is that it is less exposed, in its course through soft parts of the
body, to opposition from tendons and other long and elastic structures,
so frequently noticed to stay the progress of spherical shot. If not
dividing them by direct impingement, it readily turns them aside;
and it is partly due to this pointed shape, therefore, as well as to
increased force, that, as will be noticed hereafter, the lodgment of
balls is now so rare in comparison with the experience of former wars.
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