A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The increased velocity, or, in other words, greater force, of modern
projectiles exhibits its effects in two directions—locally, by the
greater destruction of the tissues in the track of the projectile; and
constitutionally, by greater disturbance in the nerve–force of the
whole system. The component parts of that portion of the organized
fabric through which a bullet, traveling at the rate of several miles
per minute, cleaves its way are inevitably deprived of their vitality.
Instances are quoted by authors, of gunshot wounds having healed by
simple adhesion; but such examples are not met with from rifle–bullets
retaining their original form. Moreover, when considering the course
taken by balls in the body, it will have to be shown that the velocity
imparted to projectiles from modern weapons has led to another change
in gunshot wounds. The great power of resistance so often before
exhibited by the yielding elastic tissue of the skin, by tendinous and
other structures, is no longer of avail against projectiles from modern
fire–arms at their usual rates of speed.
The splitting and destructive effects of conical balls on the shafts
of the long bones of the extremities have already been mentioned when
referring to the peculiarities of their shape. But, together with form,
the amount of momentum is a necessary ingredient in estimating this
result. The old round balls—partly from their form, but also from the
imperfect mechanism of the firelocks from which they were discharged,
and consequent minor degree of velocity imparted to them—on striking
bones, would simply be turned away from the direct line, or, failing
this, would knock out a portion of the shaft without further fracture,
or, having perforated on one side, remain in the cancellated structure,
or be simply flattened without penetrating. It seems not unlikely,
also, that the modern conical bullets are denser, from the circumstance
of their manufacture by mechanical pressure, than bullets, such as are
still used in some places, cast in moulds. The influence of density
with respect to power of penetration is very great. In the two most
perfect of modern English rifles, the Enfield and the Whitworth, the
projectiles and charges being of the same weight, when lead is used,
the penetration at 800 yards is one–third greater with the Whitworth
than the Enfield; but if a less yielding projectile is used, (as when
the lead is mixed with tin,) its penetration is as 17 to 4 at 800
yards. Whether this cause operates or not, the fact is certain that
conical balls in action exhibit almost invariably an overpowering force
over all the structures, bone included, with which they come into
contact in the human body, and are rarely met with flattened, or so
much altered in form as bullets not unfrequently were formerly under
like circumstances.
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