A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
A musket–ball ordinarily causes either one wound, as when after
entering it lodges, or, as sometimes happens, from its escaping again
by the wound of entrance; or two wounds, from making its exit at some
point remote from the spot where it entered; but occasionally leads
to a greater number of openings. This last result may happen from the
ball splitting into two or more portions within the body, and causing
so many wounds of exit. A case occurred to M. Dupuytren, where a ball
split against the spine of the tibia; and after traversing the calf of
the leg in two directions, entered the other leg at two points,—one
ball thus causing five orifices. A case occurred to the writer, in the
Crimea, where a cylindro–conoidal rifle–ball with three canalures,
after fracturing the cranium, was cut in two by the upper edge of bone
at the seat of fracture, smoothly as if by a sharp instrument. One part
glanced off, the other entered the cranium. A strange feature in this
case was, that the depressed portion, after admitting the ball, closed
up again; so that no aperture, but only a slight depressed line of
fracture, was visible.[3] A somewhat similar case occurred in the 38th
Regiment, but the ball appears to have been a round one. M. Huguier has
collected some curious cases of splitting of balls, from the records
of the French revolution: among others, the division of a ball into
two parts, of another into three parts, against the supra–orbital
ridge, and of another into three parts against the clavicle. A case is
recorded, where a grenadier in Algeria was wounded in five places, all
wounds of entrance, by one ball. It was divided into five portions by
first striking against a rock at five or six paces from the soldier,
the fragments rebounding at various angles. John Hunter mentions the
case of a young gentleman who was shot through the abdomen by means
of a musket loaded with three balls. In this instance there were only
two orifices of entrance and two of exit, one ball having followed
in the track of one of the others; “that there were three that went
through him was evident, for they afterward made three holes in the
wainscot behind him, but two very near each other.” Had it not been
for this proof, it being known that three balls were discharged, a
suspicion might have existed that one of the three balls had lodged.
The recollection that such accidents may occur will sometimes assist in
the diagnosis of doubtful cases.
Public-domain text, read in full here on John Shaqi.
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