A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The number of wounds made by one ball may be increased by its
traversing two adjoining extremities of the same person, or even
distant parts of the body from accidental relative position at the
time of the injury. On the 18th of June, 1848, at Paris, a man received
a ball in his right arm, above the elbow, which caused a comminuted
fracture of the humerus. It then passed across and entered the left arm
below the elbow, fracturing the upper part of the radius. Dr. Hennen
mentions the case of a man on a scaling–ladder, in which a ball passed
from the middle of the upper arm on one side to the middle of the thigh
on the opposite side. It is evident, when the ball traverses with
sufficient velocity, that these accidents will not unfrequently occur,
especially between the upper extremity and trunk. They correspond with
such events as more than one person being wounded by the same ball,
examples of which were not unfrequently noticed in the trenches before
Sebastopol, from enfilading shots, especially prior to the capture of
the Mamelon Vert and other outworks; and are said to have been very
common in the late campaign in Italy. Should the Whitworth rifle ever
be brought into general use, the proportionate number of wounds thus
caused from the greater density of the ball, its immensely superior
force, and low trajectory, must be still further increased.
The two openings made by one ball may hold such a relative situation
as to lead to the mistake of their being supposed to be caused by two
distinct balls. A case is recorded where a ball entered the scrotum,
and made its exit from the right thigh, without any intermediate mark
of its passage; such a wound might lead to an erroneous diagnosis of
this sort. Length of traverse, and consequent distance between the
two openings, parts of the body brought into unusual relations from
peculiarities of posture, and peculiar deflections of the ball, may all
be sources of this error.
The appearances of wounds resulting from penetrating missiles of
irregular forms, as small pieces of shells, musket–balls flattened
against stones, and others, differ from those caused by ordinary
bullets in being accompanied with more laceration, according to their
length and form. Being usually projected with considerably less force
than direct missiles, such projectiles ordinarily lead only to one
aperture, that of entrance.
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