A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
Temporary paralysis from contusion of a nerve in the passage of a
projectile is not unfrequent. Complete loss of power of motion and
sensibility in a limb occasionally follows gunshot injuries, and
generally indicates complete division of the nerve. Instead of complete
paralysis, there may remain only modified deprivation of sensibility,
partial loss of muscular force, and diminished power of resisting cold,
with or without pain; and these symptoms may either be the result
of contusion, with the effects perhaps of inflammatory action or of
partial division. When a foreign body is lodged in or among nerves, it
may induce tetanic symptoms of a fatal character, or great irritation
and intense pain may result; and unless the source of these latter
symptoms can be found and removed, if in a large nervous trunk of
one of the extremities, they will sometimes lead to the necessity of
amputation. The gunshot injuries which cause division of large nerves,
however, are usually attended with so much destruction of other parts
that the question of amputation has scarcely ever to be considered
in reference to lesions of nerves alone. Atrophy of tissues and
contractions of muscles are common results of injuries to nerves from
gunshot, and often lead to soldiers being disabled for further service.
Occasionally, after severe injuries, the functions of sensation and
power of motion gradually return, in some instances with perfect
cure, but mostly with impaired power of resisting rapid alternations
of temperature, especially cold. A case is mentioned in the Surgical
History of the Crimean War where a soldier had the right sciatic
nerve severely injured by the passage of a musket–ball. Total loss of
sensation in the right foot followed. The wound was healed a month
after it was received, and sensation slowly returned in the foot; but
the restoration was attended with intensely burning pain, unrelieved
by any applications. Gradual recovery took place. Dr. Williamson’s
returns show eight cases of gunshot wounds with direct injury to nerves
among the men invalided from India, after the late mutiny; all were
wounds involving the brachial plexus, and in all there was paralysis,
partial or complete, of the upper extremity on the injured side. In one
case, the loss of function appears to have been almost confined to the
hand; all the fingers were fixed in a straight position, and numb, and
any attempt at bending them occasioned intense pain in the course of
the median nerve. The hand was cold and affected with nervous tremor,
but the motor power and sensibility of the thumb were preserved. The
following hitherto unrecorded case illustrates several points: A
soldier of the 37th Regiment was wounded at Azinghur, on the 27th of
March, 1858, by a musket–ball, through the right side of the neck. It
entered just below the horizontal ramus of the jaw, and made its exit
behind, over the scapula. About three pints of blood escaped, supposed
to be from the external jugular vein.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account