Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
History
Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
I am inclined to attribute the change to two reasons: first, I believe
that the use of regulation weapons was more universal in the earlier
part of the war, while later, as more men were engaged, the
Martini-Henry came more into evidence, and the Boers took more freely
to the use of sporting rifles and ammunition. Another element also in
the less clean punctures of the short and cancellous bones was probably
the less accurate and hard shooting of the Mauser rifles as they became
worn; the bullets seemed to evidence this by the comparative shallowness
of their rifle grooves, which, I take it, would mean less velocity and
accuracy in flight. This would be of importance, since the clean
puncture of cancellous bone was no doubt favoured by a high rate of
velocity.
The special features of the fractures caused by the small-calibre
bullets were: (1) The nature of the exit wound, which in a certain
proportion of the cases exhibited the so-called 'explosive' character.
(2) The presence, in a marked degree in the severe cases, of the
condition spoken of in Chapter III. as 'local shock.' (3) The striking
contrast of clean perforation and extreme comminution in different
cases. (4) The occasional occurrence of fractures of a very high degree
of longitudinal obliquity. (5) The rarity of any that could be termed
transverse fractures. (6) The general tendency of longitudinal fissuring
when it occurred to stop short of the articular extremities of the
bones.
It will perhaps be most convenient to consider first the explanation of
the development of the so-called explosive apertures, and then to pass
on to a general consideration of the types of fracture commonly met
with, before proceeding to the description of the injuries to the
separate bones.
_Explosive wounds in connection with fractures._--The aperture of entry
in these injuries presented little or no deviation from the normal,
unless it was due to the passage of ricochet bullets, when it might be
very irregular, but usually not of great size.
[Illustration: FIG. 47--(21) 'Explosive' Exit Wound of Forearm over
margin of ulna. Note creased tongue of skin originally covering whole
wound. The entry wound was a small typical circular one]
The aperture of exit offered special features beyond simple increase in
size. First of all, as in the small type wounds, the actual extent of
destruction of the skin was small, this having been projected outwards
by the passing bullet and then either burst or torn by the bullet and
accompanying bony fragments. Fig. 47 well illustrates this feature. A
triangular tongue of skin was lifted by the passing bullet and probably
by the lower end of the upper fragment of the fractured ulna; through
the resulting opening a mass of soft tissues and bone fragments, bound
together by an infiltration of coagulated blood, was extruded,
separating the lateral lips of the aperture, while the original tongue
has shortened and retracted up to the top of the wound.
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