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
Range about '300 yards.'
The wound track took a directly antero-posterior course. Impact
rectangular. The musculo-spiral nerve was completely divided.
The plate affords a good example of the so-called 'butterfly' fracture.
Two long doubly wedge-shaped lateral fragments, and pointed extremities
to both main fragments, are shown.
The fracture healed well, with the deposition of a large mass of
provisional callus. The musculo-spiral nerve was united by suture some
three months later.]
Plate VIII. exhibits an oblique fracture of the lower part of the shaft
produced by a bullet passing at a low rate of velocity. It does not
widely differ from a perforation, and the illustration possesses some
further interest as showing the deviation of a bullet likely to occur
when a bone lies in its course. Although the velocity with which this
bullet was travelling must have been very low, when the bone had been
traversed the deviation in its course was slight. A few bony fragments
from the compact tissue of the posterior surface of the humerus have
been carried into the distal portion of the track.
Fractures of the various prominences of the lower articular extremity
were not uncommon, but deviated little from the types with which we are
familiar in civil practice; the after results were good, both as to
union and movement of the elbow.
Explosive wounds of the soft parts were not infrequent in the arm, and
fig. 48, p. 158, exhibits an extreme example. The humerus in respect of
depth of covering, however, comes between the femur and the bones of the
leg and forearm; hence such injuries were not so easily produced as in
the latter segments of the limbs.
Public-domain text, read in full here on John Shaqi.
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