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 saw no instance of wound of the _neural arch_ from a direct shot in
the back in any of our men, neither was I ever able to detect an injury
to the articular processes as a localised lesion.
Injuries to the _centra_ were very frequent, but differed
extraordinarily in their importance. Perforation by bullets travelling
at a relatively low grade of velocity, but still one sufficient to allow
them to pass through the body, produced in many instances no symptoms
whatever when the track did not lie in immediate contiguity to the
spinal canal or perforate it.
In all the wounds which I had the opportunity of examining post mortem,
the fracture was of the nature of a pure perforation of the cancellous
tissue of the centrum, with no comminution beyond slight splintering of
the compact tissue at the aperture of exit. In one instance the bullet
passed in a coronal direction so close to the back of the centrum as to
leave a septum of only the thickness of stout paper between the track
and the spinal canal. In this case signs of total transverse lesion were
present. I never happened to meet with a case in which the canal was
encroached upon from the front by displaced bone. In some cases at the
end of six weeks there was difficulty in determining the position of the
openings, and section of the bone was necessary in order to assure
oneself as to the direction of the track.
In some instances the centra were pierced in the coronal direction with
varying degrees of obliquity; in others the direction was more sagittal;
in two of the latter the bullet was retained in the spinal canal. The
tracks were sometimes confined to one vertebra, but often implicated
two. In others the bullet passed longitudinally through the thorax,
grooving or perforating one or more centra.
The accompanying evidences of nerve injury varied from nil to those of
pressure or irritation of the nerve roots, transient signs of spinal
concussion, signs of contusion and haemorrhage, or to evidence of total
transverse lesion. Instances of all these conditions will be quoted
under the heading of injuries to the cord or nerves.
_Signs of injury to the vertebrae._--Separation of the spinous processes
was often indicated by slight deformity, either evident or palpable,
local pain, tenderness, mobility, and crepitus. In some cases these
local signs were reinforced by evidence of cord injury. Fractures
involving the laminae differed merely in the degree to which the above
signs were developed. Fractures of the transverse processes were
generally only to be assumed from the position and direction of the
wounds, the assumption being sometimes strengthened in probability by
evidence of injury to the cord and nerves.
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