Type wounds--Nature of external apertures--Direct course of wound track--Multiple wounds--Small bore and sharp localisation of tracks--Clinical course--Mode of healing--Suppuration--Wounds of irregular type--Ricochet--Mauser bullet--Lee-Metford bullet--Expanding bullets--Altered bullets--Large sporting bullets--Symptoms--Psychical disturbance and shock--Local shock--Pain--Haemorrhage--Diagnosis--Prognosis--Treatment 55 CHAPTER IV INJURIES TO THE BLOOD VESSELS Nature of lesions; contusion, laceration, perforation--Results of injuries--Primary haemorrhage--Recurrent haemorrhage--Secondary haemorrhage--Treatment of haemorrhage--Traumatic aneurisms--Arterial haematoma--True traumatic aneurism--Aneurismal varix and varicose aneurism--Conditions affecting development--Effects of aneurismal varix or varicose aneurism on the general circulation--Prognosis and treatment of aneurismal varix--Prognosis and treatment of varicose aneurism--Gangrene after ligation of arteries 112 CHAPTER V INJURIES TO THE BONES OF THE LIMBS Nature of wounds--Explosive wounds--Types of fracture of shafts of long bones--Stellate, wedge, notch, oblique, transverse, perforating--Fractures by old types of bullet--Lesions of the short and flat bones--Special character of the symptoms in gunshot fracture, and of the course of healing--Prognosis--Treatment--Special fractures--Upper extremity--Pelvis--Lower extremity 154 CHAPTER VI INJURIES TO THE JOINTS General character--Vibration synovitis--Wounds of joints--Classification--Course and symptoms--General treatment--Special joints 225 CHAPTER VII INJURIES TO THE HEAD AND NECK Anatomical lesions--Scalp wounds--Fracture of the skull without evidence of gross lesion of the brain--Fractures with concurrent brain injury--Classification--General injuries--Effect of ricochet--Vertical or coronal wounds in frontal region--Glancing or oblique wounds of any region--Gutter fractures--Superficial perforating fractures--Fractures of the base--Symptoms of fracture of the skull, with concurrent injury to the brain--Concussion--Compression--Irritation--Frontal injuries--Fronto-parietal and parietal injuries--Occipital injuries--Forms of hemianopsia--Abscess of the brain--General diagnosis--General prognosis--Traumatic epilepsy--General treatment--Wounds of the head not involving the brain--Mastoid process--Orbit--Globe of the eye--Nose--Malar bone--Upper jaw--Mandible--Wounds of the neck--Wounds of the pharynx, larynx, and trachea 241 CHAPTER VIII INJURIES TO THE VERTEBRAL COLUMN AND SPINAL CORD