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
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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
The deformity found in fig. 32 I met with both in retained bullets and
also in those which had been fired into sand or anthills. The particular
specimen figured was removed from the thigh of a patient wounded at the
battle of Belmont. An irregular entry wound was situated over the
internal tuberosity of the tibia, while a large fluctuating haematoma
existed in the lower third of the thigh, at the upper part of which a
hard elongated body was palpable. As was so often the case with internal
haemorrhages, the patient's temperature rose high, and on the third day
the haematoma was incised by Major Coutts, R.A.M.C. The core of the
bullet was then found in the blood cavity near the surface, but on
introduction of the finger a second body was discovered entangled in the
quadriceps muscle, and this proved to be the tattered mantle. I saw
similar deformity produced within the body by a bullet, which, entering
by a small type aperture in the left ala of the nose, struck the margin
of the right malar bone, and lodged beneath the latter. The similarity
of this bullet to that seen in the ricochet in fig. 32 was exact. The
form is of great importance both on account of the degree of laceration
it effects in the track, the presence of two foreign bodies in the
wound, and from the fact that it can be produced by making the bullet
travel through sand or antheaps, since both the former in the shape of
sandbags and the latter in their natural state so often formed the cover
to men during the campaign. Bullets of 6.5 mm., such as the
Krag-Joergensen, with steel envelopes apparently break up with great ease
in sand.
Fig. 33 shows a form not uncommon when the bullet comes into contact
with the ribs. It is produced in bullets travelling at a low rate of
velocity and striking by their side. I several times met with it when
the bullet was retained, and also without fracture of the rib. In some
variety it might occur after impact with any narrow margin of bone, and
some importance attaches to the form, since it affords evidence as to
the ease with which alterations in symmetry can be produced in Mauser
bullets. Again its bent outline favours deviation in the further course
of the bullet subsequent to impact with the bone, a result which I
observed on more than one occasion.
[Illustration: FIG. 33.--Grooved Mauser removed from anterior abdominal
wall after crossing the ribs. I saw several such removed from the
thoracic wall, and am inclined to attribute the grooving to impact with
the margin of the ribs]
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