Gunshot injuries : how they are inflicted : their complications and treatment . d by the shortest route, inflicting a minimumamount of injury. (Figures 130 and 131.) Long oblique tracks throughthe bones are attended with more traumatism and greater liability toinfection as in the case of the long narrow grooves seen in shots whichgutter the joint ends. The tendency to the development of infectionin all joint wounds is measured by the size of the wounds of entranceand exit in the skin and the degree of traumatism in the structuresentering into the formation of the joint. It is obvious from this
Gunshot injuries : how they are inflicted : their complications and treatment . d by the shortest route, inflicting a minimumamount of injury. (Figures 130 and 131.) Long oblique tracks throughthe bones are attended with more traumatism and greater liability toinfection as in the case of the long narrow grooves seen in shots whichgutter the joint ends. The tendency to the development of infectionin all joint wounds is measured by the size of the wounds of entranceand exit in the skin and the degree of traumatism in the structuresentering into the formation of the joint. It is obvious from thisstatement that the amount of infection is largely dependent upon thesectional area of the bullet. Perforations of the articular ends of 324 GUNSHOT WOUNDS bone by the armored bullets are generally clean cut without Assuringor splintering. In cases where the track of the bullet is near the sur-face of the bone, Assuring into the joint may occur, but these casessimulate those described under the Lesions of Joints Marked by Groov-ing, etc., and they are correspondingly Fig. 130.—Radiographs of left knee, showing lateral and postero-anterior view of left kneein the case of Pvt. Ernest Knowles, Co. D, 21st U. S. Inf., wounded in Philippine InsurrectionOct. 28, 1899, by a ricochet .45 cal. brass-jacketed Remington bullet. The ball entered externalsurface of thigh about its middle and passing perpendicularly through osseous structures of knee-joint, it lodged in the head of tibia from which it was removed by the author in May, 1900. A shotobliquely or transversely disposed through the joint by such a large missile would have caused muchdestruction of bone with a less happy result. Remote effects: Some stiffness and pain in knee whichdisappeared partially after the bullet was removed. The photograph of bullet appears in Fig. S. Soldiers Home X-ray Laboratory. Dr. A. B. Herrick, X-rayist. (5) Comminution of the Articular Ends of Bones.—Extensive trau-matism of joint
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Keywords: ., bookcentury1900, bookdecade1910, booksu, booksubjectgunshotwounds
