File:A practical treatise on fractures and dislocations (1912) (14804545863).jpg

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Identifier: practicalt00stim (find matches)
Title: A practical treatise on fractures and dislocations
Year: 1912 (1910s)
Authors: Stimson, Lewis Atterbury, 1844-1917
Subjects: Fractures Dislocations
Publisher: New York, Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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he opposite side (Delorme, Fig. 16) ; if its speed is slightlygreater, and especially if it strikes the spongy end of the bone, it causesa depression of the surface only ; if the ball is large and its velocitylow, and the point struck is near the centre of the shaft, a transversefracture or an oblique one may be produced. At higher velocities thebone is perforated, with more or less splintering and Assuring, or theentire cylinder for a length of one or two inches is split into small frag-ments which are driven far into the surrounding tissues. With thelatter may be associated extensive lacerations of the soft parts on thedistal side. In other cases the bone is fissured or split into large frag-ments on eacli side. A bullet striking close to the side of tlie shaftmay cause an oblique fracture. Figs. 18 to 24 represent specimens obtained experimentally by Col.La Garde, of the Army Medical College, Washington, using modernweapons of .30 and .38 calibre and giving high velocities. PLATE i
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Fracture of Radius by Small Bullet of High Velocity enteringat the Hand and emerging at the Elbow/ PATHOLOGY. 35. Occasionally the bone may be simply perforated or notched, and thenbroken by the subsequent use of the limb. I have seen t\v(^ sucii cases:in one the patient was shot by a policeman, and as he ran away thefemur broke at the point where it had been perforated; he died of tet-anus. In the other, fracture of the leg, the same sequence was ob-served, but the patient survived, and the exact character of the injurycaused by the bullet remained unknown. In the case shown in Plate I., in which the ball entered between thefingers and emerged above the elbow after extensively splintering thelower half of the radius, the skin of the forearm was torn longitudin-ally in several places, apparently by the distending effect of the l)all. Fig. 18. Fig. 19.

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Author Stimson, Lewis Atterbury, 1844-1917
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Flickr tags
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  • bookid:practicalt00stim
  • bookyear:1912
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Stimson__Lewis_Atterbury__1844_1917
  • booksubject:Fractures
  • booksubject:Dislocations
  • bookpublisher:New_York__Philadelphia__Lea___Febiger
  • bookcontributor:The_Library_of_Congress
  • booksponsor:The_Library_of_Congress
  • bookleafnumber:44
  • bookcollection:library_of_congress
  • bookcollection:americana
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30 July 2014
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