PELVIS.

Plate 115.

Shrapnel—Plate 115.

PELVIS.
Gunshot Fracture of the Crest of the Right Ilium,
with Lodgment of the Missile.

As the wound was received while the soldier was lying prone, the course of the missile in the body was from above downward, striking the crest of the ilium, on which it was fragmented, and trailing its fragments as far down as the great trochanter. The injury to the ilium was a crushing fracture, with the displacement of small fragments from the antero-superior spine.

As the sacrum was next to the photographic plate, the missile, judging from its indistinct shadow, lies farther from the plate and in front of the bone. The relative distinctness of the large fragment seen on the wing of the ilium indicates its probable position to be on the outside of the ilium.

The trail of the smaller metal fragments lies between the antero-superior spine and the great trochanter, anterior to the plane of the femur.

The treatment in such cases is always conservative.