The sharp holder of the greater sigmoid cavity and the head of the radius fully obscured by the coracoid process indicate, that in this exposure, the ulnar side of the arm was next to the plate.

With this condition and the enlarged shadow of the ball, the latter must lie a little distance away from the plate, and, actually, on the radial side of the humerus.

The position of the ball in the anteroposterior line is manifest, and its position confirms the deductions made therefrom in the preceding [plate (98)].

Plate 100.

Shrapnel—Plate 100.

UPPER EXTREMITY.
Gunshot Fracture of the Elbow.

The primary condition of this wound is not manifest from the appearance of the plate, which reveals only a destruction of the joint by fracture and an advanced stage of infection, involving the fragments and lower end of the shaft of the humerus, as indicated by the rarefaction of these parts.

Several fragments of the missile are in evidence; it is probable that others have escaped with drainage.