Drainage tubes are seen in the lower arm and upper forearm. The primary conservative treatment has been continued through two or three months.
The case is from Gulhané Military Hospital, where the scientific character of surgical service already referred to must lead to the inference that all the surgical indications have been met in the management of the case.
Plate 101.
Shrapnel—Plate 101.
UPPER EXTREMITY.
Gunshot Fracture of the Left Radius and Ulna,
with Lodgment of the Missile.
The course of the missile was from within outward, striking the ulna a glancing blow just above the styloid process, fracturing the anterior surface, and then striking the internal border of the radius and causing a slight notching fracture with a longitudinal fissure.
The forearm lies in supination, with its posterior surface next to the plate. As the outline of the missile, as well as of the bone, is blurred, there is not enough differentiation in the shadows to indicate the anterior or posterior location of the missile with reference to the radius.
The shrapnel ball struck the bone with low velocity, as all of its remaining energy, absorbed by the two small bones, caused little damage and practically no displacement of fragments. The wound was not infected.