Shrapnel—Plate 139.
LOWER EXTREMITY.
Gunshot Fracture of the Right Tibia and Fibula.
The course of the missile was from within outward and from before backward, striking both the fibula and the tibia, with fragmentation and displacement of both bones.
The fibula lay next to the plate, as indicated by its distinct normal shadow and the exaggerated outline of the internal malleolus.
The trail of metal fragments is typical of a shrapnel ball with the energy of high shrapnel velocity, but any lead missile without a protective jacket, under like conditions, might have produced the same effect.
The treatment is conservative until some positive indication arising in the course of an infection directs interference.
Plate 140.
