Gunshot Roentgenograms / A Collection of Roentgenograms Taken in Constantinople During the Turko-Balkan War, 1912-1913, Illustrating Some Gunshot Wounds in the Turkish Army

by Clyde S. Ford

LOWER EXTREMITY.
Gunshot Fracture of the Left Tibia,
with Lodgment of the Missile.

The course of the ball was from without and behind, ranging upward and inward, striking the tibia on the outer border, and causing a splitting fracture without displacement of fragments. The missile was most probably deformed by ricochet before it struck the bone, as there is too little bone injury to account for the spattering and wide distribution of the fragments by the direct impact of an undeformed ball. Two metallic fragments lying over the fibula were probably additional missiles detached from the ball as it ricocheted near the wound.

The treatment in such cases would be conservative, while meeting the indications of infection.

Plate 142.

Shrapnel—Plate 142.

LOWER EXTREMITY.
Gunshot Fracture of the Left Fibula,
with Lodgment of the Missile.

This plate furnishes another example of the fragmentation of a shrapnel ball by ricochet on a near-by object before striking the body.

A slight fracture of the fibula is seen (at the top of the plate) with the lodgment of multiple missiles over a wide area, without other injury to the bones.