Even though the missile has escaped, its identity can be creditably established by the one remaining, which, it is morally certain, was the escaped missile’s companion. These shrapnel particles again demonstrate that the metal deposits seen in other wounds can be identified as particles of lead scraped off from shrapnel balls in the contact of the latter with bones.

Plate 157.


OPERATIVE INTERFERENCE IN GUNSHOT WOUNDS.

In the 1,500 radiograph plates from which this collection was selected, only four were found showing operative interference for the repair of fractures.

While no data are available from which to determine accurately the ratio of these operations to the entire number of fracture cases under treatment, and as, most certainly, there were some formal amputations, excisions, immediate immobilization of fractures, and other operative procedures which were not submitted to radiography, it may nevertheless be justly inferred from this radiographic evidence that very few such operations were performed.

Operations—Plate 157.

Gunshot Fracture of the Humerus.