Rifle—Plate 29.

UPPER EXTREMITY.
Gunshot Fracture of the Lower End of the Radius.

The course of the bullet in long range was diagonally anteroposterior through the ulnar side of the lower end of the bone, with the wound of entrance on the anterior and the wound of exit on the posterior aspect of the wrist. The wound of exit was slightly lacerated by several small fragments driven off from the ulnar side of the radius. These fragments were removed through an incision before the radiograph was made.

The emergency treatment of such cases is only antiseptic dressing and splint immobilization.

When wound is aseptic or after it has closed, a secondary operation for coaptation, with proper facilities available, might be indicated.

The results as to full restoration of joint function are not favorable.

Plate 30.