UPPER EXTREMITY.
Gunshot Fracture of the Left Ulna.

The course of the bullet was transverse through the middle of the forearm, striking the posterior border of the ulna.

Small fragments were broken from the posterior wall of the medullary canal, without destroying the longitudinal continuity of the anterior wall.

The velocity of the bullet was probably that of mid-range, as the striking energy of the impact was fairly great.

The posterior surface of the forearm lay next to the plate.

The emergency treatment is antiseptic dressing and splint immobilization.

The subsequent treatment is that of a simple fracture, as infection is not usual.

Plate 39.