Wound of entrance, inner aspect of the hand over proximal end of the fifth metacarpal.

Wound of exit, on the outer border of the hand over the distal end of the second metacarpal.

The velocity of the bullet was in mid or long range, as it displaced no fragments, and as it made a point of entrance and exit about the same in appearance.

The wound was infected, which is more frequently the case in the hand than in the forearm.

The treatment is conservative with free incision and drainage in the management of infection.

Plate 44.

Rifle—Plate 44.

UPPER EXTREMITY.
Gunshot Fracture of the Third Phalanx.