The course of the bullet was from before backward and upward through the deltoid to the anterior surface of the head of the humerus.
The missile is not the conventional shrapnel ball, which is spherical and about one-half inch in diameter, for the shadow shows a larger axis in one direction with parallel sides, too symmetrical to be attributed to deformation. The ballistic conditions are those of shrapnel.
The missile struck the bone an inch or two below the point of lodgment. Its path is shown by particles of metal.
Pain or interference with function would be cause for interference in subsequent treatment, which otherwise would be expectant.
Plate 85.
Shrapnel—Plate 85.
UPPER EXTREMITY.
Gunshot Wound of the Shoulder,
with Lodgment of the Missile.
The missile lies behind the head of the humerus, under conditions similar to the cases shown in plates [83] and [84].