Shrapnel—Plate 88.
UPPER EXTREMITY.
Gunshot Fracture of the Humerus,
with Lodgment of the Missile.
The missile struck the shaft of the humerus from an anterior and external direction and caused a long diagonal splitting fracture with fragmentation, in which the bone absorbed all of the energy of the missile at the seat of fracture. The missile lies in the anterior surface of the humerus, in two fragments; the smaller, much less distinct, is seen about an inch above the larger.
The wound is not infected, and convalescence is well established, as is indicated by the callous formation, with overlapping of the fragments.
The treatment in such cases is conservative and the results are favorable.
Plate 89.
Shrapnel—Plate 89.