UPPER EXTREMITY.
Gunshot Wound of the Right Elbow.
The course of the missile was superficial, downward and outward from above the internal condyle of the right humerus to the wound of exit over the internal border of the ulna. Metal fragments of the missile have lodged against the tip of the olecranum, with no fracture and with no damage to the joint. The low velocity of the missile, producing so slight a bone injury and the track of lead particles along the line of contact with the bones determines it to have been a shrapnel ball.
The wound was not infected.
The treatment in such cases is naturally conservative and the results are very favorable.
Plate 98.
Shrapnel—Plate 98.
UPPER EXTREMITY.
Gunshot Fracture of the Right Elbow,
with Lodgment of the Missile.
The course of the ball was from before backward, striking the lower end of the humerus squarely above and internal to the external condyle and splitting off the condyles with a line of fracture extending through the capitellum, without much separation of the fragment.