Proceedings of the Annual Meeting Volume 3

Proceedings of the Annual Meeting Volume 3

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1894 edition. Excerpt: ...and with the relation which the latter bears as regards support and resistance to breaking strain to the surrounding structures. A small conical ball from an arm which has been fired at short range, and which still retains the greater part of its velocity upon reaching the bone, will, upon striking the latter at a line at right angles or nearly so to the plane of its surface, either bury itself into the bone, pass into the medullary cavity or make its way through the bone. A lacerated wound of the bony structure, or a penetrating or perforating wound of the medullary cavity or cancellous structure will result. A large missile, under the circumstances last mentioned, will produce a fracture if the impact is received upon the diaphysis of the bone. The fracture is usually more or less comminuted in extensive injuries, fissures extending longitudinally. The fragments become displaced, and, in addition to the functional disability resulting from extensive loss of bone, either through immediate removal at the hands of the surgeon or subsequent necrosis, dangers arising from fat embolism are to be apprehended. This is due to the large number of fat globules liberated from the medullary structure and displaced into the surrounding soft parts. The complications most to be dreaded in gunshot injuries relate to important vessels and nerves. While hemorrhage from vessels in the torn and lacerated muscular structure may be at first profuse, the irritability of the latter, producing involuntary contractions, together with the tendency on the part of the bruised and irregularly divided walls of the vessel to favor coagulation, leads to rather prompt arrest of the bleeding. Unless some vessel other than those located in the mass of muscle is wounded more

Product details

  • Paperback | 98 pages
  • 189 x 246 x 5mm | 191g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236616820
  • 9781236616821