Excerpt from Surgery, Vol. 8: Its Principles and Practice; With 657 Illustrations, 12 of Them in Colors
During the Great War injuries to muscles were of special im' portance because it was in them that the dreaded gas gangrene most commonly developed. Soon after injury the course of a projectile (especially a fragment of shell) through a muscle was recognized not only by the laceration, but by the cooked appearance of the injured tissues, and by the failure of the involved muscle to contract on stimula tion by the scissors or knife during debridement. Foreign bodies, such as projectiles, stones, clothing, etc., were usually present except in simple through-and-through wounds from riﬂe bullets.
Bashford1 found that around the track of the projectile there was merely a narrow zone Of dead. And disintegrated muscle Which was healthy except that the fibers close to those killed showed an increased distinctness of the longitudinal and a lessening of the transverse stria tions. There was also some localized proliferation of the sarcolemma nuclei.
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