96 Injuries of Bone. 



3. 143. Compound Comminuted Fracture of the Hand 



and Forearm. — Shattered portions of the bones of the hand 

 and forearm of a woman — macerated and mounted on a board 

 to illustrate the above. 



The arm was crushed by machinery, and was amputated at the 

 shoulder but twenty-four hours after the accident. Suppuration set in, 

 and extended below the pectoralis major and latissimus dorsi, and the 



patient died. 



G. C. 1225. 



Presented by Dr John Campbell, F.R.C.S.E., 1828. 



GUNSHOT FRACTURES OF THE BONES OF THE UPPER LIMB. 



3. 144. Gunshot Fracture of the Clavicle and Scapula.— 



Right scapula and outer part of clavicle — macerated, showing a 

 bullet lodged in the supra-spinatus fossa, after having 

 penetrated from the front. 



" The musket ball is lodged in the back of the scapula. This I took 



from the body of Captain . The ball entered in the breast, broke 



the end of the clavicle, entered the chest, and went across the lungs, 

 broke a rib upon the back part, stuck in the scapula, the spent ball 

 being nearly divided in two by the spine of the scapula. I was present 

 when he was brought ashore at Portsmouth in a very exhausted condition, 

 and labouring in his breathing. He died the next day, which was the 

 12th from his receiving the wound. On opening the body I was 

 astonished at finding the quantity of serum which poured out from the 

 chest, as out of a barrel. The lungs were condensed and gorged with 

 blood. He would have been much relieved by the operation of 

 Paracentesis." See "Operative Surgery," 2nd edition, in the description 

 of Plates IV. and XIII. 



The spine and adjacent parts of the scapula have been 

 splintered by the bullet. Its extraction would have been 

 attended Avith great difficulty from its having a dumb-bell 

 shape, with the neck lying in the aperture in the bone, and 

 each end larger than the aperture. The sternal end of the 

 clavicle has been splintered off. B. C. xvii. 17. 



3. 145. Gunshot Wound of the Chest and Scapula.— Oil 



