98 Injuries of Bone. 



3. 149. Gunshot Fracture of the Upper End of the 



Humerus.— Right humerus — macerated, showing the above. 



Sir Charles Bell says : " I received a man who had got a musket shot 

 through his shoulder at Brussels. The bones were shattered, and I resolved 

 to make a free incision, and saw off the head of the humerus. I had pro- 

 ceeded so far as to extract the fractured portions, when I was called upon 

 to consult by two inspecting surgeons who had that moment come into 

 the room. They induced me to amputate at the shoulder joint, which I 

 regretted, as it Avas against my own principles." 



The bullet has split off a fragment, carrying the upper 

 end of the bicipital groove, the lesser tuberosity, and the 

 front of the greater tuberosity, and has thus freely exposed 

 the cancellous texture at the back of the bone. 



B. C. XVII. 20. 



3. 150. Gunshot Fracture of Acromion Process.— Portions 



of the acromion process of a right scapula — macerated. 



The portions are those which were extracted before amputa- 

 tion of the arm, the humerus of which forms the foregoing 

 preparation. B. C. xvii. 19. 



3. 151. Excision of the Head of the Humerus for Gun- 

 shot Injury. — Plaster cast of the right arm and half of the 

 neck and thorax of a soldier, on whom the above operation 

 had been successfully performed. 



Sir Charles Bell says : " This is the cast of the shoulder of a 

 soldier who had suffered that operation, which I proposed as a substitute 

 for the amputation of the shoulder joint. He had received a ball in the 

 head of the humerus. The surgeon, instead of amputating, as in the 

 former instances, made a free incision, and sawed off the shattered bit of 

 bone. This was after my observations made at lecture and in publica- 

 tions. The surgeon, Mr , brought this cast here to Windmill 



Street, on his return from America, and presented it to me as a practical 

 example of the correctness of my doctrine. He afterwards communicated 

 it to others." 



B. C. XVII. 23. 



