168 Injuries of Bone. 



This piece shows the bony anchylosis between the patella 

 and the femur, and a depression in the bone which formed the 

 bed of the bullet. B. C. xvii, 38. a. 



3. 350. Bullet lodged in the Condyles of the Femur.— 



Popliteal nerves, with adjacent muscle and lymphatic gland, 

 from the same case as the foregoing. 



Minute globules of mercury can be recognised on the section 

 of the lymphatic gland and in the surrounding tissue. There is 

 great matting of fibrous tissue round the nerves. 



B. C. XVII. 39. 



3, 351. Bayonet Wound of the Lower End of a Femur.— 



Lower end of a right femur — macerated, showing the above. 



The bayonet wound was received at Waterloo. The leg was 

 shattered, and required amputation above the knee. 



" Although, in this case, the question of amputation was 

 decided by the shattered condition of the bones of the leg, the 

 wound in the head of the femur {sic) is interesting to us, as being 

 that which, although apparently slight, is attended with the 

 most serious consequences. The wound is on that part of the 

 bone, which implies that the point of the bayonet has penetrated 

 the capsule of the joint. It was, in short, a punctured Avound, 

 which, if inflammation be not prevented, may be followed, as 

 in the present instance, by suppuration within the joint " 

 (Sir Charles Bell). [Instead of " inflammation," we would now 

 say " sepsis."— C. W. C] 



There is an indentation by the bayonet on the side of the 

 inner condyle. B. C. xvii. 37. 



3. 352. Bullet Wound of the Head of the Tibia.— Upper 



half of a right tibia — macerated, showing the above. The 

 round bullet which lodged at the back has been wired in 

 position. 



The wound was received at Corunna. 



