174 , Injuries of Bone. 



3.366. United Gunshot Fracture of the Tibia.— Left tibia 



and fibula — macerated, showing the above. 



The man was wounded in the American War (of Independence) 

 and died in the Middlesex Hospital." 



The lower end of the upper fragment of the tibia has been 

 tilted outwards and backwards. There is much callus at the 

 seat of injury, and a bar of new bone unites the fibula to the 

 tibia. There is considerable irregularity of the head of the 

 fibula. B. C. XVII. 34. 



3. 367. Old-standing" Gunshot Fracture of the Fibula, 



followed by Tuberculosis. — Lower half of a left tibia and 

 fibula, with the foot partially macerated and dried, to show 

 the above. 



" The leg at last fell into the state of a scrofulous joint, and was 

 amputated." 



The fibula has evidently been broken two or three inches 

 above the ankle, and has been united by a bar of new bone. 

 The front of the lower fragment is somewhat opened out and 

 carious. The shafts of the tibia and fibula above the seat of 

 fracture show very little deposit of new bone. 



B. C. XVII. 35. 



3. 368. Old-standing" Gunshot Fracture of the Fibula, 

 followed by Tuberculosis.— Oil painting by Sir Charles Bell 

 of the leg and foot from which the foregoing specimen was 

 taken. 



The ulcer was considered scrofulous. There was also con- 

 siderable swelling of the leg in the neighbourhood. 



B. C. XVII. 36. 



3. 369. Gunshot Fracture of the Tarsus. — Astragalus, greater 



part of OS calcis, and portion of the first metatarsal bone — 

 macerated, showing the above. 



