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ARTICLE | September 6, 1919

TREATMENT OF GUNSHOT FRACTURES

JOSEPH A. BLAKE, M.D.

JAMA. 1919;73(10):748-750. doi:10.1001/jama.1919.02610360018004.

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ABSTRACT

The limits imposed on this paper demand the briefest statement of facts and the omission of theory.

A projectile, when producing a fracture, passes through the soft parts and strikes the bone:

It may then be arrested but deliver enough force to break the bone. Such fractures resemble the ordinary fracture produced by direct force. In such a case no foreign material is carried into the bone or marrow cavity, and such fractures are termed fractures by contact.
It may enter the bone and lodge, and produce either a hole (partial fracture) or a complete fracture with more or less shattering. Such fractures always contain foreign material. They are termed penetrating fractures.
It may pass through the bone and produce simply a hole or extensive shattering and comminution. In many instances, the velocity of the projectile is imparted to the fragments, which then lacerate or tear completely through the soft

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BLAKE JA. TREATMENT OF GUNSHOT FRACTURES. JAMA. 1919;73(10):748-750. doi:10.1001/jama.1919.02610360018004.

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