RT Journal A1 BLAKE JA T1 TReatment of gunshot fractures JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1919 FD September 6 VO 73 IS 10 SP 748 OP 750 DO 10.1001/jama.1919.02610360018004 UL http://dx.doi.org/10.1001/jama.1919.02610360018004 AB 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