



Produced by Brian Coe, Paul Marshall and the Online
Distributed Proofreading Team at http://www.pgdp.net (This
file was produced from images generously made available
by The Internet Archive/American Libraries.)







Transcriber's Note:
  Underscores “_” before and after a word or phrase indicate
    _italics_  in the original text.
  Small capitals have been converted to SOLID capitals.
  Old or antiquated spellings have been preserved.
  On Pg 173, the reference to “plate No. 81” was corrected to
   “plate No. 80”.
  On Pg 181, the references to “plates 85 and 86” was corrected to
    “plates 83 and 84”.




      WAR DEPARTMENT :: OFFICE OF THE SURGEON GENERAL
                        BULLETIN No. 9
                        OCTOBER, 1915


                    GUNSHOT ROENTGENOGRAMS

             A COLLECTION OF ROENTGENOGRAMS TAKEN IN
              CONSTANTINOPLE DURING THE TURKO-BALKAN
                   WAR, 1912-1913, ILLUSTRATING
                    SOME GUNSHOT WOUNDS IN THE
                           TURKISH ARMY


                               BY
                          CLYDE S. FORD
                       Major, Medical Corps


              PUBLISHED BY AUTHORITY OF THE ACT OF
              CONGRESS APPROVED MARCH 3, 1915, AND
              WITH THE APPROVAL OF THE SECRETARY OF
                   WAR, FOR THE INFORMATION OF
                         MEDICAL OFFICERS

                          [Illustration]

                            WASHINGTON
                   GOVERNMENT PRINTING OFFICE
                              1916




                    TABLE OF ILLUSTRATIONS.

                        RIFLE WOUNDS.

                            HEAD.

                                                              Page.
 PLATE 1. Gunshot fracture, skull, lodgment of missile          12
       2. Gunshot fracture, head, lodgment of missile           14
       3. Gunshot fracture, lower jaw, ramus                    16
       4. Gunshot fracture, lower jaw, ramus                    18
       5. Gunshot fracture, lower jaw, body                     20

                       SPINAL REGION.

       6. Gunshot wound, spinal region, lodgment of missile     22
       7. Gunshot wound, spinal region, lodgment of missile     24

                      UPPER EXTREMITY.

       8. Gunshot fracture, humerus                             26
       9. Gunshot fracture, humerus, lodgment of missile        28
      10. Gunshot fracture, humerus, lodgment of missile        30
      11. Gunshot fracture, humerus                             32
      12. Gunshot fracture, humerus                             34
      13. Gunshot fracture, humerus                             36
      14. Gunshot fracture, humerus, lodgment of missile        38
      15. Gunshot fracture, humerus, external condyle           40
      16. Gunshot fracture (_a_) humerus, (_b_) ulna            42
      17. Gunshot fracture, elbow                               44
      18. Gunshot fracture, elbow                               46
      19. Gunshot fracture, elbow                               48
      20. Gunshot fracture, elbow                               50
      21. Gunshot fracture, radius and ulna                     52
      22. Gunshot fracture, radius and ulna                     54
      23. Gunshot fracture, radius and ulna                     56
      24. Gunshot fracture, radius and ulna                     58
      25. Gunshot fracture, radius                              60
      26. Gunshot fracture, radius                              62
      27. Gunshot fracture, radius                              64
      28. Gunshot fracture, radius                              66
      29. Gunshot fracture, radius, lower end                   68
      30. Gunshot fracture, radius, lower end                   70
      31. Gunshot fracture, radius, lower end                   72
      32. Gunshot fracture, ulna                                74
      33. Gunshot fracture, ulna                                76
      34. Gunshot fracture, ulna                                78
      35. Gunshot fracture, ulna                                80
      36. Gunshot fracture, ulna                                82
      37. Gunshot fracture, ulna                                84
      38. Gunshot fracture, ulna                                86
      39. Gunshot fracture, ulna                                88
      40. Gunshot fracture, ulna                                90
      41. Gunshot fracture, wrist                               92
      42. Gunshot fracture, wrist                               94
      43. Gunshot fracture, metacarpus                          96
      44. Gunshot fracture, phalanx                             98

                           CHEST.

      45. Gunshot wound, chest                                 100

                           PELVIS.

      46. Gunshot wound, pelvis                                102

                      LOWER EXTREMITY.

      47. Gunshot wound, gluteal region                        104
      48. Gunshot wound, thigh                                 106
      49. Gunshot wound, thigh                                 108
      50. Gunshot wound, thigh                                 110
      51. Gunshot wound, thigh                                 112
      52. Gunshot fracture, femur                              114
      53. Gunshot fracture, femur                              116
      54. Gunshot fracture, femur                              118
      55. Gunshot fracture, femur                              120
      56. Gunshot fracture, femur                              122
      57. Gunshot fracture, femur                              124
      58. Gunshot fracture, femur                              126
      59. Gunshot wound, knee                                  128
      60. Gunshot fracture, tibia and fibula                   130
      61. Gunshot fracture, tibia and fibula                   132
      62. Gunshot fracture, tibia                              134
      63. Gunshot fracture, tibia                              136
      64. Gunshot fracture, tibia                              138
      65. Gunshot fracture, tibia                              140
      66. Gunshot fracture, tibia                              142
      67. Gunshot fracture, tibia                              144
      68. Gunshot fracture, tibia                              146
      69. Gunshot fracture, tibia                              148
      70. Gunshot fracture, tibia                              150
      71. Gunshot fracture, fibula                             152
      72. Gunshot fracture, ankle                              154
      73. Gunshot wound, heel                                  156
      74. Gunshot wound, heel                                  158

                       SHRAPNEL WOUNDS.

                            HEAD.

      75. Gunshot fracture, vertex                             160
      76. Gunshot fracture, vertex                             162
      77. Gunshot fracture, zygoma                             164
      78. Gunshot fracture, mastoid process                    166
      79. Gunshot fracture, maxilla                            168
      80. Gunshot fracture, supra-orbital                      170
      81. Gunshot fracture, supra-orbital                      172
      82. Gunshot wound, shoulder                              174
      83. Gunshot wound, shoulder                              176
      84. Gunshot wound, shoulder                              178
      85. Gunshot wound, shoulder                              180
      86. Gunshot fracture, clavicle                           182
      87. Gunshot fracture, humerus                            184
      88. Gunshot fracture, humerus                            186
      89. Gunshot fracture, humerus                            188
      90. Gunshot fracture, humerus                            190
      91. Gunshot fracture, humerus                            192
      92. Gunshot fracture, humerus                            194
      93. Gunshot fracture, humerus                            196
      94. Gunshot fracture, humerus                            198
      95. Gunshot fracture, humerus                            200
      96. Gunshot fracture, humerus and elbow                  202
      97. Gunshot fracture, elbow                              204
      98. Gunshot fracture, elbow                              206
      99. Gunshot fracture, elbow                              208
     100. Gunshot fracture, elbow                              210
     101. Gunshot fracture, radius and ulna                    212
     102. Gunshot fracture, radius                             214
     103. Gunshot fracture, radius                             216
     104. Gunshot fracture, ulna                               218
     105. Gunshot fracture, metacarpus                         220
     106. Gunshot fracture, metacarpus                         222
     107. Gunshot fracture, metacarpus                         224
     108. Gunshot wound, hand                                  226
     109. Gunshot wound, multiple, hand and forearm            228

                           CHEST.

     110. Gunshot wound, chest                                 230
     111. Gunshot wound, chest                                 232
     112. Gunshot wound, chest                                 234
     113. Gunshot wound, chest                                 236
     114. Gunshot wound, chest                                 238

                           PELVIS.

     115. Gunshot fracture, ilium                              240

                      LOWER EXTREMITY.

     116. Gunshot wound, thigh                                 242
     117. Gunshot wound, thigh                                 244
     118. Gunshot wound, thigh                                 246
     119. Gunshot wound, femur                                 248
     120. Gunshot wound, femur                                 250
     121. Gunshot wound, femur                                 252
     122. Gunshot wound, femur                                 254
     123. Gunshot wound, femur                                 256
     124. Gunshot wound, femur                                 258
     125. Gunshot wound, femur                                 260
     126. Gunshot wound, femur                                 262
     127. Gunshot wound, femur                                 264
     128. Gunshot wound, knee                                  266
     129. Gunshot wound, knee                                  268
     130. Gunshot wound, knee                                  270
     131. Gunshot wound, knee                                  272
     132. Gunshot wound, knee                                  274
     133. Gunshot wound, knee                                  276
     134. Gunshot wound, knee                                  278
     135. Gunshot wound, leg                                   280
     136. Gunshot wound, leg                                   282
     137. Gunshot fracture, tibia and fibula                   284
     138. Gunshot fracture, tibia and fibula                   286
     139. Gunshot fracture, tibia and fibula                   288
     140. Gunshot fracture, tibia and fibula                   290
     141. Gunshot fracture, tibia                              292
     142. Gunshot fracture, fibula                             294
     143. Gunshot fracture, fibula                             296
     144. Gunshot fracture, fibula                             298
     145. Gunshot fracture, fibula                             300
     146. Gunshot fracture, fibula                             302
     147. Gunshot fracture, fibula                             304
     148. Gunshot fracture, “Pott’s”                           306
     149. Gunshot wound, multiple, leg                         308
     150. Gunshot fracture, astragalus                         310
     151. Gunshot fracture, calcaneus                          312
     152. Gunshot wound, heel                                  314
     153. Gunshot wound, heel                                  316
     154. Gunshot wound, foot                                  318
     155. Gunshot wound, foot                                  320
     156. Gunshot wound, foot, multiple                        322

               OPERATIVE INTERFERENCE, GUNSHOT WOUNDS.

     157. Gunshot fracture, humerus                            324
     158. Gunshot fracture, ulna                               326
     159. Gunshot fracture, radius and ulna                    328
     160. Gunshot fracture, tibia and fibula                   330
     161. Amputation, knee                                     332
     162. Excision, head of humerus                            334




INTRODUCTION


These roentgenograms are not presented as exhibiting a state of
perfection in the art or method by which they were produced, although
they show the results of some of the best and most modern apparatus of
Europe employed in the hands of very skillful operators. Some plates
are included which are indistinct and generally so unsatisfactory from
a technical viewpoint as to be of little interest, if all of them
were not intended to show the general character of the diagnostic
assistance that the roentgenologist rendered the military