Tarrance, D. M. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e23698 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey Sarah Synovec The Medical and Surgical History of the War of the Rebellion. (1861-65.)Washington, DCGovernment Printing OfficePart 3Volume 21883619 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities wounds and operations in the foot shot wounds of the bones of the foot shot fractures of the bones of the foot shot fractures of the bones of the foot treated by conservation shot fracture of the os calcis ball entered outside of tendo-achillis, passed through os calcis and fractured bone, emerged at inner margin of sole of foot pus discharged from wounds, symptoms of necrosed bone present diseased bone removed additional proofing of transcription and encoding, identified keyword terms case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File initial checking of OCR text; encoded P5 Encoding

CASE 892.—Shot fracture of the os calcis.—Sergeant D. M. Tarrance, Co. B, 1st Pennsylvania Cavalry, aged 24 years, was wounded in the right foot, at United States Ford, May 25, 1863, and entered Harewood Hospital, Washington, three weeks afterwards. On September 29th the patient was transferred to Mower Hospital, Philadelphia. Surgeon J. Hopkinson, U. S. V., reported: "The patient was wounded by a ball entering outside of the tendo-achillis, passing downward, forward and inward through the os calcis, fracturing the bone, and emerging at the inner margin of the sole of the foot. The heel became very much swollen and painful and pus continued to discharge from both the wound of entrance and exit, all the symptoms of necrosed bone being present. Flaxseed poultices were applied; iron and quinine with wine was administered. On December 1st, another examination having been made, it was decided to cut down and remove the diseased bone, and a crucial incision was made along the internal aspect of the bone, its length parallel with the axis of the bone being three and a half inches, in the opposite direction two and a half inches. The loose pieces were then removed and the necrosed bone was scraped with the gouge, after which the wound was closed with sutures and cold-water dressings were applied. The operation was performed by Acting Assistant Surgeon J. H. Jamar, the patient being in good general condition at the time. He did well afterwards. Small fragments of bone exfoliated and were removed at different intervals. By January 20, 1864, the wound was healing kindly and the patient was allowed to go to his home. About the end of February the wound had healed with the exception of a small point, and the patient dispensed with his crutches and used a cane. He was discharged from service July 8, 1864." Examining Surgeon W. Jewell, of Philadelphia, certified to the injury April 7, 1866, and described the wound as still suppurating. The pensioner was paid March 4, 1871.