CASE 1875.—Private C. Siboh, Co. C, 11th Massachusetts, aged 28 years, was wounded at the Wilderness, May 6, 1864. Surgeon O. A. Judson, U. S. V., reported his admission to Carver Hospital, Washington, May 26th, with "gunshot fracture of right radius," and his transfer to Philadelphia on May 31st. Acting Assistant Surgeon H. M. Bellows reported, from Broad and Cherry Streets Hospital: "This patient was first admitted to this hospital, June 1st, with a compound gunshot fracture of right radius by a bullet, which entered the upper third of the radial side of the forearm, and, passing posteriorly upward and slightly outward, came out on the upper posterior part of the forearm, about one inch below the external condyle of the humerus. July 10th, several pieces of bone have come away from the wound. August 25th, patient transferred to Turner's Lane Hospital." Acting Assistant Surgeon C. Carter, from the latter hospital, reported: "Forearm fixed in a pronated position; wrist and fingers extended, but not fully, with little power of motion; large amount of callus at seat of wound, with apparent deformity; orifice two inches below flexure of elbow, over upper part of radius, discharging pus; dead bone felt with probe. August 28th, active and passive movements resorted to. September 6th, removed dead bone, a piece the size of a small finger nail, November 1st, wound still discharging; has gained slight motion in fingers, wrist, and supination. Continued active and passive motion." The patient was discharged December 12, 1864, and pensioned. Examiner Howell, of Aurora, June 4, 1873, certified: " * * * Rotary motion is entirely destroyed; necrosis of radius at point of exit of ball; arm swollen and painful; muscles of forearm and hand weak and partially paralyzed; hand entirely useless for manual labor." On July 7, 1875, he again reported: "Constant discharge of ichorous purulent matter, with occasional spiculæ of bone. Supination and pronation destroyed; atrophy of muscles of forearm and hand, rendering forearm and hand totally useless," etc. The pensioner was paid June 4, 1875.