Johnson, P. a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d2e6259 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: Kenneth M. Price AJ Howell 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 21883141 Medical and Surgical History of the War of the Rebellion wounds and injuries of the lower extremities wounds and injuries of the hip joint shot fractures at the hip joint amputations at the hip joint coxo-femoral amputations intermediary amputations entire limb gangrenous ball entered upper part of thigh in front, passed out at nates ball divided femoral artery and perforated great trochanter oblique shot perforation through great trochanter radiating fissures separate trochanter and neck into four fragments, run obliquely down femoral shaft periostitis general anesthesia, ether femoral artery divided by missile blessed added figure encoding additional proofing of transcription and encoding, identified keyword terms case text extracted and transformed from larger file Enrich Encoding, Edit and validate Validated File Sarah Synovec initial checking of OCR text; encoded P5 Encoding

CASE 306.—Private P. Johnson, Co. C, 2d Delaware, was wounded at the battle of Fredericksburg, December 14, 1862 by a conoidal musket ball, which entered the upper part of the right thigh in front and passed out at the nates, having in its course divided the femoral artery and perforated the great trochanter. Except that the primary hæmorrhage was slight, little is known of the early history of the case. On December 25th the wounded man was conveyed to Washington and placed in the Douglas Hospital. On admission, nearly the entire injured limb was gangrenous, and it was believed that the fracture extended into the hip joint. Surgeon P. Pineo, U. S. V., decided to amputate at the hip joint, "with no hope of a favorable result, but to mitigate patient's distress in the last moments of life." On December 27th, anæsthesia being induced by ether, the operation was performed. The patient survived it only a few hours. The pathological specimen was sent to the Army Medical Museum. It presents an oblique shot perforation through the great trochanter, with radiating fissures which separate the trochanter and neck in four large fragments and run obliquely down the shaft. Traces of the results of periostitis are visible along the outer aspect of the shaft.¹

¹ See Circular 6, S. G. O., 1865, p. 50., CASE 10; Catalogue of the Surg. Sect. of the Army Medical Museum, 4to, 1866, p. 248; Circular 7, S. G. O., 1867, pp. 35 and 62.

FIG. 95.—Shot perforation of trochanter of right femur. Spec. 710.