History

APPENDIX D

Principal and Associated Wounds

A summary of the battle casualty deaths listed as to the site of theprincipal wound has already been presented in Chapter VII (p. 499). Considerablemore information is available for each case relating to the region of theprincipal wound and the presence of associated wounds in other body regions.These detailed data are presented in tables 1 and 2.

TABLE 1.-Distribution of associatedwounds as related to the region of the principal wound in Fifth U.S. Army hospital battle casualty deaths

¹Artery or venous sinus.
²Extracranial or extraspinal.
NOTE.-Key for abbreviation.

Abd (intra-abdominal)
Cran (intracranial)
ThAbd (thoracoabdominal)
Thor (intrathoracic)
LE,B (lower extremity, with bone involvement)
UnMW (unclassified, multiple wounds)
CoA&T (combined intra-abdominal and intrathoracic)
LE,S (lower extremity, soft tissue only)
Spin (intravertebral)
Cerv (cervical)
UE,B (upper extremity, with bone involvement)
MaxF (maxillofacial, with bone involvement)
UE,S (upper extremity, soft tissue only)
AbdW (abdominal wall)

Figures in parentheses are number of cases in each group.

809

TABLE 2.-Regional distribution ofprincipal and associated wounds, showing the number of cases exhibiting each¹in Fifth U.S. Army hospital battle casualty deaths

Region of associated wound	Principal wound	Associated wounds evident²	Total
Head:
Eye or orbit	---	25	25
Intracranial, known	297	60	357
Scalp (without known intracranial wound	---	27	27
Total	297	112	409
Face and jaws:
Bone and soft tissue	8	65	73
Eye or orbit	---	45	45
Soft tissue only	---	114	114
Total	8	224	232
Neck:
General (excluding spinal)	12	104	116
With carotid artery involved	7	2	9
With larynx or trachea involved	6	9	15
Total	25	115	140
Spinal cord or intravertebral nerves	27	85	112
Chest:
Chest wall only	---	86	86
Combined intra-abdominal and intrathoracic	18	8	26
Intrathoracic, known	138	94	232
Thoracoabdominal	121	5	126
Total	277	193	470
Abdomen:
Abdominal wall only	3	64	67
Combined intra-abdominal and intrathoracic	41	2	43
Intra-abdominal, known	408	20	428
Thoracoabdominal	91	2	93
Total	543	88	631
Upper extremity:
Soft tissue only	3	256	259
Soft tissue and artery	---	5	5
Soft tissue and artery and bone	---	11	11
Soft tissue and artery and bone and nerve	1	1	2
Soft tissue and artery and nerve	1	2	3
Soft tissue and bone	6	189	195
Soft tissue and bone and nerve	1	8	9
Soft tissue and nerve	---	3	3
Traumatic amputation	2	17	19
Total	14	492	506
Lower extremity:
Soft tissue only	17	316	333
Soft tissue and artery	12	12	24
Soft tissue and artery and bone	14	13	27
Soft tissue and artery and bone and nerve	3	2	5
Soft tissue and artery and nerve	1	---	1
Soft tissue and bone	53	145	198
Soft tissue and bone and nerve	1	6	7
Soft tissue and nerve	1	5	6
Traumatic amputation	43	22	65
Total	145	521	666
Arteries injured (excluding those in traumatic amputations):
Axillary	---	4	4
Brachial	---	13	13
Femoral	---	28	28
Intra-abdominal	---	32	32
Intracranial (artery or venous sinus)	---	30	30
Intrathoracic	---	9	9
Multiple	---	¹5	¹5
Others	---	4	4
Popliteal	---	8	8
Radial or ulnar	---	4	4
Subclavian	---	3	3
Tibial or peroneal	---	20	20
Total	---	155	155
Nerves injured (excluding those in traumatic amputations):
Brachial plexus	---	8	8
Femoral	---	2	2
Median	---	4	4
Multiple	---	¹6	¹6
Other nerve (extracranial or extraspinal)	---	4	4
Other plexus	---	2	2
Peroneal	---	2	2
Radial	---	7	7
Sciatic	---	10	10
Tibial	---	6	6
Ulnar	---	8	8
Unclassified	---	1	1
Total	---	54	54
Unclassified (as to principal wound):
Multiple wounds (included among associated wounds listed)	114	---	114
Grand total	1,450	2,039	3,489

¹Not the total number of wounds present.
²A total of 126 associated wounds were suspectedas follows: Intracranial, 35; intrathoracic, 61, and intra-abdominal, 30.

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