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Updated: June 9, 2025
Curran mentions the case of a soldier who, in 1809, was wounded by a bullet which entered his body to the left of the sternum, between the 2d and 3d ribs. He was insensible a half hour, and was carried aboard a fighting ship crowded with sailors. There was little hemorrhage from his wound, and he survived fourteen days. At the postmortem examination some interesting facts were revealed.
The number of the caudal and sacral vertebræ vary; as does the number of the ribs, together with their relative breadth and the presence of processes. The size and shape of the apertures in the sternum are highly variable; so is the degree of divergence and relative size of the two arms of the furcula.
Following with his finger the triangular outline of the bone, he went on to explain how its freedom of movement is due to its singular independence; laid loosely on the flat muscles behind the upper ribs, it moves with absolute freedom, backwards and forwards, up and down, unconnected with any other bone, till, turning the corner of the shoulder, it is hinged rather than tied to the collar-bone; the collar-bone itself free to move upwards from its articulation in the sternum.
Burrows, "was a penetrating wound of the chest, apparently inflicted with a large knife. The weapon entered between the second and third ribs on the left side close to the sternum or breast-bone. It wounded the left lung, and partially divided both the pulmonary artery and the aorta the two principal arteries of the body." "Was this injury alone sufficient to cause death?" the coroner asked.
Bones formed entirely in cartilage are exempt, namely, the tarsal and carpal bones, the epiphyses of the long bones, the sternum, and the bodies of the vertebræ. Bones formed entirely in membrane, that is, those of the face and of the cranial vault, are also exempt.
It entered the back near the left clavicle, beneath the scapula, close to the vertebrae between the intercostal spaces of the fifth and sixth ribs; grazing the pericardium it traversed the mediastinum, barely touching the oesophagus, and vena azygos, but completely severing the thoracic duct, and lodging in the xiphoid portion of the sternum.
They form joints with the spinal column, but connect with the sternum by strips of cartilage. The ribs do not encircle the cavity in a horizontal direction, but slope downward from the spinal column both toward the front and toward the sides, this being necessary to the service which they render in breathing.
The patient was a woman of twenty-eight whose abdomen at the umbilicus measured 69 inches in circumference and 47 inches from the sternum to the pubes. Before the operation the great tumor hung down as far as the knees, the abdominal wall chafing the thighs. The emaciation of the subject is particularly noticeable.
The chin is now almost immoveably bent down upon the sternum. The slops with which he is attempted to be fed, with the saliva, are continually trickling from the mouth. The power of articulation is lost. The urine and fæces are passed involuntarily; and at the last, constant sleepiness, with slight delirium, and other marks of extreme exhaustion, announce the wished-for release.
He read about the construction and habits of the owl: "In the tawny, or brown, owl there is a manubrial process; the furcula, far from being joined to the keel of the sternum, consists of two stylets, which do not even meet; while the posterior margin of the sternum presents two pairs of projections, with corresponding fissures between."
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