Here's another Google+ Auto-Awesome image of an 18 size, 7 jewel Elgin pocketwatch movement, Grade 7. This is a key-wind, key-set movement, and a very early design.
Here's another Google+ Auto-Awesome image of an 18 size, 7 jewel Elgin pocketwatch movement, Grade 7.
Antique watches have very long histories of ad-hoc repairs. On this one it seems a proper case screw, or case screw washer was apparently not to be had. Someone has used an old star wheel an a plate screw to hold the movement in the case.