The practice of surgery . ss:shortness ofbreath, stabbing, localized pain with each respiration, andsometimes the spitting of blood if the lung be damaged. The surgeoncan bring out a point of pain by manual compression of the thorax,which tends to start the involved rib at the point of fracture. He 11 am indebted to C. L. Scudder for permission to draw largely upon hisiUustrations in The Treatment of Fractures, sixth edition, 1907. _ The reader isreferred also to L. A. Stimson, Fractures and Dislocations, fifth edition, 1907. 860 MINOR SURGERY—DISEASES OF STRUCTURE may feel crepitus on palpati
The practice of surgery . ss:shortness ofbreath, stabbing, localized pain with each respiration, andsometimes the spitting of blood if the lung be damaged. The surgeoncan bring out a point of pain by manual compression of the thorax,which tends to start the involved rib at the point of fracture. He 11 am indebted to C. L. Scudder for permission to draw largely upon hisiUustrations in The Treatment of Fractures, sixth edition, 1907. _ The reader isreferred also to L. A. Stimson, Fractures and Dislocations, fifth edition, 1907. 860 MINOR SURGERY—DISEASES OF STRUCTURE may feel crepitus on palpating the seat of injury,—although crepitusis by no means a constant sign in fractured ribs; but perhaps, mostimportant of all, he can hear creaking with every respiration of thepatient, by placing his stethoscope upon the suspected area. There may be distressing complications in connection with a ribfracture—compound openings and lacerations of tlio pleura and have already discussed this matter in Chaplci .\ Fif^. .i.^.t. Fraoturod ribs (Warren Museum). Compound fracture of ribs, however, is not common, and far themost frequent cases are the simple single fractures whose victimspresent themselves at the dispensary or the surgeons office. Thesepeople are in constant distress, and I know of few bone injuries whichare capable so promptly of being relieved. SPECIAL FRACTURES AND THEIR TREATMENT 861 The treatment of fractured rib consists in immobilizing thethoracic ciige so as to limit costal respiration and force the patient torespiration by the diaphragm. There are numerous methods of im-mobihzing the chest, but by far the most effective is wrapping it in afirm swathe of surgeons plaster; or, if a swathe be not at hand, insuccessive layers of plaster strips encircling the chest and laid on inthe manner of clapboards.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
