. The diseases of children : medical and surgical. hefragments are brought into posi-tion, and a felt or gutta-perchashoulder-cap is then moulded actiye movement shouldbe begun In ten days. Thedeformity is rarely entirely re-duced, but good union and auseful though possibly somewhatshortened limb results. If thedisplacement is considerable andcannot be reduced, operation isjustifiable to correct it. Theinjury may be compound or complicated with rupture of the axillary have wired one case of compound separation with a good result. Instancesof non-union have been met with, an
. The diseases of children : medical and surgical. hefragments are brought into posi-tion, and a felt or gutta-perchashoulder-cap is then moulded actiye movement shouldbe begun In ten days. Thedeformity is rarely entirely re-duced, but good union and auseful though possibly somewhatshortened limb results. If thedisplacement is considerable andcannot be reduced, operation isjustifiable to correct it. Theinjury may be compound or complicated with rupture of the axillary have wired one case of compound separation with a good result. Instancesof non-union have been met with, and shortening to the extent of five inchesten years after the injury. Separation of the lower epiphysis of the humerus is, we think, far thecommonest lesion of the kind met with in children. It is very common tohave children brought with an injury to the elbow of some days duration,and a statement that the limb has been strained or the joint put out. Onexamination there is pain and restricted movement about the elbow joint, but Unites withShaft at. Fig. 208.—Plan of the Development of the Seven Centres. From Grays Anatomy. 8o6 Injuries, Shock, Hcemorrhage, &c. the olecranon, the head of the radius, and the internal condyle occupy theirnormal relations to one another. On grasping the lower end of the humerusbetween the finger and thumb, marked thickening as compared with the otherside is felt usually just about the internal condyle. In such cases, if occurringin children under the age of six or seven, a mere loosening without displacementof the whole lower epiphysis may have occurred, or more probably the injuryshown in Plate VI. without the displacement, and this is very likely the mostcommon accident, though we have as yet no sufficient proof that it is the whole lower epiphysis is separated and displaced backwards
Size: 975px × 2562px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwrightgageorgearthurb, bookcentury1900, bookdecade1900
