. Minor and operative surgery, including bandaging . of the angle being toward the back of the hand ; this isreduced by pressure with the fingers, and the hand andforearm should then be placed upon a palmar splint () with a pad of oakum or cotton under the palm ; acompress of lint is next placed over the seat of fracture,and the hand and forearm are bound to the splint by theturns of a roller-bandage (Fig. 285). At the end of threeweeks union at the seat of fracture is usually quite firm,and the splint should be dispensed with at this time. Fractures of the Phalanges.—These may result f
. Minor and operative surgery, including bandaging . of the angle being toward the back of the hand ; this isreduced by pressure with the fingers, and the hand andforearm should then be placed upon a palmar splint () with a pad of oakum or cotton under the palm ; acompress of lint is next placed over the seat of fracture,and the hand and forearm are bound to the splint by theturns of a roller-bandage (Fig. 285). At the end of threeweeks union at the seat of fracture is usually quite firm,and the splint should be dispensed with at this time. Fractures of the Phalanges.—These may result fromdirect or indirect violence, and often present markeddeformity. Treatment.—This consists in reducing the displacementby extension and manipulation, and in placing the finger FRACTURES OF THE PHALANGES. 389 in a moulded gutta-percha or pasteboard splint (Fig. 286),and securing the splint in position by the turns of a roller-bandage. When the proximal phalanx is fractured, a nar-row padded wooden splint extending from the end of the Fig. Dressing for fracture of the metacarpal bones. finger to the wrist should be applied upon the palmar sur-face of the finger and hand, and a short dorsal splint shouldalso be used ; if there is a tendency to lateral displacement,short lateral splints should also be employed, and thesplints should be held in place by strips of plaster or by Fig. 2S6. ffPf^
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectbandagesandbandaging
