A practical treatise on fractures and dislocations . Position of roller compress. Roller, with adhesive strap ajjplied. The methods of reduction and treatment are as follows: I propose a form oftraction and circumduction which is intended to disentangle the ulna and carryit up in its place between the tendons of the extensor carpi ulnaris and extensorminimi digiti. I by no means wish to say that it is always necessary, for thegreat point should be not to relax any effort until complete restoration has takenplace. One of the best methods of reduction is to draw the hand of the patientaround the
A practical treatise on fractures and dislocations . Position of roller compress. Roller, with adhesive strap ajjplied. The methods of reduction and treatment are as follows: I propose a form oftraction and circumduction which is intended to disentangle the ulna and carryit up in its place between the tendons of the extensor carpi ulnaris and extensorminimi digiti. I by no means wish to say that it is always necessary, for thegreat point should be not to relax any effort until complete restoration has takenplace. One of the best methods of reduction is to draw the hand of the patientaround the knee of the surgeon, the head of the ulna resting upon his gentle handling that is ordinarily employed in the management of the frac-ture is out of place here. Great force is often necessary to restore the symmetryof the parts. We must keep in mind that a luxation is to be reduced, and Fig. Colles fracture ; dressing complete. should not cease our traction until the end is attained. Besides, the muscleswill produce consecutive luxation instantly if the parts are not held firmly untilthe dressing is complete. With the thumb of the surgeon under the ulna, andthe hand beneath, and the fingers upon the back of the wrist holding with greatfirmness, I apply my dressing. This, it will be remembered, consists of a simple FRACTUEES OF THE RADIUS. 279 roller from half to three-quarters of inch in diameter and two inches long. Thisis to be carefully placed under the ulna, abutting against the pisiform bone andslowly displacing the thumb. Then a strip of adhesive plaster of the same widthis drawn, with as much force as it will bear, around the wrist and pinned toprevent relaxation. The band of plastered cloth is carefully adjusted so thatthe distal edge is brought around on a line with the end of the radius. It ismanifest that this bandage will grasp the broken fragment, and hold it
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
