Notes on the modern treatment of fractures . with great forward displacement. (MuseumRoyal College of Surgeons, Edinburgh.) have marked forward displacement; the specimens from theRoyal College of Surgeons in Ireland marked lateral displace-ment towards the radial aspect of the forearm. The deform-ity of the forearm and wrist is characteristic in instances where 138 THE MODERN TREATMENT OF FRACTURES. the carpal fragment is much displaced forward. An elevationis seen across the hack of the forearm, running obliquely up-ward from the ulnar to the radial side. The ulnar portion ofthis elevation i
Notes on the modern treatment of fractures . with great forward displacement. (MuseumRoyal College of Surgeons, Edinburgh.) have marked forward displacement; the specimens from theRoyal College of Surgeons in Ireland marked lateral displace-ment towards the radial aspect of the forearm. The deform-ity of the forearm and wrist is characteristic in instances where 138 THE MODERN TREATMENT OF FRACTURES. the carpal fragment is much displaced forward. An elevationis seen across the hack of the forearm, running obliquely up-ward from the ulnar to the radial side. The ulnar portion ofthis elevation is the more prominent, and is made by the headof the ulna, which was left behind when the carpal fragmentof the radius Avith the attached hand was carried forward bythe injury. On the radial side of the limb the elevation isfurther from the hand and is less prominent. It is due to thelower end of the upper fragment of the radius. This dorsal prominence is quite different in appearancefrom the hump on the radial side of the dorsum seen in the. Fig. 2iTwo views of specimen in Museum of St. Thomass Hospital, London. fracture of the lower end of the radius with backward displace-ment of the carpal piece. In the latter ease the elevation isgreat on the radial half of the limb, and the surgeons fingercarried along the back of the shaft of the radius can readilyfeel the ledge of bone corresponding to the dorsal surface ofthe lower fragment. The ulna makes little or no prominenceon the back of the forearm in the classic fracture, thoughin both forms it is apt to be prominent on the ulnar edge of thelimb, because the outward displacement, common in both in-stances, carries the hand away from the head of the the fracture under consideration the surface slants down- RADIAL FRACTURE DISPLACED FORWARDS. 139 ward from the dorsal elevation toward the back of the hand,whose plane is at a lower level than that of the forearm, butmore or less parallel to it. This slant in the surface belo
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Keywords: ., bookcentury1800, bookdecade1890, bookidnote, booksubjectfractures
