A practical and systematic treatise on fractures and dislocations . oth, and what is the direction ofthe fracture, the extent of the injuryin all its bearings and complications,and what obstacles are to be over-come in the treatment. The crepi-tus, mobility, and deformity arecommonly detected upon the slight-est examination. The tibia is sonear the skin that the smallestamount of displacement is readilydetected by passing the fingers alongthe course of the bone ; the fibulais more deeply covered, yet thoroughmanipulation can not fail to discoverthe place where the separation ex-ists. The surge
A practical and systematic treatise on fractures and dislocations . oth, and what is the direction ofthe fracture, the extent of the injuryin all its bearings and complications,and what obstacles are to be over-come in the treatment. The crepi-tus, mobility, and deformity arecommonly detected upon the slight-est examination. The tibia is sonear the skin that the smallestamount of displacement is readilydetected by passing the fingers alongthe course of the bone ; the fibulais more deeply covered, yet thoroughmanipulation can not fail to discoverthe place where the separation ex-ists. The surgeon, in examining aleo- which has sustained a fracture,should not be content with the discovery of a break in onebone, but he should carefully scrutinize the other. It hasbeen already stated that a fracture of both bones in a singleaccident, is more common than the fracture of one bonesingly, therefore in a given case the probabilities are alwaysin favor of both bones having been broken. In the treatmentof fractures of the leg it is of the utmost importance to de-. Fracture of both bones of the leg onnearly the same plane, the result ofdirect violence. 224 Fractures. termine wlietlier one bone is broken or two; if only one bonebe broken there may be a rotatory or twisting kind of defor-mity, but there can be no serious degree of shortening; if bothbones be broken, and the surgeon discover a fracture in onealone, and treat the injury according to his faulty diagnosis,the most serious consequences are sure to be the result. In considering the displacement that occurs in fractures ofboth bones of the leg, it may be easy to determine, for in-stance, that the upper fragment of the tibia takes a positionin front of the lower fragment; but to decide upon the rela-tive positions of the fragments of the fibula may be attendedwith some, difficulty. The force that displaces the fragmentsmay be of two kinds,—it may come from muscular actionpulling the lower fragment above the npper; or it
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
