The practice of surgery . d, and spasm to be present in the extreme of motion. Thereare swelling on the radial sitle and tenderness over the scaphoid, whilethe x-ray discovers a fracture, usiuilly transverse, across the bone. E. A. Codman has worked out the proper treatment for these rest and massage do not improve the condition, cut doAAii upon thescaphoid from behind and remove the smaller fragments of bone. Oneshould not remove the whole bone if such removal can be avoided, forloss of the whole scaphoid leaves the wrist permanently weak. Fracture of the Metacarpal Bones The third a
The practice of surgery . d, and spasm to be present in the extreme of motion. Thereare swelling on the radial sitle and tenderness over the scaphoid, whilethe x-ray discovers a fracture, usiuilly transverse, across the bone. E. A. Codman has worked out the proper treatment for these rest and massage do not improve the condition, cut doAAii upon thescaphoid from behind and remove the smaller fragments of bone. Oneshould not remove the whole bone if such removal can be avoided, forloss of the whole scaphoid leaves the wrist permanently weak. Fracture of the Metacarpal Bones The third and fourth metacarpal bones are the metacarpals com-monly broken, and they are broken by indirect violence usually, a SPECIAI. FllACrrUUES AND THEIR TllEATMENT 893 blow upon the knuckles, such us may happen through a straight thrustin sparrhi- There is a characteristic deformity, as the photographsshow The dorsum of the hand is swollen, and the knuckle ot thedamaged bone is sunken, while the end of the lower fragment otten. A B !?,•„ ^ss A Fracture of neck of fourth metacarpal bone. Swelling of fingerand tucM-ltSkthS Ipped downward toward the palm. B, Normal of knuckles shown. Contrast with A (Scudder). can be felt in the palm, and there is pain, with crepitus. Do not mis-take this iniurv for a dislocation. It is not aLays easy successfully to treat a fractured reduce the fracture by traction and pressure, and support thehand and forearm upon an anterior splint, with a pad m the palm of
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
