Notes on the modern treatment of fractures . e dangerous Bondssplint, little will be heard of unsatisfactory results and longperiods of disability in Colles fracture. The reduction,which is the essential of treatment, is the step usually neg-lected. A straight splint on the back of the wrist, a moldedsplint fitting the palmar surface, or a wristlet of adhesiveplaster applied around the lower end of the radius is theproper treatment after reduction. The reduction must beaccomplished by force, except in the few cases where there isno displacement. XVI. FRACTURE OF THE LOAVER END OF THE RADIUSWIT
Notes on the modern treatment of fractures . e dangerous Bondssplint, little will be heard of unsatisfactory results and longperiods of disability in Colles fracture. The reduction,which is the essential of treatment, is the step usually neg-lected. A straight splint on the back of the wrist, a moldedsplint fitting the palmar surface, or a wristlet of adhesiveplaster applied around the lower end of the radius is theproper treatment after reduction. The reduction must beaccomplished by force, except in the few cases where there isno displacement. XVI. FRACTURE OF THE LOAVER END OF THE RADIUSWITH FORWARD DISPLACEMENT. My object this evening is not so much to discuss the pa-thology and treatment of this injury as to show some casts andphotographs of the lesion, which I purpose placing in theMutter Museum, and to exhibit to the Fellows three interest-ing specimens already belonging to that valuable collection. A recent study * of this fracture has convinced me that itsoccurrence is not very rare, and that its recognition is not gen-. Fig. 22. Probable Epiphyseal Fracture. (Mutter Museum.) eral. Within a few years I have seen four cases, all of whichhad previously been under professional care. Yet in none ofthem had the deformity been reduced; and in the history ofthree, if not of all four, it was evident that the true characterof the injury had not been suspected. Well known is the widespread ignorance in the professionof the necessity for very forcible primary reduction of theinferior fragment in the usual fracture of the lower end of theradius with backward displacement. It seems as if there * Transactions American Surgical Association, 134 THE MODERN TREATMENT OE FRACTURES. exists an even greater degree of ignorance or forgetfillnessof tlie possibility of the displacement occasionally being for-ward instead of backward. If the possibility of such displace-ment is generally recollected, it must be that the necessityfor forcible primary reduction is not apprec
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