. The principles and practice of modern surgery. place the forearm quitesupine, with the palm uppermost;—then having reduced the fracture,apply one splint below from the olecranon to the fingers ends,—andanother above from the bend of the elbow to the wrist. But this plan hasno particular advantage, and does not allow the flexor and pronator mus-cles to be relaxed. After the first week, the splints may be removed and the starchedbandage be substituted. A dry roller is to be first applied from the handto a little above the elbow. This is to be covered with several layers ofroller imbued with st
. The principles and practice of modern surgery. place the forearm quitesupine, with the palm uppermost;—then having reduced the fracture,apply one splint below from the olecranon to the fingers ends,—andanother above from the bend of the elbow to the wrist. But this plan hasno particular advantage, and does not allow the flexor and pronator mus-cles to be relaxed. After the first week, the splints may be removed and the starchedbandage be substituted. A dry roller is to be first applied from the handto a little above the elbow. This is to be covered with several layers ofroller imbued with starch; but the part should still be supported by asplint till the starched rollers become dry. The cure is generally com-plete in a month or five weeks. It must be recollected that the bandagemust not be applied too tightly, so as to press the fractured extremitiestowards the interosseous space. Fracture of the lower extremity of the Radius, about half an inchor an inch above the wrist, is often caused by falls on the hand, and may Fig. be readily mistaken for dislocation of the wrist, as the hand with the lowerfragment is drawn upwards and backwards by the extensor distinction is, that if the hand be moved, the styloid process of theradius will move with it, if there is a fracture;—but not if there is a dis-location. Sometimes the distortion is so great, that the ulna is dislocatedforwards on the carpus;—and sometimes the fracture is confined to theposterior rim of the articular surface of the radius, which is obliquelybroken off, and the hand partially dislocated backwards.* Treatment.—These fractures must be treated as the other fractures ofthe forearm, but care must be taken to apply pads against the projectingpoints of the fractured bone, so as to keep them in their places. Passivemotion must be commenced in three weeks or a month, but the patientshould always be informed, that many months may elapse before the useof the wrist and fingers is resto
Size: 2787px × 897px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
