. A practical treatise on fractures and dislocations. nthe opposite direction toward the radial side. Delay or failure of union of either or both bones is not very uncom-mon, especially of the radius, and cases are reported in which the union 304 FRACTURES. of one of the boues has been delayed four or five months, and has thentaken place without operative aid. Treatment. Reduction must be eflPected, when necessary, by exten-sion and counter-extension, aided by cautious pressure upon the bones Fig. 196. ^^ . ^ ^^iM^^p •S 1 ! < ? 1 1 Fracture of the forearm; union with angular displacement. N


. A practical treatise on fractures and dislocations. nthe opposite direction toward the radial side. Delay or failure of union of either or both bones is not very uncom-mon, especially of the radius, and cases are reported in which the union 304 FRACTURES. of one of the boues has been delayed four or five months, and has thentaken place without operative aid. Treatment. Reduction must be eflPected, when necessary, by exten-sion and counter-extension, aided by cautious pressure upon the bones Fig. 196. ^^ . ^ ^^iM^^p •S 1 ! < ? 1 1 Fracture of the forearm; union with angular displacement. No union between the two bones. near the seat of fracture. The importance of reduction is exception-ally great, because of the special function of rotation of the forearmwhich may be so easily destroyed by displacement or failure of have once or twice found it necessary to cut down upon the fracturebecause I could not otherwise correct the displacement, the fragmentsbeing so placed after oblique fracture that the surfaces of fracture were. Fracture of forearm; angular displacement. separated from each other by the entire thickness of the bone and thefragments were in contact only by surfaces covered with is to be overcome by traction; the forearm and fingers areflexed, counter-extension is made by an assistant who grasps the armclose above the elbow, and traction by the surgeon himself or anotherassistant grasping the hand. If there is angular displacement the FRACTURES OF THE BONES OF THE FOREARM, 305 traction should be first made in the direction of the lower fragment,and when this is thought to })e sufficient, and while it is still main-tained, the lower segment of the limb is brought into line with theupper one, the lattter being steadied by the hand of the surgeon or press-ure being made upon the projecting angle with the thumbs. Thispressure may be safely made if the angle is directed forward or back-ward, but it must be used with great caut


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912