A practical and systematic treatise on fractures and dislocations . fragments, were the causes of thedifiiculty. It is highly probable that in rareinstances the trouble has been in the injury in-flicted by the fragments, but in cases comingunder my observation the defect has dependedupon lack of proper reduction of the frag-ments, tight bandaging, and the injudicioususe of splints and compresses. If the fracture be oblique, and the sharpedge of the upper fragment proj^ect forward,as it is always inclined to do, the brachial arteryand median nerve are about sure to be pressedout of place and ir
A practical and systematic treatise on fractures and dislocations . fragments, were the causes of thedifiiculty. It is highly probable that in rareinstances the trouble has been in the injury in-flicted by the fragments, but in cases comingunder my observation the defect has dependedupon lack of proper reduction of the frag-ments, tight bandaging, and the injudicioususe of splints and compresses. If the fracture be oblique, and the sharpedge of the upper fragment proj^ect forward,as it is always inclined to do, the brachial arteryand median nerve are about sure to be pressedout of place and irritated. However, if thereduction is perfect, and the dressing retainsthe fragments in place, the edges of the broken bone are cov-ered by one another. Even if the apposition be made perfectat the time of dressing, a fresh displacement may take placein a few hours. Fracture just above the condyles must notonly be well dressed in the first instance, but it must be care-fully watched, and redressed as often as there is a suspicionthat everything is not going Deformi t y after frac-ture of humerusthrougli its lowerthird. FRACTURES OF THE COI^DYLES OF THEHUMERUS. The condyles of the humerus are often fractured. They aremuch exposed to direct violence, and may be broken by indi-rect forces. The simplest form of such injuries is a separationof the tip of the inner condyle (epUrochlea), for the lesion doesnot involve the articulation. It may be occasioned by muscu-lar action, though more commonly by direct falls upon theinner side of the elbow. The symptoms of this fracture arevery evident, for the separated portion of bone can be easily Of the Condyles of the Humerus. 129 Fig. 42.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
