The treatment of fractures . th Cremasteric. of thigh, flexors Twelfth on first lumbar. Gluteal. of knee. Sacral : First, .... Second, third, fourth, fifth, Extensors of muscles. First on second lumbar. Plantar. Ankle-clonus. Examination of an Injury to the Spine.—Four questionsare to be answered : What was the nature of the accident ? Whatdoes palpation of the spine reveal as to the nature of the lesion ?What is the level of the lesion ? Is the lesion partial or com-plete ? 76 FRACTURES OF THE VERTEBRAE General Symptoms Common to Fract
The treatment of fractures . th Cremasteric. of thigh, flexors Twelfth on first lumbar. Gluteal. of knee. Sacral : First, .... Second, third, fourth, fifth, Extensors of muscles. First on second lumbar. Plantar. Ankle-clonus. Examination of an Injury to the Spine.—Four questionsare to be answered : What was the nature of the accident ? Whatdoes palpation of the spine reveal as to the nature of the lesion ?What is the level of the lesion ? Is the lesion partial or com-plete ? 76 FRACTURES OF THE VERTEBRAE General Symptoms Common to Fractures of the Ver-tebrae.—Signs of shock will be present. At the seat of the bonylesion will be found pain, tenderness, abnormal mobility, crepitus,and deformity. The deformity will ordinarily be a backwardbending, or kyphosis, of the spinal column at the seat of frac-ture, unless there exists a unilateral dislocation, when the deform-ity will be irregular in appearance. The chief symptoms depend , oLoujer 6 dorsal nerves-. Fig. 74.—Diagram of spinal origin of nerves, according to the level of the spinous processes. upon the injury done to the spinal cord. In general it may bestated that motor and sensory paralysis, either partial or com-plete, will be found up to the level of the lesion. The reflexesare ordinarily increased below the lesion. Retention, and laterincontinence, of urine and feces will exist. Cystitis of theurinary bladder will develop at an early date. Bed-sores andgreat sloughing areas of skin upon dependent parts will be dis-covered early. Priapism occurs. SYMPTOMS 77 Symptoms of Fracture of the Different Regions of theSpine, the Cord Being Involved.—Injuries to the Last Dorsaland Lumbar Vertebrae (see Figs. 75, 76, 77).—The spinal cord
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
