A practical treatise on fractures and dislocations . placement until some time afterwards. Theproximal end of the last phalanx projected two or three lines towardthe palm; the finger was straight, and this joint anchylosed. I didnot think the chance of restoring and maintaining the bone in positionsufficient to warrant any interference, and he was dismissed with anassurance that after a few months it would occasion him no greatinconvenience. On the 2d of March, 1851, Thomas Burton, aged about twenty-twoyears, by a fall dislocated the second phalanx of the middle finger ofthe right hand, backwa
A practical treatise on fractures and dislocations . placement until some time afterwards. Theproximal end of the last phalanx projected two or three lines towardthe palm; the finger was straight, and this joint anchylosed. I didnot think the chance of restoring and maintaining the bone in positionsufficient to warrant any interference, and he was dismissed with anassurance that after a few months it would occasion him no greatinconvenience. On the 2d of March, 1851, Thomas Burton, aged about twenty-twoyears, by a fall dislocated the second phalanx of the middle finger ofthe right hand, backwards. The force of the concussion was receivedupon the extremity of the finger. Nine hours after the accident Ifound the bones unreduced; the finger nearly straight, or with onlyslight flexion of the second phalanx upon the first; the third phalanxforcibly straightened upon the second; all the joints rigid ; finger verypainful and somewhat swollen. By moderate extension alone, applied for a few seconds, the reduc-tion was accomplished. Fi<r. Dislocation of the second phalanx backwards. James Cooper, get. 23, came to me on Sunday morning, the 14th ofDec. 1851, to obtain counsel in relation to his finger which had beendislocated the day before, but which he had himself reduced by simpleextension made in a straight line. His own account of it was, that hefell upon a slippery side-walk, striking upon the end of his ring fingerin such a way that it seemed to double under him. On examination,he found the second bone dislocated inwards, or to the ulnar side, com--pletely, the end of the first phalanx forming a broad projection uponthe opposite side; the last two phalanges fell over toward the middlefinger, but they were neither flexed nor extended. Seizing upon the PHALANGES OF THE THUMB AND FINGERS. 631 end of the finger with his right hand and pulling forcibly, he promptlyreduced the dislocation himself. The bones were now completely in place, but the joints were swollen,ten
Size: 2811px × 889px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
