The treatment of fractures . - by pushing the skin of the check upward. Theorbital part of this process is felt superiorly at the middle of the FRACTURES OF THE MALAR BONE 53 inferior border of the orbit. Following the orbital margin out-ward and upward, the orbital border is palpated up to the frontalprocess. Following the malar process of the superior maxillabackward, the free inferior border of the malar is felt continuousbackward with the zygomatic process. Starting on the frontalprocess, the posterior border of the malar may be palpated down-ward and backward to the upper border of the zy


The treatment of fractures . - by pushing the skin of the check upward. Theorbital part of this process is felt superiorly at the middle of the FRACTURES OF THE MALAR BONE 53 inferior border of the orbit. Following the orbital margin out-ward and upward, the orbital border is palpated up to the frontalprocess. Following the malar process of the superior maxillabackward, the free inferior border of the malar is felt continuousbackward with the zygomatic process. Starting on the frontalprocess, the posterior border of the malar may be palpated down-ward and backward to the upper border of the zygomatic processof the temporal bone. The inferior surface of the malar may befelt by placing the fingers, palm upward, in the superior sulcusof the cheek and following backward until the coronoid processof the lower jaw is felt. In the case of a fracture that is as often. Fig. 45.—Proper position from which to palpate the malar bones. The fingers touch theinferior borders, the thumbs the posterior borders, of the malar bones. unrecognized as is this one it is important to be very familiar withthe details of the outline of the bone. Symptoms.—Fracture of the malar bone is caused by a severeblow upon the cheek. It is rather unusual to find a fracture ofthe body of the bone. More often there is a fracture of one of itsprocesses, the line of fracture being continuous with a fracture ofsome adjoining bone. The malar is depressed as a whole, or tiltedinward toward the zygomatic fossa because of a loosening of Oneor more of its articulations or because of a fracture or crushingof the superior maxilla. The deformity consists of a depressionto the outer side of and below the eye. The line of fracture orseparation can sometimes be palpated. Mobility and crepitusare rarely obtained. If the depression of the malar or of an asso- 54 FRACTURES OF THE HONES OF TH


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901