The practice of surgery . atient is usually so comfortable that he walksabout without distress, and often can return at once to his occupation. Sternum The sternum is fractured, the most frequent fracture being at thepoint of union of the manubrium and the body of the bone. I haveseen one such fracture in the case of a football player whose manu-brium was crushed in by a blow. The symptoms are quite similar tothose of fractured rib, and the deformity is so characteristic that thediagnosis is extremely easy. The patient stands in a hollow-chestedattitude, while the examiners finger sinks at onc
The practice of surgery . atient is usually so comfortable that he walksabout without distress, and often can return at once to his occupation. Sternum The sternum is fractured, the most frequent fracture being at thepoint of union of the manubrium and the body of the bone. I haveseen one such fracture in the case of a football player whose manu-brium was crushed in by a blow. The symptoms are quite similar tothose of fractured rib, and the deformity is so characteristic that thediagnosis is extremely easy. The patient stands in a hollow-chestedattitude, while the examiners finger sinks at once into the pit formedby the depressed fragment. The fracture is often reduced spontaneously through the patientscoughing or sneezing. Sometimes the surgeon may reduce the frac-ture by turning the patient on his back and making traction upon the 862 MINOR SURGERY—DISEASES OF STRUCTURE arms, while an assistant steadies the chest. If this nianevivcr fails, onemay easily cut clown upon the fragment and elevate it. After the. Fig. 541.—Position in, and method of reduction of, fracture of the sternum. Noticepositions of hands of surgeon and assistant (Scudder). bones are replaced, the patient should be enveloped in a plaster swatheand kept quietly in bed for three weeks at least. Pelvis Fracture of the pelvis is frequently seen in large hospital practice,and, as Scudder points out, pelvic fractures fall into two groups—fractures of the individual bones without injury to viscera, and frac-tures at different points in the pelvic ring associated with damage to theviscera. One can palpate with fair thoroughness the whole pelvic ring, inspite of the apparent inaccessibility of the bones involved. For with alittle care and patience fingers in the rectum or vagina may search outall parts of the pelvis. Moreover, the external examination alonereveals fractures often. The surgeon grasps the iliac crests and bypressure and rotation detects the fracture. The treatment of these pelvic inju
Size: 1987px × 1258px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
