A system of surgery : pathological, diagnostic, therapeutic, and operative . sound on percussion, and total extinction of the respiratorymurmur, attended with great increase of dyspnoea. Should the air escape intothe subcutaneous cellular tissue, as when there is injury of the costal and pul-monary pleurae, it will form a diffused tumor, soft and crackling, and at onceindicative of the nature of the case. More or less copious hemorrhage will bepresent when there is laceration of an intercostal artery, the blood sometimespassing into the chest, but more generally escaping externally. The ribs b
A system of surgery : pathological, diagnostic, therapeutic, and operative . sound on percussion, and total extinction of the respiratorymurmur, attended with great increase of dyspnoea. Should the air escape intothe subcutaneous cellular tissue, as when there is injury of the costal and pul-monary pleurae, it will form a diffused tumor, soft and crackling, and at onceindicative of the nature of the case. More or less copious hemorrhage will bepresent when there is laceration of an intercostal artery, the blood sometimespassing into the chest, but more generally escaping externally. The ribs being firmly connected to the costal cartilages in front, and to thevertebrae behind, it is impossible for them to undergo any shortening when theyare fractured, or for the ends of the fragments to overlap each other, as in frac-ture of the long bones. Derangement, however, may take place in almost anyother direction, although the angular displacement is by far the most common,and this may be either outwards, as in fig. 319, or inwards, as in fig. 380, according Fig. Angular displacement outwards, to the manner in which the injury was inflicted, the latter being usually producedby direct violence, the former by indirect. It is seldom, however, that more thanone end of the bone is displaced in this direction at the same time. The Miitter CHAP, VIII. FRACTURES OF THE RIBS, 907 cabinet contains several specimens in whicli one of tbe fragments projects abovethe level of the others. Fig. 380.
Size: 2347px × 1065px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
