A practical treatise on fractures and dislocations . le is less prominent, and,therefore, less exposed to direct blows than in adult life; thus, of fivefractures which I have distinctly recognized as fractures of the epicon-dyle, all, except one, occurred between the ages of two and fifteen then it is equally true that a large majority of all the fractures ofthe internal condyle, including those which enter the articulation, aswell as those which do not, belong to childhood and youth. I haveseen but two exceptions in fifteen cases. Since, then, direct blowsgenerally produce those fra
A practical treatise on fractures and dislocations . le is less prominent, and,therefore, less exposed to direct blows than in adult life; thus, of fivefractures which I have distinctly recognized as fractures of the epicon-dyle, all, except one, occurred between the ages of two and fifteen then it is equally true that a large majority of all the fractures ofthe internal condyle, including those which enter the articulation, aswell as those which do not, belong to childhood and youth. I haveseen but two exceptions in fifteen cases. Since, then, direct blowsgenerally produce those fractures which penetrate the joint, no goodreason can be shown why they should not produce fractures of theepicondyle. One of the exceptions to which I have referred as nothaving occurred in early life, is sufficiently rare to entitle it to especialnotice. On the 16th of May, 1856, a laborer, thirty-four years of age, fellfrom an awning upon the sidewalk, dislocating the radius and ulnabackwards; the dislocation was immediately reduced by a woman who. 1 On a Particular Fracture of the Inner Condyle of the Humerus, by Benja-min Granger, Surgeon, Burton-upon-Trent. Op. cit., vol. xiv, pp. 196-201, April,IS 18. 2 Ibid., p. 196. FRACTURES OF THE INTERNAL EPICONDYLE. 269 came to his assistance, but when he called on me soon after, I found asmall fragment of the inner condyle, probably the epicondyle alone,broken off and quite movable under the finger. It was slightly dis-placed in the direction of the hand. I could not learn positively whether in falling he struck the elbowor the hand, but there was presumptive evidence that he struck thehand; if so, then probably the fracture was the result of muscularaction, which is the more extraordinary as having taken place in aman of his age. It is pretty certain, however, that the theory of causation adopted byGranger is too exclusive. A lad was brought to me in October, 1848,aged eleven, who had just fallen upon his elbow, the blow having bee
Size: 1243px × 2010px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
