The treatment of fractures . physis is occasionally seen ; it is, however, arare lesion (see Fig. 304). Associated with every Colles fracture there may be one ormore of the following lesions : A fracture through the lower 2 $2 FRACTURES OF THE BONES OF THE FOREARM end of the ulna, which is rather rare (see Fig. 305). A fractureof the styloid process of the ulna, which occurs in about fifty tosixty-five per cent, of all cases (see Fig. 300). A rupture of theinterarticular triangular fibrocartilage at its insertion into the baseof the styloid process of the ulna. This is probably quite com-mon,
The treatment of fractures . physis is occasionally seen ; it is, however, arare lesion (see Fig. 304). Associated with every Colles fracture there may be one ormore of the following lesions : A fracture through the lower 2 $2 FRACTURES OF THE BONES OF THE FOREARM end of the ulna, which is rather rare (see Fig. 305). A fractureof the styloid process of the ulna, which occurs in about fifty tosixty-five per cent, of all cases (see Fig. 300). A rupture of theinterarticular triangular fibrocartilage at its insertion into the baseof the styloid process of the ulna. This is probably quite com-mon, and accounts in part for the broadening of the perforation of the skin by the lower end of either the ulna orthe shaft of the radius, making an open fracture. A fracture ofthe scaphoid bone, although occurring often alone, is not verycommonly associated with Colles fracture. A sprain of thehand, wrist, forearm, elbow, or shoulder may occur. It is wiseto examine the whole upper extremity, particularly a few days. Fig. 309.—Reduction of Colles fracture. Note position of the thumbs and fragment is pushed into place while counterpressure is made by the fingers upon theupper fragment. after the accident, as it is at this time that sprains associatedwith fracture are likely to be felt. Treatment.—The ordinary uncomplicated fracture is hereunder consideration. Reduction should be accomplished assoon as possible. Complete reduction can not be made satis-factorily without the administration of an anesthetic, either tocomplete or partial anesthesia. Very great force is needed toaccomplish satisfactory reduction of impacted fractures of theradius. It is because of the use of too little force that often aslight bony deformity remains after union has taken place. A Method of Reduction.—Grasp with the thumbs and fore-fingers of the two hands the upper and lower fragments. Freethe lower fragment completely from the upper by pressure and COLLES FRACTURE—TREA
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
