Atlas and epitome of traumatic fractures and dislocations . Fig. 38.—Eecent fracture of the outer half of the right clavicle(Schroder, male, sixty years old). Marked deformity; the larger,median fragment projects upward; the outer fragment is depressedalong with the entire shoulder. The width of the shoulder is dis-tinctly diminished. (Authors observation.) described displacement. The first strip corrects theinternal rotation of the arm. It is wrapped around theupper extremity of the arm from the inner to the outer Tab.:^:>.. Arust /?: HpidihoUl, FRACTURES OF THE UPPER EXT
Atlas and epitome of traumatic fractures and dislocations . Fig. 38.—Eecent fracture of the outer half of the right clavicle(Schroder, male, sixty years old). Marked deformity; the larger,median fragment projects upward; the outer fragment is depressedalong with the entire shoulder. The width of the shoulder is dis-tinctly diminished. (Authors observation.) described displacement. The first strip corrects theinternal rotation of the arm. It is wrapped around theupper extremity of the arm from the inner to the outer Tab.:^:>.. Arust /?: HpidihoUl, FRACTURES OF THE UPPER EXTREMITY. 131 side and passes over the shoulder to the back. The secondstrip is wrapped around the elbow and passed over theshoulder of the sound side so as to support the injuredarm. The third strip acts merely as a sling to supportthe hand, being passedover the injured it exertsmoderate pressure on thefragments from above andin front. One indicationAvhich is not met by thismethod is the restorationof the axillary space; i. e.,of the normal distancebetween the shoulder andthorax. For this pur-pose a pad of some softmaterial, covered withgauze, should be placedin the axilla and fixed insome simple way. Thedressing may be ad-vantageously reinforcedby a few turns of a rollerbandage in order toenhance its the same time a smallpad may be fixed overthe seat of fracture soas to produce a slightdownward pressure onthe sternal fragment. In the summer-time it is well to dust the area covered
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
