Industrial medicine and surgery . rm and upper part of the chest, rubbing it firmly round theshoulder and axilla and again firmly round the bony points about theelbow. A proper grip of the condyles of the humerus prevents shorten-ing of the limb; to make sure of the external rotation the forearm should FRACTURES 609 be included; if the elbow is bent till the hand is behind the head,the position is not in any way uncomfortable, and the success of thefunctional result is assured. Two lengths of strong webbing, like horse-girths or something notquite so wide, one round the axilla and fixed on the
Industrial medicine and surgery . rm and upper part of the chest, rubbing it firmly round theshoulder and axilla and again firmly round the bony points about theelbow. A proper grip of the condyles of the humerus prevents shorten-ing of the limb; to make sure of the external rotation the forearm should FRACTURES 609 be included; if the elbow is bent till the hand is behind the head,the position is not in any way uncomfortable, and the success of thefunctional result is assured. Two lengths of strong webbing, like horse-girths or something notquite so wide, one round the axilla and fixed on the opposite side of thetable, and the other over the top of the shoulder and fixed to thebottom of the table, give an excellent resistance against which topull. A roller towel or folded sheet will do, but being more bulkyis more apt to get in the way of the surgeons hands when mani-pulating the The aeroplane splint devised at the former American Ambulance,Neuilly, France, is extremely good in these cases, allowing motion. Fig. 144.—Suspension traction method of treating compound fracture of thehumerus by means of the Balkan frame, h, Plate or hook; w, weights; a, arm suspen-sion band; b, glued traction band. (Manual of Splints and Appliances, Medical Depart-ment, U. S. A.) of the forearm on the arm. It is, however, bulky and does not seemnecessary in the case of simple fractures. If the fracture is very severe with much comminution there is nobetter form of treatment than that of suspension in a Balkan traction in abduction can be maintained by means of aThomas arm splint or by the Blake method of suspension (Figs. 143and 144). The writer when visiting the large fracture center of the FrenchArmy at Chateau Thierry was told that all fractures of the humeruswere treated by a simple triangle of wood which fitted snugly in the 1 Jones, Injuries to Joints, Oxford War Primer, 610 INDUSTRIAL MEDICINE AND SURGERY axilla and to which a single forearm
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