A practical treatise on fractures and dislocations . ience has, indeed, furnished us with four or five very good reasonswhy broken bones should be reduced as soon as possible. When theinjury is recent, the muscles offer less resistance ; their resistance beingincreased after a time not only by the reaction which ensues upon theshock, but also by actual adhesion between their fibres; effusions distendboth the muscles and the skin, and compel the limb to shorten; theconstant goading of the flesh by the sharp points of the broken bonesincreases the muscular contractions; the patient will submit r
A practical treatise on fractures and dislocations . ience has, indeed, furnished us with four or five very good reasonswhy broken bones should be reduced as soon as possible. When theinjury is recent, the muscles offer less resistance ; their resistance beingincreased after a time not only by the reaction which ensues upon theshock, but also by actual adhesion between their fibres; effusions distendboth the muscles and the skin, and compel the limb to shorten; theconstant goading of the flesh by the sharp points of the broken bonesincreases the muscular contractions; the patient will submit readily tomanipulation and extension at first, but after the lapse of a few days itis very seldom that he will permit the limb to be in any manner dis-turbed, even if he is assured that his refusal entails upon him a greatdeformity. If it is true that no callus or bony structure is depositedearlier than the seventh or tenth day, it is also true that the renewedattempt to adjust the bones at this period, by chafing and tearing again Fig. 13. Fig.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjec, booksubjectfractures
