. Virginia medical semi-monthly . ure was easily perfectly reduced, awd as thefragment remained in perfect position by acutely flexing the forearm on the arm, nospike was used. The limb was put up in aplaster of Paris cast in the position of acuteflexion. The plaster was removed in threeweeks when passive motion and massage werebegun, which was continued for two weeks, thelimb being protected with an ordinary rollerbandage in the mean time. At the end of thefifth week all dressings were left off. The result in this case was also perfectlysal isfactory in every respect. In conclusion, I wish to
. Virginia medical semi-monthly . ure was easily perfectly reduced, awd as thefragment remained in perfect position by acutely flexing the forearm on the arm, nospike was used. The limb was put up in aplaster of Paris cast in the position of acuteflexion. The plaster was removed in threeweeks when passive motion and massage werebegun, which was continued for two weeks, thelimb being protected with an ordinary rollerbandage in the mean time. At the end of thefifth week all dressings were left off. The result in this case was also perfectlysal isfactory in every respect. In conclusion, I wish to report briefly threecases of ischemic paralysis of the forearm fol-lowing fractures of the lower end of thehumerus involving the elbow joint. My objectin mentioning these cases is to enforce what Ihave above said of the importance of the earlyoperative treatment of severe cases of fractureof the elbow. Case XXI.—Aged 6 years. Came undermy care at my clinic at the Mary Fletcher Hos-pital, Burlington, Vt., about six months after. Photo No. VIII., Case xx. having received a fracture of the elbow elbow joint was perfectly ankylosed at aslight obtuse angle; the hand a typical claw-hand with wrist-drop. There was absolutelyno voluntary motion of any of the fingers orwrist; in other words, the hand was almost per-fectly useless. Later on this child was brought to me inthis city and was under my care for aboutthree months. Through an incision just to theouter side of the olecranon I exposed the ulnarnerve, hoping that I might find a condition ofthe nerves supplying the forearm that wouldaccount for the paralysis. The nerve was per-fectly normal in its appearance; so I his gaveme no clue to the trouble in that direction; 1910.] THE VIRGINIA MEDICAL SEMI-MONTHLY. 451 hence I was forced to accept the diagnosis ofischsernic paralysis. 1 gave the child a prettythorough course of passive motion, exercisesunder chloroform twice a week for about twomonths, and at the same time had
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectmedicine, bookyear191
