. A treatise on dislocations and fractures of the joints. d attention. There was some de-formity from effusion into the shaft of the flexor tendons, and greatpain on motion. On careful manipulation, a fracture of the radius,close to the styloid process, was detected. The general appearance ofthe wrist had some resemblance to a dislocation such as were applied to the left wrist. The right fore-arm was now extended slightly, with the hand in-clining downwards; pasteboard splints, padded with tow, were placedon each side, and retained by rollers. On the following morning th
. A treatise on dislocations and fractures of the joints. d attention. There was some de-formity from effusion into the shaft of the flexor tendons, and greatpain on motion. On careful manipulation, a fracture of the radius,close to the styloid process, was detected. The general appearance ofthe wrist had some resemblance to a dislocation such as were applied to the left wrist. The right fore-arm was now extended slightly, with the hand in-clining downwards; pasteboard splints, padded with tow, were placedon each side, and retained by rollers. On the following morning thesame apparatus was applied to the left arm. If this fracture occurs in a very oblique direction, so great a dis- * Lancet, June 12th, 1841. 428 ,FRACTURES OF THE RADIUS placement of the radius ensues, that dislocation of the ulna forwardsis also produced. I have given a plate of this accident, from a preparation of it in themuseum at St. Thomass Hospital. The lower end of the radius isseen in its natural situation, articulated with the carpal bones. An. inch above the ligamentum annulare carpi, the broken extremity ofthe radius is seen projecting under the flexor tendons of the wrist,which have been removed to show its situation ; the ulna is dislocatedforwards, and rests upon the os orbiculare. Symptoms.—The signs of this injury are, that the hand is thrownback upon the fore-arm, so as, at first sight, to exhibit the appearanceof a dislocation of the hand backwards ; and a projection of the ulnais felt under the tendon of the flexor carpi ulnaris muscle, just abovethe os orbiculare ; and thirdly, the fractured extremity of the radiusis easily detected, under the flexor tendons of the hand. I have seenthis accident frequently, and at first did not exactly understand thenature of the injury; indeed, dissection alone taught me its realcharacter.*
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
