. A treatise on dislocations and fractures of the joints. sor carpi radialis longior, and the extensors of the —In a similar case it would be proper, when loosepieces of bone can be felt at the extremity of the radius, that thewound should be enlarged for their removal; and instead of fomenta-tions and poultices, a quantity of lint, dipped in the patients blood,should be applied round the wrist, lightly bound with a roller. Thearm should be supported upon a splint, so as to be kept perfectly freefrom motion ; evaporating lotions should be applied; and the limbshould not be dist
. A treatise on dislocations and fractures of the joints. sor carpi radialis longior, and the extensors of the —In a similar case it would be proper, when loosepieces of bone can be felt at the extremity of the radius, that thewound should be enlarged for their removal; and instead of fomenta-tions and poultices, a quantity of lint, dipped in the patients blood,should be applied round the wrist, lightly bound with a roller. Thearm should be supported upon a splint, so as to be kept perfectly freefrom motion ; evaporating lotions should be applied; and the limbshould not be disturbed, unless the patient has symptoms of a suppu-rative process, when a small opening should be made in the bandageto allow of the escape of pus, but still the bandages should be sufferedto remain. The patient should be bled from the arm if the inflam-mation and constitutional irritation be considerable, and under thesecircumstances, leeches should be occasionally applied. The bowelsshould be kept gently open, but all active purging should be avoided. NEAR THE WRIST-JOINT. 431 Case CCCIV.—John Winter, June 21, 1818, fell from a ladder onhis hand and knee; the hand was bent back ; the radius was broken,and the ulna caused to protrude at the inner part of the wrist. , of Berkhampstead, attended : the bones were reduced, a rollerwas put around the wrist, and the wound healed very soon by seven weeks he was well, excepting that a slight swelling of thetendons remained for a few weeks longer. The next case was sent to me for my opinion by Mr. Davies ofMerthyr, who certainly acted wisely in endeavoring to save the pa-tients limb, for a mutilated hand is better than none. Case CCCV.— I had lately under my care, says Mr. Davies, acase of compound dislocation of the ulna at the wrist, with commi-nuted fracture of the radius a little higher up, and of course a greatdeal of contusion of the soft parts. I put up the fore-arm in the usualmanner with splints, the h
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
