A practical treatise on fractures and dislocations . straight dorsal splint, of the same breadth as the palmarsplint, and of sufficient length to extend from the elbow to the middleof the carpus. This should be covered and stuffed in the same man-ner as the palmar splint, except that here the thickest and firmestpart of the splint must be opposite the carpus and the lower end ofthe lower fragment. It will answer the indications also a little morecompletely if, at this point, the padding is thicker on the radial thanon the ulnar side. Having restored the fragment to place, in case of Colles fra
A practical treatise on fractures and dislocations . straight dorsal splint, of the same breadth as the palmarsplint, and of sufficient length to extend from the elbow to the middleof the carpus. This should be covered and stuffed in the same man-ner as the palmar splint, except that here the thickest and firmestpart of the splint must be opposite the carpus and the lower end ofthe lower fragment. It will answer the indications also a little morecompletely if, at this point, the padding is thicker on the radial thanon the ulnar side. Having restored the fragment to place, in case of Colles fracture,by pressing forcibly upon the back of the lower fragment, the forcebeing applied near the styloid apophysis of the radius, the arm is tobe flexed upon the body, and placed in a position of semi-pronation,when the splints are to be applied, and secured with a sufficient num-ber of turns of the roller, taking especial care not to include thethumb, the forcible confinement of which is always painful and neveruseful. FRACTURES OF THE RADIUS, 291. I cannot too severely reprobate Fig. 96. the practice of violent extensionof the wrist in the efforts at re-duction when no overlapping ofthe fragments exists and the ulnais not dislocated, and that, whetherthis extension be applied in astraight line, or with the handadducted. It has been shownthat in a great majority of casesno indication in this direction isto be accomplished, and to pullviolently under these circum-stances upon the wrist is not onlyuseless but hurtful. It is addingto the fracture, and to the otherinjuries already received, thegraver pathological lesion of astretching, a sprain of all the lig-aments connected with the am persuaded that to this vio-lence, added to the unequal andtoo firm pressure of the splints,are, in a great measure, to be at-tributed the subsequent inflamma-tion and anchylosis in very manycases. The first application of the bandages ought to be only moderatelytight, and as the inflammatio
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
