. A practical treatise on fractures and dislocations. Bimalleolar fracture by inversion in a youth. Line of fracture passing above the base of theinternal malleolus; external malleolus separated at epiphyseal line. Fig. Long oblique fracture oi tibia and external n\alloolus. Tf the tibio-fibular lioaiiiont is fively torn the first two tornis arealmost idontical with the Ibrni deseribed in the preeeding section; there 454 FBACTUEES. are the same points of tenderness on the outer side and the same h^teralmolality in the joint. Diagnosis. The diagnosis is made in the first two varieties by
. A practical treatise on fractures and dislocations. Bimalleolar fracture by inversion in a youth. Line of fracture passing above the base of theinternal malleolus; external malleolus separated at epiphyseal line. Fig. Long oblique fracture oi tibia and external n\alloolus. Tf the tibio-fibular lioaiiiont is fively torn the first two tornis arealmost idontical with the Ibrni deseribed in the preeeding section; there 454 FBACTUEES. are the same points of tenderness on the outer side and the same h^teralmolality in the joint. Diagnosis. The diagnosis is made in the first two varieties by recog-nition of tenderness on pressure at the lines of fracture and of inde-pendent mobility of the external malleolus ])y pressing its tip inwardwhile another fins^er is placed at the seat of fracture to feel the tiltingof the upper end of the fragment. In the third variety the line offracture of the tibia can be recognized by tenderness on pressure andby the irregularity produced by the displacement upward and inwardof the fragment. Treatment. For the iirst two varieties it is sufficient to immobilizethe part by plaster of Paris, taking care to keep the foot well pressedinward while the plaster is setting in order t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
