. Saint Louis Medical and Surgical Journal. oth have been drawn moderatelytight, into position. Under c where it passes over the shouldera pledget of cotton may be put to pi-event chafing. The humerusis then pressed gently to the side and confined by the arm-belt (6). If required, the splint and belts may be supplemented by asling to support the fore arm attached to upper section (c) ofcross-belt. In children and restless patients, the belt (6) may bemade long enough to include both arm and body, but I have butonce in my practice considered it necessary. The size of splint is to be modified by


. Saint Louis Medical and Surgical Journal. oth have been drawn moderatelytight, into position. Under c where it passes over the shouldera pledget of cotton may be put to pi-event chafing. The humerusis then pressed gently to the side and confined by the arm-belt (6). If required, the splint and belts may be supplemented by asling to support the fore arm attached to upper section (c) ofcross-belt. In children and restless patients, the belt (6) may bemade long enough to include both arm and body, but I have butonce in my practice considered it necessary. The size of splint is to be modified by conditions. For smalladults and women a smaller splint may be used and a still smallerone, with nari-ow belts, for children. Instead of the supportingcross-belt (fig. 2.) being in two sections, one long single beltcould be used. In this case a third mortise (fig. 1) would haveto be made, through which the belt would pass from the soundshoulder. This would dispense entirely with the pocket andone buckle, and economize somewhat in the mif Where material is scaice or in an emergent case, it would beeasy to improvise a splint out of a piece of half-inch pine (orwhittle to the shape, a thick (^lap-board as I have done).Tliis padded and held in place by a four-inch strip of domesticdoubled on itself lengthwise as a cross-belt, the ends passingthrough the mortise (fig. 1/) and tied in a firm knot, would answer 1879.] News Items. 289 a i,ood purpose, tinother strip of domestic binding the 3 shows the apppliance fitted. Support is atforded andtraction obtained from the sound shoulder without multiplyingbandages, an especial advantage in warm weather. The splintwill not absorb moisture per se like soft pads, and its crutch-likeshape will prevent its disarrangement. Its construction is sim-ple and ready, and once made will last a lifelong practice, whilea piece of fresh cotton and a new roller will render it clean asever, and acceptable to successive patients. I claim fo


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