The treatment of fractures . Fig. 179.—Showing effect (bowing outward) of too short an axillary pad upon a fracture of the shaft of the humei us. sive straps two inches wide to hold the coaptation splints ; anadhesive plaster swathe wide enough to extend from the acro-mion tip to the external condyle, and long enough to surround TREATMENT OF FRACTURES OF THE SHAFT I49 the body and upper arm ; a cravat sling ; a thin towel or pieceof compress cloth for the forearm to rest upon. All thesearticles should be in readiness. Etherization of the patient will rarely be necessary. In casesof nervous and
The treatment of fractures . Fig. 179.—Showing effect (bowing outward) of too short an axillary pad upon a fracture of the shaft of the humei us. sive straps two inches wide to hold the coaptation splints ; anadhesive plaster swathe wide enough to extend from the acro-mion tip to the external condyle, and long enough to surround TREATMENT OF FRACTURES OF THE SHAFT I49 the body and upper arm ; a cravat sling ; a thin towel or pieceof compress cloth for the forearm to rest upon. All thesearticles should be in readiness. Etherization of the patient will rarely be necessary. In casesof nervous and sensitive women and unmanageable youngchildren it will be wise to use an anesthetic. The whole upperextremity, axilla, and chest should be washed with soap andwater, thoroughly dried, and dusted with powder; then thereduced fracture is held in position by an assistant while theapparatus is being applied. The hand, forearm, and elbow. Fig. 180.—High fracture of the shaft ot the humerus. A common and improper use of aninternal right-angle splint. should be snugly and evenly covered by the flannel bandage (seeFig. 165). The upper arm should be surrounded by the coapta-tion splints, held in place by the three straps of adhesive plaster,so as to secure the fractured bone perfectly (see Fig. 175). Theaxillary pad should be placed in the axilla and held by the strapspassed over the opposite shoulder and under the opposite upper arm should rest comfortably upon the pad. To preventchafing, the thin towel or compress cloth should be placedbeneath the forearm where it touches the body. The plasterswathe should then be applied over the arm to the body, so as to 15° FRACTURES OF THE HUMERUS encircle completely the trunk (see Fig. 176). Thus the arm isabsolutely fixed to the axillary pad and side. The wrist shouldbe supported in a cravat sling passed around the neck. Theelbow is left unsupported. The weight of the
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
