A practical treatise on fractures and dislocations . rs. D. B., who fell in getting out of a streetcar in the city of New York, May 20th, 1865, striking upon the back COLLES FRACTURE. 275 of her hand while the hand was shut. The displacement was in thesame direction as in cases caused by a fall upon the palm. RobertSmith has seen a similar accident cause a displacement of the frag-ment forwards. Colles described this fracture as occurring always about one inchand a half above the carpal end of the bone ; but Robert Smith, whohas carefully examined all of the cabinet specimens he could find,abo
A practical treatise on fractures and dislocations . rs. D. B., who fell in getting out of a streetcar in the city of New York, May 20th, 1865, striking upon the back COLLES FRACTURE. 275 of her hand while the hand was shut. The displacement was in thesame direction as in cases caused by a fall upon the palm. RobertSmith has seen a similar accident cause a displacement of the frag-ment forwards. Colles described this fracture as occurring always about one inchand a half above the carpal end of the bone ; but Robert Smith, whohas carefully examined all of the cabinet specimens he could find,about twenty-three in number, has never seen the line of fractureremoved farther than one inch from the lower end of the bone, andin several specimens it was within one-quarter of an inch of thisextremity. Dupuytren has also described the fracture as occurringfrom three to twelve lines above the joint. I think I have found thefracture generally as low as these latter surgeons have placed it, butoccasionally as high as it was placed by Colles. Fig. Fracture of the radius near its lower end. Case. A woman, set. 40, fell upon the side-walk, striking upon thepalm of her left hand. She was brought immediately to my office,and I found the radius was broken about one inch and a half abovethe wrist. The lower fragment was tilted back considerably. Handprone. Placing my thumb against the back of the lower fragment, it waseasily restored to position, and with only a slight crepitus. Whenmy thumb was removed it manifested no tendency to arm was dressed with a curved palmar splint, secured in placewith a roller applied moderately tight. On the seventh day a straightsplint was substituted for the curved. The arm was examined almostevery day, and the dressings occasionally renewed until the twenty-sixth day, when the splint was finally removed. The wrist was atthis time only slightly auchylosed, and there seemed to be no deformityor imperfection remaining. Passive motion,
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