A practical and systematic treatise on fractures and dislocations . yfrom other experienced observers. Treatment.—It is not always easyto reduce the fragments to a state^rpTltshEuM^efto^thfiiTil^ of perfect apposition, owing to the^S^i^^r^^^^t^ shortness of the upper fragment, fractures of upper end of humerus. ^^^^^ ^^^^ divCrSe actioU of the mUS- cles attached to the two fragments. Extension and manipula-tion, aided when necessary by the relaxing eflects of chloro-form, will generally restore the broken ends to their properplaces. A roller bandage may be used to envelope the limbfrom the fin
A practical and systematic treatise on fractures and dislocations . yfrom other experienced observers. Treatment.—It is not always easyto reduce the fragments to a state^rpTltshEuM^efto^thfiiTil^ of perfect apposition, owing to the^S^i^^r^^^^t^ shortness of the upper fragment, fractures of upper end of humerus. ^^^^^ ^^^^ divCrSe actioU of the mUS- cles attached to the two fragments. Extension and manipula-tion, aided when necessary by the relaxing eflects of chloro-form, will generally restore the broken ends to their properplaces. A roller bandage may be used to envelope the limbfrom the fingers to the shoulder, to restrain muscular twitch-ings and to prevent congestion and swelling, yet this is notabsolutely necessary. The primary bandage, as this is some-times called, is going more and more out of use. A concaveshoulder spUnt, made of leather, gutta percha, carved woodwith a hinge, or woven mre bent and soldered to fit the parts,is quite essential for the outside of the hmb. Two or threeshort board splints may be padded and laid on the inside of. 122 Fractuees. the arm, reacliingfrom tlie axilla to near the condyles. These,including the one that caps the shoulder, may be fastened intheir places witli tapes, or bandages. A firm compress isplaced in the axilla, to prevent the upper extremity of thelong fragment from inclining too much inwards, and a band-age fastens the elbow to the side of the body. The weightof the arm is to be left free to act as extending force. Ahandkerchief dropped from the neck is always convenient forthe hand to rest in. No sling should be employed to supportthe elbow or weight of the arm. It must be borne in mind that ordinary dressings for frac-tures through the middle third of the shaft of the humerus,and which reach only about as high as the seat of the injury,are not efficacious in restraining motion between the frag-ments. Such dressings get no hold upon the upper fragmentand the scapula, therefore they can not steady the parts and
Size: 1374px × 1817px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
