. A practical treatise on fractures and dislocations. re with function ; it has alsoFig. 167. been proposed to secure it in place by transfixion with a pin or by incision and suture, but the meas-ure seems wholly unnecessary. C. Fractures of the External Epicondyle. This is a much rarer accident than the preceding,and as the fragment that is broken ofl is small, andas the cause appears to be always direct violence,which is usually accompanied by bruising andswelling, the exact nature of the injury may easilypass unrecognized. An anatomical demonstrationof the fracture has never been made, exce
. A practical treatise on fractures and dislocations. re with function ; it has alsoFig. 167. been proposed to secure it in place by transfixion with a pin or by incision and suture, but the meas-ure seems wholly unnecessary. C. Fractures of the External Epicondyle. This is a much rarer accident than the preceding,and as the fragment that is broken ofl is small, andas the cause appears to be always direct violence,which is usually accompanied by bruising andswelling, the exact nature of the injury may easilypass unrecognized. An anatomical demonstrationof the fracture has never been made, except in con-Fraeture of the external i^gctiou witli uiorc extcusive fractures of the elbow. epicondyle of the hume- t ^i • i • i n j • i i .i rus. (GuRLT.) I^ the sense m which the term is here used the epicondyle is the small prominence above and on the outer side of the capitelkim, composed in part of bone formed about 1 Richet: Anatomie Medico-Chirurgicale, 4tli ed., p. 672, note.^ Denuce: Diet, de Med. et Chir. Pratiques, art. Coude, p. FRACTURES OF THE HUMERUS. 273 a separate centre of ossification; and in part of the projecting portionof the shaft or condyle itself. To it are attached the external lateralligament of the joint and part of the extensor muscles of the forearm. Most surgeons deny the possibility of an extra-articular fracture ofthis part, and group all fractures of the region as of the external speaking it is certainly possible for such a fracture to inoccur; the epicondyle, though small, is still large enough to be broken insuch a way that the line of fracture may lie entirely outside the joint. Gurlt describes as extra-articular fractures of the external epicon-dyle two specimens preserved, the one at Giessen, the other at each the fracture has united with considerable displacement down-ward of the fragment, which appears in the description and figure () too large to have been entirely extra-articular. Still,
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