. The diseases of children : medical and surgical. Fig. 209.—Separation of epiphysis of humerus, showing adductionof the forearm with loss of the carrying angle. Fig. 210.—Arrest of growthof the radius from separa-tion of the lower epiphysismany years before. (Plate VII.) ; more often the capitellum and outer condyle are detached(Plate IX.) and the inner side of the bone fractured (Plate VI.). Such cases,if seen at once, should be treated, after reduction of any obvious deformity,by gutta-percha or Gooch splint, on one side, and on the other an angularsplint, reaching from the shoulder to the


. The diseases of children : medical and surgical. Fig. 209.—Separation of epiphysis of humerus, showing adductionof the forearm with loss of the carrying angle. Fig. 210.—Arrest of growthof the radius from separa-tion of the lower epiphysismany years before. (Plate VII.) ; more often the capitellum and outer condyle are detached(Plate IX.) and the inner side of the bone fractured (Plate VI.). Such cases,if seen at once, should be treated, after reduction of any obvious deformity,by gutta-percha or Gooch splint, on one side, and on the other an angularsplint, reaching from the shoulder to the end of the fingers, or a posteriorangular splint may be used. Treatment of these injuries of the lower endof the humerus by keeping the arm extended has been recommended astending to diminish the displacement due to contraction of the triceps andthe tendency to tilting of the fragments, but this method of treatment hasnot become the accepted one. H. O. Thomas, R. Jones, and others PLATE Beatrice D., get. 2i years. Separation of tlie whole lowerepiphysis of the humerus, with inward displacement,and a vertical split in the shaft. The diaphysis projectsoutwards. Loss ofcarrying angle.


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