The treatment of fractures . Fig. 346.—Palmar wooden thumb splint. Note shape, pads, straps, position. 252 FRACTURE OF THE PHALANGES articular surfaces are hard to detect because joint crepitus isdeceptive. The so-called base-ball finger may, in many instances,be associated with a fracture of the head of the metacarpal bone,and, involving the joint, occasion a slow convalescence (see ). Symptoms.—Crepitus, pain, and abnormal mobility are pres-ent, and occasionally deformity is seen. Treatment.—It is important that the alinement of the phalanxbe maintained. Rotation of the lower fra


The treatment of fractures . Fig. 346.—Palmar wooden thumb splint. Note shape, pads, straps, position. 252 FRACTURE OF THE PHALANGES articular surfaces are hard to detect because joint crepitus isdeceptive. The so-called base-ball finger may, in many instances,be associated with a fracture of the head of the metacarpal bone,and, involving the joint, occasion a slow convalescence (see ). Symptoms.—Crepitus, pain, and abnormal mobility are pres-ent, and occasionally deformity is seen. Treatment.—It is important that the alinement of the phalanxbe maintained. Rotation of the lower fragment upon its longaxis is especially to be guarded against. Temporarily, if there is. Fig. 347.—Lateral splint of wood for fracture of the thumb. Note pad at the side of firstphalanx, to correct lateral deformit}-. much swelling, the broken finger may rest upon a palmar splint,the two adjoining fingers serving as lateral splints to steady contiguous skin surfaces must be protected by strips ofcotton cloth and a drying powder. A single splint of thin wood, extending from the middle otthe palm of the hand to the finger-tip, and held in position byadhesive-plaster straps, is most useful (see Fig. 343). The splint-wood used should be cut thin and not left thick and bungling—half the thickness of the wood of an ordinary cigar box is aboutright. The splint should be a little narrower than the finger narrow cotton bandage applied over the finger or a simple cot to 254 FRACTURES OF CARPUS, METACARPUS, AND PHALANGES cover the finger will be comfortable and will assist in immobiliza-tion. Ordinanr letter-paper, by continued folding, may be madeinto a narrow a


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901