. A practical treatise on fractures and dislocations. large fragments, with orwithout additional small ones; in this use of the termfractures showing only two or three fragments, andthose rather small, are excluded, the line of distinctionbeing of necessity vague and arbitrary. In the shortbones and the spongy ends of the long bones comminu-tion is frequently associated with crushing of the spongytissue, or the end of the diaphyseal fragment may bedriven into the expanded, spongy end, crushing it orsplitting it; to this form the term compression fractureis sometimes given, specially at the upp


. A practical treatise on fractures and dislocations. large fragments, with orwithout additional small ones; in this use of the termfractures showing only two or three fragments, andthose rather small, are excluded, the line of distinctionbeing of necessity vague and arbitrary. In the shortbones and the spongy ends of the long bones comminu-tion is frequently associated with crushing of the spongytissue, or the end of the diaphyseal fragment may bedriven into the expanded, spongy end, crushing it orsplitting it; to this form the term compression fractureis sometimes given, specially at the upper end of thehumerus and tibia and in the bodies of the the two main fragments are rather firmly held to-gether in their new relations the condition is termedimpaction or impacted fracture (Fig. 13). If the crush- v-shaped of the spongy tissue has taken place without muchsplintering of the cortical layer the term fracture idth crushing is used(Fig. 14). This crushing of spongy tissue is effected by breakingFig. 11. Fig.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912