A practical and systematic treatise on fractures and dislocations . ng from thefingers to the shoulder, beforethe splints are applied, is notnecessary, although some sur-geons contend that this isvaluable to prevent excessiveswelling and muscular twitcli-ings. The splints may be pad-ded with cotton, or wrappedwith soft muslin. A slingdropped down from the neckis eonvenient for the fore-armor hand to rest in. All me-chanical contrivances forkeeping up extension andcounter-extension, as Swinburnes apparatus, are open to suchserious objections that they have fallen into disuse. Theweight of the a


A practical and systematic treatise on fractures and dislocations . ng from thefingers to the shoulder, beforethe splints are applied, is notnecessary, although some sur-geons contend that this isvaluable to prevent excessiveswelling and muscular twitcli-ings. The splints may be pad-ded with cotton, or wrappedwith soft muslin. A slingdropped down from the neckis eonvenient for the fore-armor hand to rest in. All me-chanical contrivances forkeeping up extension andcounter-extension, as Swinburnes apparatus, are open to suchserious objections that they have fallen into disuse. Theweight of the arm counteracts the retraction of the there be slight overlapping in oblique fractures, no greattrouble attends the defect. A shortened arm is not so objec-tionable as a shortened thigh. In compound fractures of the humerus, the arm may bekept dressed with three splints. Tapes may be used insteadof a bandage to keep them in place. The patient should keepin bed for a week or two, until the violence of the inflamma-tion and the purulent discharge Dressing for fracture of the shaft of the hu-merus. 3, and 4, are not seen, and refer totwo splints on the other side of the arm. Of the Shaft of the Humerus. 125 FRACTURES OF THE SHAFT OF THE HUxMERUSJUST ABOVE THE CONDYLES. Falls upon the hand or upon the elbow are not unfrequentlyattended with fracture of the humerus above the condyles,across the condyloid ridges. In young subjects, the separationof the lower epiphysis occurs in this region, and presentsnearly all the characteristics of a true fracture. Figure 39represents an injury of this kind rendered compound by a tootight dressing, which resulted in sloughing, and a protrusionof the broken end of the upper fragment. The epiphyseal Fig. 39.


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870