Modern surgery, general and operative . Fig. 336.—Coaptation traction splint of Russ. 582 Diseases and Injuries of the Bones and Joints palm of the hand. Make the spUnt of gutta-percha, pasteboard, wood, orleather. The splint is worn three weeks. A sling must be worn, otherwisethe finger will be knocked and hurt. Some cases require a dorsal as well as apalmar splint. These cases may be treated very satisfactorily with a silicateof sodium or plaster-of-Paris bandage. Fracture of the femur is a very common injury. The divisions of thefemur are: (i) the upper extremity; (2) the shaft; (3) the low
Modern surgery, general and operative . Fig. 336.—Coaptation traction splint of Russ. 582 Diseases and Injuries of the Bones and Joints palm of the hand. Make the spUnt of gutta-percha, pasteboard, wood, orleather. The splint is worn three weeks. A sling must be worn, otherwisethe finger will be knocked and hurt. Some cases require a dorsal as well as apalmar splint. These cases may be treated very satisfactorily with a silicateof sodium or plaster-of-Paris bandage. Fracture of the femur is a very common injury. The divisions of thefemur are: (i) the upper extremity; (2) the shaft; (3) the lower extremity. Fractures of the upper extremity of the femur are divided into: (a) intra-capsular; (b) extracapsular; (c) of the great trochanter, and (d) epiphyseal sepa-ration (either of the great trochanter or the head). Examination of the Hip.—It is sometimes though seldom necessary to giveether. Remove all the patients clothing and place him recumbent upon a. Fig. 337.—Intracapsular fracture of the hip (authors case). table. Note the position of the extremity. Feel with care the great trochanterand femoral neck. Very gradually and gently make movements to determineif there is impairment, undue mobility, or crepitus. Never make suddenor violent movements in looking for crepitus. The diagnosis can be madeeven if crepitus is not obtained, and rapid or violent movements may tearapart an impaction. Measure the sound extremity and the injured measurement is made from the anterior superior spine of the ilium to theinner malleolus. Other symptoms to be looked for are set forth on pages583 and 584. Intracapsular Fracture of the Femur.—Intracapsular fracture of the neckof the femur is transverse or only slightly oblique (Fig. 337), and is not unu-sually impacted (see Figs. 267, 268, 269). Stokes follows Gordon, of Belfast, Intracapsular Fracture of the Femur 583 in classifying fractures of the femoral neck. He divides them into, in
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
