. A treatise on dislocations and fractures of the joints. inch above the ligamentum annulare carpi, the broken extremity ofthe radius is seen projecting under the flexor tendons of the wrist,which have been removed to show its situation ; the ulna is dislocatedforwards, and rests upon the os orbiculare. Symptoms.—The signs of this injury are, that the hand is thrownback upon the fore-arm, so as, at first sight, to exhibit the appearanceof a dislocation of the hand backwards ; and a projection of the ulnais felt under the tendon of the flexor carpi ulnaris muscle, just abovethe os orbiculare ;
. A treatise on dislocations and fractures of the joints. inch above the ligamentum annulare carpi, the broken extremity ofthe radius is seen projecting under the flexor tendons of the wrist,which have been removed to show its situation ; the ulna is dislocatedforwards, and rests upon the os orbiculare. Symptoms.—The signs of this injury are, that the hand is thrownback upon the fore-arm, so as, at first sight, to exhibit the appearanceof a dislocation of the hand backwards ; and a projection of the ulnais felt under the tendon of the flexor carpi ulnaris muscle, just abovethe os orbiculare ; and thirdly, the fractured extremity of the radiusis easily detected, under the flexor tendons of the hand. I have seenthis accident frequently, and at first did not exactly understand thenature of the injury; indeed, dissection alone taught me its realcharacter.*. Treatment.—A very powerful extension is required to bring thebroken ends of the radius into apposition, and great difficulty existsin confining them when this is effected. The hand is to be extendedby the surgeon, and the fore and upper arm are to be drawn back byan assistant; then a cushion is to be placed upon the inner part of thewrist, and another to the back of the hand, and are to be firmly bound Dr. Rhea Barton, an American physician, has described a peculiar variety ofthis accident, in which the posterior edge of the articular cavity of the radius isbroken off, and the carpus partially dislocated NEAR THE WRIST-JOINT. 429 down by a roller, for the purpose of keeping the ulna and broken endof the radius in situ ; a splint, well padded, is then to be applied to theback part and inner side of the fore-arm, which is to extend to theextremities of the metacarpal bones ; these splints are to be confinedby a roller, reaching from the upper part of the fore-arm to t
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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844
