The treatment of fractures . should beone-fourth of an inch wider than the forearm. The posterior splintshould extend from just above the middle of the forearm to themetacarpophalangeal joints. The anterior splint should extendfrom the same point on the forearm to the middle of the palm ofthe hand (sec Fig. 261). The palmar splint is cut out on thethumb side, so as to avoid pressure on the thenar two splints are padded with evenly folded sheet waddingno wider than the splints. About three or four thicknesses of TREATMENT 20I the sheet wadding will be necessary. The ^posterior sp
The treatment of fractures . should beone-fourth of an inch wider than the forearm. The posterior splintshould extend from just above the middle of the forearm to themetacarpophalangeal joints. The anterior splint should extendfrom the same point on the forearm to the middle of the palm ofthe hand (sec Fig. 261). The palmar splint is cut out on thethumb side, so as to avoid pressure on the thenar two splints are padded with evenly folded sheet waddingno wider than the splints. About three or four thicknesses of TREATMENT 20I the sheet wadding will be necessary. The ^posterior splint ispadded alike through its whole extent. The anterior splint is sopadded as to conform to the irregularities of the anterior surfaceof the forearm, particularly at the radial side near the wrist. Theinternal right-angle splint is padded evenly with four thick-nesses of sheet wadding. It overlaps the wooden splints, andextends up to the axilla. It immobilizes the Fig. 260.—Variations in the shape and width of the interosseous space between radius andulna when the forearm is supinated, pronated, and setnipronated. Semipronation presentsthe widest interosseous space (diagram). The Application of the Splints : The forearm is held flexed ata right angle and semisupinated and steadied by an posterior and then the anterior splints are applied to theforearm. Three straps of adhesive plaster, two inches broad,are then applied—one at the upper ends of the splints, one at thewrist, and the third across the palm of the hand and around the !02 FRACTURES OF THE BONES OF THE FOREARM posterior splint only. These straps should simply steady thesplints snugly in position (see Fig. 262). The bandage isnext applied, and it is by this that pressure is exerted upon thearm. There should be some spring left upon pressing thesplints together after the bandage is applied. If there is none
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
