The practice of surgery . and side splints. Theapparatus should remain in place for about two weeks. ^Samuel Robinson. The Bennett Fracture of the First Metacarpal Bone. Diag-nosis and Treatment, Boston Med. and Surg. Jour., February, 27. 1908 SPECIAL FllACTUHES AND THEIR TREATMENT 895 Phalanges Fracture of the phalanges is so apparent that it scarcely needsdesciiption; though occasionally the fracture may be a mere crack,when the a--ray alone can demonstrate it. Ordinarily, however, thebones, lying close under the skin, may easily be palpated. In the treatment of these phalanx fractures one m
The practice of surgery . and side splints. Theapparatus should remain in place for about two weeks. ^Samuel Robinson. The Bennett Fracture of the First Metacarpal Bone. Diag-nosis and Treatment, Boston Med. and Surg. Jour., February, 27. 1908 SPECIAL FllACTUHES AND THEIR TREATMENT 895 Phalanges Fracture of the phalanges is so apparent that it scarcely needsdesciiption; though occasionally the fracture may be a mere crack,when the a--ray alone can demonstrate it. Ordinarily, however, thebones, lying close under the skin, may easily be palpated. In the treatment of these phalanx fractures one must take every painsto see that the delicate and important mechanism of the fingers be notseriously disturbed. A perfect alignment of the fragments must bemaintained, and, as Scudder says, rotation of the lower fragments uponits long axis must be guarded against. In case of great swelling atemporary dressing upon a long palmar splint will suffice, but whenthe swelling has subsided the surgeon must apply carefully a small. Fig. 593. -Palmar wooden thumb splint Note shape, pads, straps, position(Scudder), well-fitting splint of tin or wood. Fractured phalanges unite in twoor three weeks. Compound fractures of the phalanges sometimes become infected andlead to extensive suppuration with destruction of bones. Healingeventually will take place under antiseptic dressings and splinting,but the affected finger will almost surely be stiff. In such a case apatient may choose to have his finger amputated. Femur Fractures of the femur are various in character and in location,and are difficult of treatment. Fracture of the femur is the ponsasinoruvi of the surgical tyro. The complicated upper end of the 896 MINOR SURGERY—DISEASES OF STRLCTUKE femur is the part most frequently broken, while its close relationshipto the hip-joint renders its proper treatment essential, if permanentcrippling is to be avoided. We must recall certain lines, angles, and triangles which are usefulin studying dam
Size: 1481px × 1686px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
