The treatment of fractures . Fig. 191.—Position of supination, showing the carrying angle, The outline shows theposition of pronation with the carrying angle. the acromial process to the external condyle of the humerusshould also be measured (see Fig. 143). Having then established a standard of comparison in thenormal elbow, the injured elbow should be examined with thegreatest care. Even when there is great swelling of the elbow EXAMINATION OF THE ELBOW 161 region, steady pressure will enable the fingers to reach the con-dyles. In approaching an injury to the elbow the questi
The treatment of fractures . Fig. 191.—Position of supination, showing the carrying angle, The outline shows theposition of pronation with the carrying angle. the acromial process to the external condyle of the humerusshould also be measured (see Fig. 143). Having then established a standard of comparison in thenormal elbow, the injured elbow should be examined with thegreatest care. Even when there is great swelling of the elbow EXAMINATION OF THE ELBOW 161 region, steady pressure will enable the fingers to reach the con-dyles. In approaching an injury to the elbow the questionswhich arise are : Is there a dislocation ? Is there a fracture ?Are both dislocation and fracture present ? Is there a con-tusion and a sprain ? Is there a subluxation of the radialhead? In the absence of positive signs of dislocation, subluxa-tion, and fracture the lesion is a sprain or contusion. In the. Fig. 192.—Normal elbow. Method of examination. Palpating head of radius. Spot marks external condyle. absence of positive signs of dislocation and radial subluxation afracture will be present. Summary of the Order of Examination of the InjuredElbow.—Notice whether the swelling and ecchymosis are generalor localized. If localized, that may determine the seat of thelesion. Observe the carrying angle. Palpate the external and in-ternal condyles (see Fig. 193), the olecranon process of the ulna(see Fig. 194),and the head of the radius (see Fig. 192). Determineif crepitus is present. See if the head of the radius rotates. Note
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
