. Birth fractures and epiphyseal dislocations . adults, and in some instances spontaneouselevation of the depressed fragment, more or less complete, has been wit-nessed, but as the elevation of the depression can be so readily accomplished,particularly if undertaken promptly, there is usually no reason to omit thistreatment. Kerr^ has advocated and practiced elevation by firm compression of thehead between the hands in an anteroposterior direction. Tweedy* has sug-gested the utility of introducing the point of a volsellum blade through thebone at the depth of the depression, thus effecting ele
. Birth fractures and epiphyseal dislocations . adults, and in some instances spontaneouselevation of the depressed fragment, more or less complete, has been wit-nessed, but as the elevation of the depression can be so readily accomplished,particularly if undertaken promptly, there is usually no reason to omit thistreatment. Kerr^ has advocated and practiced elevation by firm compression of thehead between the hands in an anteroposterior direction. Tweedy* has sug-gested the utility of introducing the point of a volsellum blade through thebone at the depth of the depression, thus effecting elevation. Kosmak hasdevised a very practical instrument (Fig. i8) especially intended for thisprocedure, which might well be included in the routine obstetrical equipment. REFERENCES ^ LucKETT. Ann. Surg., April, 1910. Kosmak. Bull. Lying-in Hasp., Vol. IX, No. i. » Kere. Operative Midwifery, 3rd Ed., Chapter XXXVII. Brit. Med. Jour., Jan., 1901.* Tweedy. Practical Obstetrics, 2nd Ed., 1910, p. 332. Commandeur IObstetrique, July, 1910, p. Fig. i_.—Case l. Transverse fracture of the occipital bone produced bycompression of the head in the pelvic brim during difficult breech had been applied above vvfhile traction was made from belovir. Theline of fracture evidently followed the furrow in the bone containing thelateral sinus. Union has taken place between the condvloid and occipitalportions of the bone, where a point of motion is usually noted. (See Fig. 19.)
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