. A practical treatise on fractures and dislocations. nnequins plaster splint for fracture of the humerus. A convenient method of making a similar plaster dressing is thatdevised by Hennequin :^ a dozen thicknesses of crinoline, or three orfour of muslin or canton-flannel, cut as shown in Fig. 131, the widthbeing equal to the circumference of the arm, and the length of thecentral portion equal to the distance from the fold of the axilla to theelbow, are soaked in plaster cream and applied as shown in Fig. 132,the limb having previously been bandaged from the wrist to the elbowto prevent swelli
. A practical treatise on fractures and dislocations. nnequins plaster splint for fracture of the humerus. A convenient method of making a similar plaster dressing is thatdevised by Hennequin :^ a dozen thicknesses of crinoline, or three orfour of muslin or canton-flannel, cut as shown in Fig. 131, the widthbeing equal to the circumference of the arm, and the length of thecentral portion equal to the distance from the fold of the axilla to theelbow, are soaked in plaster cream and applied as shown in Fig. 132,the limb having previously been bandaged from the wrist to the elbowto prevent swelling. If overriding is present or anticipated tractionmust be made while the plaster is hardening, either by the hands or bva weight made fast at the elbow by a bandage under the splint. Hen-nequin makes temporary counter-extension by a bandage under theaxilla, but I doubt its value or safety ; it seems liable to lead to makingthe splint too high on the inner side and thus chafing the axillarvfolds. Hennequin : Revue de Chirurgie, 1887. 252 Middeldorpf s triangle for fracture of thehumerus. For cases in which the attitude and fixation of the upper fragmentare such that the liml) must ])e kept abducted so as to be in line with it, and in which confinement tobed must be avoided, a supportbraced against the body mav beused. Middeldorpfs triangle ( is a type of such dressing ;the objection to it is in the in-ternal rotation which it gives tothe arm and which may not coin-cide with the position of the upperfragment. A lighter pattern ismade of a bent rod or piece ofstout leather strapped to the armand trunk, or a cushion (Fig. 138).The choice of these differentmethods in varying cases may besummarized as follows: In thehigh fractures with little displace-ment or tendency thereto moderateimmobilization, support, and pro-tection are sufficient, and thesemay often be got by binding thearm to the side, especially if thepatient is fat. If the patient is robust, and espe
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912
