A practical and systematic treatise on fractures and dislocations . be inferred from thenature of the force applied, thesharp, circumscribed and persistentpain increased by pressure or an at-tempt to walk, and the local en-gorgement. If mobility and crepi-tus can be detected when the frag-ments are pressed in opposite direc-tions the diagnosis of fracture ismade out, but not of the tibia alone;for, the diagnosis is not completeuntil it is decided that the lesion islimited to the tibia, and that thefibula remains unbroken. When it Fracture of the tibia; the fibula is kuOWU that a fracturC of tl
A practical and systematic treatise on fractures and dislocations . be inferred from thenature of the force applied, thesharp, circumscribed and persistentpain increased by pressure or an at-tempt to walk, and the local en-gorgement. If mobility and crepi-tus can be detected when the frag-ments are pressed in opposite direc-tions the diagnosis of fracture ismade out, but not of the tibia alone;for, the diagnosis is not completeuntil it is decided that the lesion islimited to the tibia, and that thefibula remains unbroken. When it Fracture of the tibia; the fibula is kuOWU that a fracturC of tllC le^r remaining unbroken. ... exists it is safe to consider bothbones broken, until it is positively determined that the fibulais intact. The crepitus elicited may come from a fracture ofone bone or both. To determine whether the fibula be brokenthe bone must be tested its entire length. The finger is to bepressed along its course slowly while the limb is carried back-wards and forwards and laterally to develop a point in whichthere is mobility or Treatment of Fractures of the Tibia.—In most in-stances a fracture of the tibia alone can be managed withease and success. The coaptation of the fragments whenthere is displacement, is generally not a difficult the projection ®f the upper fragment forw^ard be consider-able, it may require some tact to get it back into place. Theinfluence of an anaesthetic may be employed to overcome mus-cular rigidity. The tendo-Achillis has been divided to over-come the spasm and contraction of the gastrocnemius andsoleus, but such a course is rarely if ever necessary. I havenever seen a case that demanded a section of the tendon toassist in reduction. 238 Fractures. FiG. 100.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
