The treatment of fractures . between the two open hands anteroposteriorly andlaterally to detect crepitus. The natural inclination of theribs should be borne in mind during palpation. Respirationwill be short and catchy, and accompanied by a characteristicgrunt. The attitude and movements of the patient are very deliberate,guarded, stiff, and in severe cases suggest the movements of a 91 92 FKACTLRES OF THE RIBS child with acute caries of the dorsal spine. There may be aslight cough. Complications of Fracture of a Rib.—Injury to the pleuraand lung not uncommonly occurs. Its existence is manife
The treatment of fractures . between the two open hands anteroposteriorly andlaterally to detect crepitus. The natural inclination of theribs should be borne in mind during palpation. Respirationwill be short and catchy, and accompanied by a characteristicgrunt. The attitude and movements of the patient are very deliberate,guarded, stiff, and in severe cases suggest the movements of a 91 92 FKACTLRES OF THE RIBS child with acute caries of the dorsal spine. There may be aslight cough. Complications of Fracture of a Rib.—Injury to the pleuraand lung not uncommonly occurs. Its existence is manifestedby cough, blood\r expectoration, and emphysema. Emphysemamay extend over the whole chest and up over the neck and face(see Fig. 98), and even over most of the body. Emphysemaunassociated with a wound of the superficial soft parts is of littleimportance. Pneumothorax may be present. Injury to theheart and pericardium and hemorrhage from an intercostal arteryare unusual. A dry pleurisy, disappearing rapidly, localized at. Fig. 98.—Case: Emphysema following fracture of the ribs on the right side. Note the puffiness of the face—the eyes almost closed (Warren). the seat of fracture, is quite commonly detected by the steth-oscope. The relations of a rib to the pleura and intercostalvessels are important in this connection (see Fig. 99). Treatment.—The complications must be attended to accord-ing to medical principles. A cough mixture, if necessary, con-taining morphin is a great help during the first week. It is diffi-cult to reduce a fracture of a rib and to hold it reduced. Thedeformity and loss of function consequent upon the union of afractured rib in malposition is fortunately not very great (see Fig. TREATMENT 93 100). However, the relief of the patient upon the partial im-mobilization of the fracture is great. By pressure of the handthe ribs may be steadied and the fragments brought into excel-lent apposition, and by a pad held in place by a swathe of adhe-sive pla
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
