A practical treatise on fractures and dislocations . hands should be clasped infront of the body ; and as the elbows are pressed back, a rule may be laidbeneath, and the measurements made from the upper surface of the rule. § 6. Base of the Condyles. Syn.—Supra-condyloid Fractures of the Humerus.—-Malgaigne. Of 18 fractures at this point, 12 occurred in children under ten yearsof age, the youngest being two years old. In 11 cases the fracture hadbeen produced .by a fall, and it is presumed that the blow was receivedupon the elbow ; in the remaining six cases the cause is not stated. Thisfractu
A practical treatise on fractures and dislocations . hands should be clasped infront of the body ; and as the elbows are pressed back, a rule may be laidbeneath, and the measurements made from the upper surface of the rule. § 6. Base of the Condyles. Syn.—Supra-condyloid Fractures of the Humerus.—-Malgaigne. Of 18 fractures at this point, 12 occurred in children under ten yearsof age, the youngest being two years old. In 11 cases the fracture hadbeen produced .by a fall, and it is presumed that the blow was receivedupon the elbow ; in the remaining six cases the cause is not stated. Thisfracture is, therefore, generally the result of an indirect blow, inflictedupon the extremity of the elbow ; in a few examples it has been producedby a blow received directly upon the point of fracture, as by the kick ofa horse, etc., but I have never, save in a single instance, been able totrace it to a fall upon the hand. Dr. Shearer, IT. S. A., has reported acase also, which seems to have occurred in the same Fig. Hi Fig. 118. Fig. Dr. Reeves case of Dr. Langes case of separation of lower separation of the lower epiphysis, and detachment of epicon-Lower epiphysis. epiphysis. dyles. Direction of the Fracture, Displacement, and Symptoms.—This frac-ture is generally oblique, and its line of direction upward and backward: 1 M. M. Shearer, Act. Asst. Surgeon, U. S. A. Boston Journal of Chemistry, Feb. 1,1870. J 238 FRACTURES OF THE HUMERUS. in nine of the eleven cases where this point was determined such has beenits apparent direction, and the lower fragment has been found drawn upbehind the upper. Once I have found the lower fragment in front, andonce on the outside of the upper. Three of the eighteen were compoundcomminuted fractures, this being a larger proportion of serious complica-tions than is usually found in connection with fractures of long bones. Separation of the Lower Epiphysis.—Surgical writers have occasion-ally spoken of this accident, and the la
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