The treatment of fractures . great. Under such circumstances the dull areain the groins and lower abdomen of extraperitoneal rupturewill be increase! 1. Exploratory laparotomy should be done, and it the extra-vasation proves to be extraperitoneal, drainage of this area isdemanded. Temporary drainage of the bladder, cither urethral PROGNOSIS 105 or through perineal section, will be needed to permit healingof the bladder wound. The bladder wound is usually inacces-sible to suture in these cases. Prognosis.—A guarded prognosis should always be given inany case of fracture of the pelvis. Fractures


The treatment of fractures . great. Under such circumstances the dull areain the groins and lower abdomen of extraperitoneal rupturewill be increase! 1. Exploratory laparotomy should be done, and it the extra-vasation proves to be extraperitoneal, drainage of this area isdemanded. Temporary drainage of the bladder, cither urethral PROGNOSIS 105 or through perineal section, will be needed to permit healingof the bladder wound. The bladder wound is usually inacces-sible to suture in these cases. Prognosis.—A guarded prognosis should always be given inany case of fracture of the pelvis. Fractures of the iliac crestordinarily recover in a few weeks. In fractures complicated byrupture of the bladder or bowel the prognosis is extremely?rave. CHAPTER VIIFRACTURES OF THE CLAVICLE Anatomy.—The clavicle is subcutaneous throughout itswhole length (see Fig. 114). The acromioclavicular joint is atits outer end. The sternoclavicular joint is at its inner clavicle lies in a muscular plane made up of the trapezius. Fig. 113.—Normal left clavicle viewed from above.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901