Notes on the modern treatment of fractures . Fig. of Dr. Sterns Case before Reduction. 136 THE MODERN TREATMENT OF FRACTURES. of the ulnar side of the hand. He was getting upon a horseand fell over on the opposite side of the animal. Whenexamined shortly afterwards the damage done to the skin ofthe hand by impact on the ground was shown on the palmof the hypothenar eminence and on the ulnar border of thehand. The displacement forwards, of the lower fragment andthe over-riding of the upper fragment upon its dorsum arebeautifully shown in the skiagraph, which Dr. Stern hasbrought he
Notes on the modern treatment of fractures . Fig. of Dr. Sterns Case before Reduction. 136 THE MODERN TREATMENT OF FRACTURES. of the ulnar side of the hand. He was getting upon a horseand fell over on the opposite side of the animal. Whenexamined shortly afterwards the damage done to the skin ofthe hand by impact on the ground was shown on the palmof the hypothenar eminence and on the ulnar border of thehand. The displacement forwards, of the lower fragment andthe over-riding of the upper fragment upon its dorsum arebeautifully shown in the skiagraph, which Dr. Stern hasbrought here to-night. Forcible reduction was at once per-. Fig. Fracture. (Museum, Trinity College, Dublin.) formed and the boy now has an excellent arm with little orno deformity. It can be understood, I think, how such a blow might tendto displace the radial base forward rather than backward. Afall directly upon the whole palm usually tends to forciblyextend the wrist-joint and is one of the methods of producingthe classic fracture with backward displacement. This blowcoming on the ulnar portion of the hand might readily, itseems to me, drive the lower fragment forward without ex-tending the wrist-joint. The deformity in this fracture is quite different from thatin the ordinary injury with backward displacement. Thedegree naturally varies with the amount of displacement andthe obliquity or transverse character of the line of may be almost absent or be very great. Sometimes the dis- RADIAL FRACTURE DISPLACED FORWARDS. 137 placement is almost entirely forward, at other times it iscomparatively slight forward, but very
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