A practical and systematic treatise on fractures and dislocations . ld occur, it would be known by the flaccid, mobile condi-tion of the broken limb. Swelling and discoloration wouldsoon exhibit themselves ; and, in handling the child, the in-stability of the member would be observable. The limb wouldfall powerless into unnatural attitudes. Once discovered, theinjury should be treated like an ordinary fracture. I was once called to attend a lad of five or six years of age,who had separated the lower epiphysis (Fig. 16) of thehumerus, by a fall upon the curbstone. The physician firstsummoned to
A practical and systematic treatise on fractures and dislocations . ld occur, it would be known by the flaccid, mobile condi-tion of the broken limb. Swelling and discoloration wouldsoon exhibit themselves ; and, in handling the child, the in-stability of the member would be observable. The limb wouldfall powerless into unnatural attitudes. Once discovered, theinjury should be treated like an ordinary fracture. I was once called to attend a lad of five or six years of age,who had separated the lower epiphysis (Fig. 16) of thehumerus, by a fall upon the curbstone. The physician firstsummoned to take charge of the case, bandaged the arm sotightly that the soft parts, on the anterior aspect of the arm,sloughed. This was the state of the case when I was asked (72) Diastasis. 73 to take charge of it. The shaft of the humerus protrudedthrough the opening made by the slougli, converting thelesion into something like a compound fracture. The pro-truding bone was denuded of periosteum, and pus was dis-charged through two sinuses above the main opening. The Fig. Separation of the lower epiphysis of the humerus. fortunate discovery of granulations upon the end of the pro-truding bone, suggested the idea of extending the limb untilthe projecting bone would sink into its natural place andposition. Accordingly, the hand was suspended to the bed-frame above, so that the weight of the body, by extension,kept the bone where it ought to be, in the bottom of thewound. The period of recovery was prolonged, and attendedwith profuse suppuration, yet in the end the result was quitesatisfactory, considering the condition of the limb. CHAPTER OF THE CRANIUM. In tlie division of surgical subjects, fractures of the cranium,from, the nature of the injuries and the peculiarity of theirtreatment, are always placed among wounds of the gravity of such lesions depends essentially upon injuriesand disturbances of the brain, therefore a consideration of thefracture alone would
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
