. Railway surgery : a handbook on the management of injuries . Fig. -Dressing for Fracture of Clavicle, front view; bandage running from leftto right. line of the upper arm and under the flexed elbow of thesame, up again over the affected shoulder in front, thendown across the chest behind to the starting-point at theside of the chest of the opposite side (see Figs. 43 and 44).The turns should then alternate completely around thechest, including the arm of the affected side, and over theshoulder and elbow as above until several have passed overeach, and a firm dressing has been made. Over all
. Railway surgery : a handbook on the management of injuries . Fig. -Dressing for Fracture of Clavicle, front view; bandage running from leftto right. line of the upper arm and under the flexed elbow of thesame, up again over the affected shoulder in front, thendown across the chest behind to the starting-point at theside of the chest of the opposite side (see Figs. 43 and 44).The turns should then alternate completely around thechest, including the arm of the affected side, and over theshoulder and elbow as above until several have passed overeach, and a firm dressing has been made. Over all this ap- no RAILWAY SURGERY. ply a crinoline, or, if desired, a thin plaster-of-Paris band-age, sufficient to hold the dressing firmly in position. This dressing constitutes a complete covering, andthe action of the bandage, as will be readily made outin its application, is to carry the affected shoulder up-. Fig. 44.—Back View o^ Fig. 43, carrying bandage over fracture and under the elbow of same side. ward, outward, and backward, in order to get as muchextension in the line of the clavicle as possible. The length of time such a dressing should remain willbe from four to six weeks, although the bandage shouldbe replaced as often as it shows signs of loosening. Theease with which this can be done precludes the possibilityof harming the relation of the fragments in the least. FRACTURE OF THE CLAVICLE. ill When after a time movements can be made in the armwithout any pain in the part, the dressing may be re-moved ^nd motion given freedom. It is very seldom that any permanent effect is noticedin the motion of the arm after such a fracture. Thecallus is usually considerable in size, owing to the dis-placed fragments, but rarely interferes in any way withthe comfort of the individual. CHAPTER XII. FRACTURE OF THE EXTREMITIES. In considering the subject of fractures, we wish to beunderstood as
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