A practical treatise on fractures and dislocations . agment to place, in case of Colless fracture,by pressing forcibly upon the back of the lower fragment, the forcebeing applied near the styloid apophysis of the radius, the arm is tobe flexed upon the body, and placed in a position of semi-pronation,wThen the splints are to be applied, and secured with a sufficient num-ber of turns of the roller, taking especial care not to include thethumb, the forcible confinement of which is always painful and neveruseful. Let me repeat that, in most cases, all of our success will depend uponwhether we emp
A practical treatise on fractures and dislocations . agment to place, in case of Colless fracture,by pressing forcibly upon the back of the lower fragment, the forcebeing applied near the styloid apophysis of the radius, the arm is tobe flexed upon the body, and placed in a position of semi-pronation,wThen the splints are to be applied, and secured with a sufficient num-ber of turns of the roller, taking especial care not to include thethumb, the forcible confinement of which is always painful and neveruseful. Let me repeat that, in most cases, all of our success will depend uponwhether we employ sufficient force in the early stage of the accident,and in the right direction. When once reduced it is easily kept inplace. I cannot too severely reprobate the practice of violent extension ofthe wrist in the efforts at reduction, when no overlapping or impactionof the fragments exists and the ulna is not dislocated; and that, whetherthis extension be applied in a straight line, or with the hand adducted. FRACTURES OF THE RADIUS. 305 Fig, It has been shown that in a great majority of cases no indication inthis direction is to be accom-plished; and to pull violently,under these circumstances, uponthe wrist, is not only useless but-hurtful. It is adding to the frac-ture, and to the other injuriesalready received, the graver path-ological lesion of a stretching,a sprain of all the ligaments con-,nected with the joint. I am per-suaded that to this violence, add-ed to the unequal and too firmpressure of the splints, are, in agreat measure, to be attributedthe subsequent inflammation andanchylosis in very many cases. The first application of thebandages ought to be only moder-ately tight, and as the inflamma-tion and swelling develop in thesestructures with rapidity the band-ages should be attentively watched,and loosened as soon as they be-come painful. It must be con-stantly borne in mind that, to pre-vent and control inflammation, inthis fracture, is the most difficulta
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
