The surgical diseases of children . s generally easy, but if the signsbe indefinite, an anaesthetic should be administeredand a deliberate examination made. It may be no-ticed that the front of the fore-arm is shortened, andthat there is a projection behind the lower end of thehumerus. On grasping the limb above and below thejoint a strange lateral movement is detected. Thejoint fragment, if previously displaced, can be easilyrestored, though it is apt to slip back again. Themovements of pronation and supination are permitted ;z—19 386 The Surgical Diseases of Children. the top of the olecrano
The surgical diseases of children . s generally easy, but if the signsbe indefinite, an anaesthetic should be administeredand a deliberate examination made. It may be no-ticed that the front of the fore-arm is shortened, andthat there is a projection behind the lower end of thehumerus. On grasping the limb above and below thejoint a strange lateral movement is detected. Thejoint fragment, if previously displaced, can be easilyrestored, though it is apt to slip back again. Themovements of pronation and supination are permitted ;z—19 386 The Surgical Diseases of Children. the top of the olecranon process is still in the normalhorizontal line with the condyles of the in the dislocation, as shown in Fig. 65,the top of the olecranon process is raised high abovethe normal line, the line of the condyles of the hu-merus. The fracture is not necessarily accompaniedwith displacement. The nature of such an injury isnot likely to be overlooked if the rule be followed ofgrasping the shaft with one hand and the condyles. Fig. 60.—Pattern for Elbow Fig. 67 Elbow Splint applied. Splint. (Alter Lonsdale.) with the other, and searching for the characteristiclateral movement. Treatment.—The hand and fore-arm should beevenly bandaged, and a layer of cotton-wool should besecured around the flexed elbow joint, the bandagebeing subsequently continued up the arm. A plasticsplint having been already cut to the paper pattern,and prepared, should be moulded on to the elbow, thejoint being arranged at a right angle, and beingsteadied as the mould hardens. It matters not ofwhat material the splint be composed so long as thesurgeon be handy at its application ; flannel soakedin creamy plaster of Paris, Hides or Cookings splint-ing, mill-board, undressed leather, guttapercha, anyone of them will do, but it must be applied with even-ness and firmness. It should be long enough to reachwell up the arm and down the fore-arm. The adjoining chap xxvi Fracture near Elbow. 387 figur
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
