. A practical treatise on fractures and dislocations . to keep himself upon thecar, and with a violent and sudden pull wrenched him from the tenderand reproduced the fracture. The next morning I applied the dress-ings as before, and did not remove them during three weeks; at theend of which time the union was again complete. The splint was,however, reapplied, and has been continued to this time—a period ofabout six Since the date of the above paper, I have twice had opportunitiesto test the value of this mode of treatment in cases of somewhatdelayed union of the humerus, and in each ca


. A practical treatise on fractures and dislocations . to keep himself upon thecar, and with a violent and sudden pull wrenched him from the tenderand reproduced the fracture. The next morning I applied the dress-ings as before, and did not remove them during three weeks; at theend of which time the union was again complete. The splint was,however, reapplied, and has been continued to this time—a period ofabout six Since the date of the above paper, I have twice had opportunitiesto test the value of this mode of treatment in cases of somewhatdelayed union of the humerus, and in each case with the same favor-able result. § 6. Base of the Condyles. {Fractures de V extremite inferieure deVhumerus.—Dupuytren. Fractures sus-condyliennes de Vhumerus.—Mai-gaigne.) Causes.—Of thirteen fractures at this point, nine occurred in childrenunder ten years of age, the youngest being two years old. In nine cases, the fracture had been produced by a fall, and it ispresumed that the blow was received upon the elbow; in the remain-Fig. Fracture at the base of the condyles. ing four cases the cause is not stated. I believe, therefore, that thisfracture is generally the result of an indirect blow inflicted upon theextremity of the elbow; in a few examples, it has been produced bya blow received directly upon the point of fracture, as by the kick ofa horse, &c, but I have never been able to trace it to a fall upon thehand. Kecently, however, an eclectic physician in Cincinnati claimedthat he had met with this fracture in a lad fourteen years old,.produced Buffalo Med. Journ., vol. x. pp. 14-147. BASE OF THE CONDYLES. 245 by a fall upon the palm of the hand. Subsequently the parents of thelad sued the doctor for damages, claiming that the accident was a dis-location of the radius and ulna backwards, as it is, indeed, quiteprobable that it was; and alleging that his arm has been maimed bythe long-continued, too tight and unnecessary bandaging. Direction of the Fractur


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