. Transactions of the Western Surgical Association. aight around. Then with a strap run throughthis, back under the arm, around over the shoulder, andbuckled to the loose end near the wrist, one has the purchasefor a pull. One buckles it up, and the patient walks aroundwhile the elbow loosens up a little and one tightens it up alittle more. One can accomplish more with this than withpulleys although the pulley is an excellent thing. Dr. C. H. Lemon (Milwaukee, Wis.) : Dr. Smith, of Har-vard, may have been the first man to advocate acute flexionof the elbow in the treatment of fractures around
. Transactions of the Western Surgical Association. aight around. Then with a strap run throughthis, back under the arm, around over the shoulder, andbuckled to the loose end near the wrist, one has the purchasefor a pull. One buckles it up, and the patient walks aroundwhile the elbow loosens up a little and one tightens it up alittle more. One can accomplish more with this than withpulleys although the pulley is an excellent thing. Dr. C. H. Lemon (Milwaukee, Wis.) : Dr. Smith, of Har-vard, may have been the first man to advocate acute flexionof the elbow in the treatment of fractures around the elbow-joint, but certainly to Jones, of Liverpool, belongs the creditof having showed us the rationale of this procedure, as wellas for popularizing the treatment, which is the most importantconsideration. Dr. Mann has had a very large experience in the treatmentof fractures, and he is certainly very ingenious in the use ofsplints; but there is one thing I would like to call attentionto, and that is, in the treatment of fractures of the elbow-. DISCUSSION 149 joint, particularly a supracoiidylar fracture, if you put thethumb in the position he indicated, or as Ashhurst, of Phila-delphia, shows it ii;i his monograph on the subject, under thechin, you certainly will get a deformity, because the rotationof the lower fragment of the humerus is not accompaniedby rotation of the upper part of the shaft of the ought to be perfectly obvious. Jones has called atten-tion to the necessity in all these fractures of the elbow-jointof putting the hand upon the shoulder so that the plane ofthe bones of the forearm shall be in the same plane as thatof the humerus. Now, in the elbow-joint we have a hinge-joint, and, if wehave a broken hinge on a door and we close the door, theconstituent parts of that hinge go in place and are exactly inplace. In fractures of the condyle of the humerus, if thecondyle is broken from the humerus, it is attached by itsligamentous structures to the
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