. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. 48 SURGERY. occur at the weakest points. The signs are evident: crepitus, pain, want of motion, &c. There is seldom any great shortening, and the deformity is readily reduced. Treatment. — When both bones are fractured, when the tibia alone is fractured, or, when the upper part of the fibula is fractured, the best and most simple apparatus is the fracture-box and pillow. The fracture-box has a foot-board, to whic
. An analytical compendium of the various branches of medical science, for the use and examination of students. Anatomy; Physiology; Surgery; Obstetrics; Medicine; Materia Medica. 48 SURGERY. occur at the weakest points. The signs are evident: crepitus, pain, want of motion, &c. There is seldom any great shortening, and the deformity is readily reduced. Treatment. — When both bones are fractured, when the tibia alone is fractured, or, when the upper part of the fibula is fractured, the best and most simple apparatus is the fracture-box and pillow. The fracture-box has a foot-board, to which the foot is secured by a bandage, thus preventing any lateral inclination. In lieu of this, two splints of the length of the leg, applied on either side of the pillow, will answer the purpose, care being taken to support the foot by a bandage or handkerchief. Fig. Fractures of the lower end of the fibula are to be treated by Du- puytren's or Physick's apparatus; which consists of a single splint, placed on the inner side of the leg, and reaching beyond the foot. It is provided with a wedge-shaped pad, which reaches only to the ankle, the larger end of which, being applied to the internal malle- olus ; a bandage is carried over the ankle in such a manner as to produce inversion of the foot, making the sole of the foot approxi- mate the splint, and thus fragments are adjusted and the deformity removed. FRACTURES OF THE BONES OF THE FOOT. The OS calcis may be fractured by great violence connected with the action of the sural muscles. The tuberosity will be drawn up by the tendo Achillis, and the patient is unable to stand. The treatment consists in overcoming the action of the triceps surce, flexing the leg upon the thigh, and extending the foot upon the leg. The fragments are to be approximated by a figure of 8 bandage. The astragalus is rarely fractured; it may occur at the posterior part where the tendon of the flexor longus pollicis plays over it; or it may occur betwe
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