. Atlas and epitome of traumatic . Fig. 105.—Severe compound fracture of the second and third meta-carpal bones; marked displacement of the fragments. Skiagraph takenthrough the bandage. external violence, operative intervention is sometimes indi-cated (see Fig. 105). It is well to begin massage and pas-sive movements of the fingers early in the treatment. [In this country we observe quite frequently fracturesof the third and fourth metacarpal bone from a blow uponthe knuckle. It is not an infrequent boxing or prize-fighting injury. In the cases which I have observed there 230 FRACTURES AND DI
. Atlas and epitome of traumatic . Fig. 105.—Severe compound fracture of the second and third meta-carpal bones; marked displacement of the fragments. Skiagraph takenthrough the bandage. external violence, operative intervention is sometimes indi-cated (see Fig. 105). It is well to begin massage and pas-sive movements of the fingers early in the treatment. [In this country we observe quite frequently fracturesof the third and fourth metacarpal bone from a blow uponthe knuckle. It is not an infrequent boxing or prize-fighting injury. In the cases which I have observed there 230 FRACTURES AND DISLOCATIONS. PLATE 47 of a Normal Adult Wrist=joint; Lateral View. Os [uile> I Os medianguLuni, minusOs rruUtangiiLuru majns Os naoLculare -Os /lisiforme- Radius. Os rrcctacarpxxle HOs metcucarpxile, HI - Os cafiitttturrvOs hamxilwrv*)--Os triqiuiruirh Os lunaXuirh Proc. stylouleus , has been a deformity, and I should recommend that thefracture be dressed with a pad in the palm of the hand topreserve the palmar arch, or the fracture be dressed witha roll of bandage in the palm of the hand over which thefingers and thumb are flexed and held in position by abandage. This is recommended and illustrated by Scudder(foe. cit, p. 236).—Ed.] Fractures of the phalanges are usually produced bydirect violence, but may also result indirectly by a forceacting in the longitudinal direction of the phalanges; wethus occasionally meet with longitudinal fractures. Theyare also said to be produced in the distal phalanges by the Tab. 47 b.
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