. A practical treatise on fractures and dislocations. y complete, swelling marked, amiecchymoses very extensive, especially in the old, often spreading xo theelbow and across the front of the chest. If the elbow is pressed upward pain is felt at the fracture, and dis- 248 FRACTURES. tinctly localized pain can often be caused by pressure with the fingeralong the line of fracture. Then if the upper fragment is grasped between the thumb and fingersin such a way that the notch between the tuberosities at the bicipitalgroove can be felt, and the elbow is gently rotated, the failure of theformer to


. A practical treatise on fractures and dislocations. y complete, swelling marked, amiecchymoses very extensive, especially in the old, often spreading xo theelbow and across the front of the chest. If the elbow is pressed upward pain is felt at the fracture, and dis- 248 FRACTURES. tinctly localized pain can often be caused by pressure with the fingeralong the line of fracture. Then if the upper fragment is grasped between the thumb and fingersin such a way that the notch between the tuberosities at the bicipitalgroove can be felt, and the elbow is gently rotated, the failure of theformer to share in the movement will be recognized and usually crepi-tus will be perceived. In the cases with more marked displacement therelations of the fragments can be determined by palpation if the patientis not too fat or the region too swollen, or by noting the direction of theaxis of the shaft. Diagnosis. In the great majority of cases the diagnosis is made uponthe localized pain, especially on pressing the elbow upward, and on the Fig. 129. Fig.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectfractur, bookyear1912