Notes on the modern treatment of fractures . mass of bone can be dis-tinctly felt lying beneath the flexor tendons. The edge ofthis bony mass, which is the cai*pal fragment, is situated aboutan inch above the base of the thenar eminence. The bulge* From the International Clinics, 1897. KADIAL FRACTURE DISPLACED FORWARDS. 143 produced by tlie lower fragment is more clearly shown whenthe patient makes a fist, because then the flexors of the fingersare contracted and the muscular bellies at the wrist are drawnup the forearm and leave only tendons lying over the bonymass. This makes the outline of
Notes on the modern treatment of fractures . mass of bone can be dis-tinctly felt lying beneath the flexor tendons. The edge ofthis bony mass, which is the cai*pal fragment, is situated aboutan inch above the base of the thenar eminence. The bulge* From the International Clinics, 1897. KADIAL FRACTURE DISPLACED FORWARDS. 143 produced by tlie lower fragment is more clearly shown whenthe patient makes a fist, because then the flexors of the fingersare contracted and the muscular bellies at the wrist are drawnup the forearm and leave only tendons lying over the bonymass. This makes the outline of the bone more lower end of the ulna is not involved in this mass of radius when grasped by the fingers antero-posteriorly atits lower end is much thicker than that in the normal arm,and the lateral width of the forearm just above the joint isincreased. The radial styloid process is about three-eighthsof an inch nearer the elbow on the injured side than in theright arm. Deep pressure gives an impression to the fingers. Fracture of lower end of radius with forward and lateral displacement oflower fragment; the lateral displacement very marked. (Cast fromspecimen in Dublin, Ireland.) that the fracture was oblique, the line running from the ulnarside of the radius upward and outward toward the radial sideof the bone. When the palm of the hand is laid flat on atable, the front of the forearm lies closer to the table than inthe normal arm. This is due, I think, to the fact that at thetime of fracture the carpal fragment was rotated, so as to makethe hand abnormally pronated. There is no special increaseor diminution in either flexion or extension of the boy tells us that this deformity has existed without incon-venience since the time of the accident. I find, however, thathe has a little pain in the wrist after using the hand for hardwork, and it was this which brought him to the hospital for 144 THE MODERN TREATMENT OF FRACTURES. treatment. He
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