The treatment of fractures . made upon the lower fragment by grasping thearm above the condyles (see Fig. 220). The internal right-angle splint will best hold this fracture, for it exerts continuouspressure backward upon the upper fragment and prevents dis-placement (see Figs. 225, 226). It is padded with sheet wad-ding and applied as illustrated. Two straps are needed upon I 82 FRACTURES OF THE HUMERUS the forearm to hold this splint in good position (see Figs. 227,228). The strap at the wrist should be so applied that there isno pressure upon the styloid process of the ulna. Long-continuedpr
The treatment of fractures . made upon the lower fragment by grasping thearm above the condyles (see Fig. 220). The internal right-angle splint will best hold this fracture, for it exerts continuouspressure backward upon the upper fragment and prevents dis-placement (see Figs. 225, 226). It is padded with sheet wad-ding and applied as illustrated. Two straps are needed upon I 82 FRACTURES OF THE HUMERUS the forearm to hold this splint in good position (see Figs. 227,228). The strap at the wrist should be so applied that there isno pressure upon the styloid process of the ulna. Long-continuedpressure upon this bony process would cause a pressure applying the adhesive plaster it is wise to apply it so looselythat there is no undue pressure upon the arm, which might re-tard the circulation. The arm is then covered with a rollerbandage of sheet wadding, over which is placed a roller bandageof cheese-cloth. This should be applied smoothly and firmlyfrom the hand to the upper end of the splint. As the swelling. Fig. 226.—Fracture of the elbow. Application of the internal angular splint. Placing secondstrap. The angle of the splint is crowded into the bend of the elbow (see Fig. 225). about the elbow begins to subside, pads of cotton cloth (com-press cloth) may be placed at each side of the olecranon beloweach condyle. The pressure of a frequently renewed bandageon these pads will hasten the disappearance of the swelling. Itis important to avoid the forward and backward deformity intreating this fracture (see Figs. 229, 230, 231). Dislocation of Both Bones of the Forearm Backward.—If thereis no tendency to displacement after reduction is accomplished,the right-angle position with internal splint is the best , on the other hand, there is a tendency to displacement, theacutely flexed position will be the best for the arm because in TREATMENT OK FRACTURES OF THE ELBOW I83 case the coronoid process is broken it will insure its close approxi-mation to th
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
