A practical treatise on fractures and dislocations . be applied, but it should be treated by rest andcool water lotions until all danger from inflammation has passed. § 2. Dislocations of the Carpal Bones Forwards. The causes, mechanism, symp- Fig. 262. toms, pathology, treatment, &c,of this accident resemble in somany points those of the pre-ceding dislocation, with onlythe differences necessarily dueto a change in the direction ofthe bones, that I find it not worthwhile to do more than to relateone single example contained inBransby Coopers edition of SirAstleys work on Fractures andDislocat


A practical treatise on fractures and dislocations . be applied, but it should be treated by rest andcool water lotions until all danger from inflammation has passed. § 2. Dislocations of the Carpal Bones Forwards. The causes, mechanism, symp- Fig. 262. toms, pathology, treatment, &c,of this accident resemble in somany points those of the pre-ceding dislocation, with onlythe differences necessarily dueto a change in the direction ofthe bones, that I find it not worthwhile to do more than to relateone single example contained inBransby Coopers edition of SirAstleys work on Fractures andDislocations. The case did notcome under the observation of Mr. Cooper himself, but Was re- Dislocation of the carpal bones forwards. lated to him by Mr. Haydon, a surgeon residing in London. It is especially interesting as furnishingan example of a dislocation of both wrists at the same moment, andfrom similar causes, but in opposite directions. A lad, aged about thirteen years, was thrown violently from a horse 1 Philadelphia Medical Examiner, 612 DISLOCATIONS OF THE LOWER END OF ULNA. on the 11th of June, 1840, striking upon the palms of both handsand upon his forehead. The left carpus was found to be dislocatedbackwards, the radius lying in front and upon the scaphoides andtrapezium. The right carpus was dislocated forwards, the radius andulna projecting posteriorly, and the bones of the carpus forming anirregular knotty tumor, terminating abruptly anteriorly. A very careful examination was made to determine what partscame in contact with the resisting force, but although the palms ofboth hands were extensively bruised, there was not the slightest bruise on the back of either 263. ]S[or were the gentlemen present able to find any evidence what-ever that the dislocation was ac-companied with a fracture. More-over, says Mr. Haydon, we werestrengthened in our opinion thatthis was a case of dislocation, un-attended with any fracture, becausethe dislocations appeared s


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