The treatment of fractures . Fig. 7. Internal and External angular splints. or stockinet bandage should be worn for two or threeweeks longer, then voluntary movements very oblicpie fractures there is usually some over-lapping in spite of careful and skillful treatment, soone must expect a little shortening, the functionalresult is usually good and prompt, however. Fractures of the Middle of the Shaft of the Hu-merus. (See subjoined Skiagraph)—The region mostfrequently fractured, taking all ages into account, isprobably the middle of the shaft of the humerus, 68 The Treatment of Frac
The treatment of fractures . Fig. 7. Internal and External angular splints. or stockinet bandage should be worn for two or threeweeks longer, then voluntary movements very oblicpie fractures there is usually some over-lapping in spite of careful and skillful treatment, soone must expect a little shortening, the functionalresult is usually good and prompt, however. Fractures of the Middle of the Shaft of the Hu-merus. (See subjoined Skiagraph)—The region mostfrequently fractured, taking all ages into account, isprobably the middle of the shaft of the humerus, 68 The Treatment of Fractures. By the middle of the shaft I mean the section about5 c. m. above the intercondyloid groove to the inser-tion of the deltoid muscle. Fractures of this portion of the humerus are usuallyvery easily reduced, and very simple apparatus sufficesto hold the fragments—unless the fracture is veryoblique. In the latter case, care must be exercised tomake proper extension (traction) while the applica-. Fig. 8. Fracture of middle of shaft of of the apparatus is being done. The typicalmaterial and method of treating simple fractures ofthe midshaft is plaster-of-Par is, viz: by a gypsumsplint; sometimes it is well to stiffen the plaster dur-ing the hardening process by thin apposition splintsof wood before and behind. The one complication which may be feared is in-jury to the musculo-spiral nerve. In case of persist- Fractures of the Humerus. 69 ent wristdrop after a fracture at this point, one shouldcarefully explore the musculo-spiral distribution, andhaving determined the nerve has been severed, theproper course, I think, would be to cut down uponthe nerve at the point of injury and suture it. Iwould recommend in this case that the fracturedbones be also wired together, or, better, united by aplate, which I shall describe later on. The firmunion and retention of the ends of the fractured boneby some direct means will prevent a possible severingof the reunited nerve
Size: 1661px × 1505px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractures, bookyear19
