A practical and systematic treatise on fractures and dislocations . the knuckles in pugilisticencounters, may produce fracture of one or more of the meta-carpal bones. I have treated cases that byboth causes. Two years ago, John Benson, of West Virginia,came to my ofiice one morning with the right hand swollen11 (161) 162 Fractures. and very painful. About sunrise tliat morning, lie got into afight with a negro deck hand on the Annie Laurie. lie sayshe struck at his assailant, and missing him, his knuckle hit abox of freight; something in his hand cracked like a pistol,and his ha
A practical and systematic treatise on fractures and dislocations . the knuckles in pugilisticencounters, may produce fracture of one or more of the meta-carpal bones. I have treated cases that byboth causes. Two years ago, John Benson, of West Virginia,came to my ofiice one morning with the right hand swollen11 (161) 162 Fractures. and very painful. About sunrise tliat morning, lie got into afight with a negro deck hand on the Annie Laurie. lie sayshe struck at his assailant, and missing him, his knuckle hit abox of freight; something in his hand cracked like a pistol,and his hand became too painful to use. At the middle ofthe metacarpal bone of the ring finger a tumefaction existed,and back and forward pressure produced motion between thefragments of the broken bone, and elicited crepitus. In June last a boy came to my office from the printing de-partment of Stannage & Co., and complained bitterly of hishand, which had been injured in a printing press. I foundthree of the metacarpal bones broken, and the first phalanx Fig. 62. ^^r. Fracture of three of the metacarpal bones, and the first phalanx of the hand was crushed m a printing press. of the thumb. I applied to the hand and arm the palmarsplint used for fracture of the lower extremity of the radius,and retained it in place with a bandage. The injury provedto be very painful, and the inflammation ran high. The backof the hand was kept wet with the tincture of aconite. Atthe end of three weeks the dressings were removed, at whichtime the consolidation seemed to be complete. However, thestiffness of the metacarpo-phalangeal joints was so great thatforcible passive motion had to be employed for weeks, beforethe functions were sufficiently restored to allow of his volun-tarily opening and shutting the hand. Slight displacementof the fragments toward the palm existed at the time I firstsaw the hand, and this deformity was not entirely overcomeby the treatment. The boy was so stubborn and refr
Size: 2249px × 1112px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1870
