. A practical treatise on fractures and dislocations . preferable, to re-section. In dislocations complicated with fracture of the posterioredge of the articulating surface of the radius (Bartons fracture1),some difficulty may be experienced in retaining the bones in place;but when this fracture does not exist, the posterior margin of thearticulation, considerably elevated above its anterior margin, consti-tutes a sufficient protection against a reluxation in that direction. Inall cases, also, complicated with fracture, even of an apophysis, intenseinflammation and swelling are likely to follo
. A practical treatise on fractures and dislocations . preferable, to re-section. In dislocations complicated with fracture of the posterioredge of the articulating surface of the radius (Bartons fracture1),some difficulty may be experienced in retaining the bones in place;but when this fracture does not exist, the posterior margin of thearticulation, considerably elevated above its anterior margin, consti-tutes a sufficient protection against a reluxation in that direction. Inall cases, also, complicated with fracture, even of an apophysis, intenseinflammation and swelling are likely to follow, and the danger of apermanent anchylosis is greatly increased. Treatment.—Extension in a straight line has generally been foundsufficient to accomplish the reduction ; to which may be added a slightrocking or lateral motion, if necessary. The reduction may be effected also by pressing the hand backwards,while the surgeon pushes the carpus downwards from behind andabove, in the direction of the articulation. 1 Philadelphia Medical Examiner, 600 DISLOCATIONS OF THE WRIST. Unless a tendency to displacement exists, no splints or bandages ofany kind ought to be applied, but it should be treated by rest and coolwater lotions until all danger from inflammation has passed.
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Keywords: ., bookcentury1800, bookdecade1860, booksu, booksubjectfracturesbone