A practical treatise on fractures and dislocations . h; by the swelling, tender-ness, and discoloration; but chiefly by the lateral displacement of thebroken process, and the mobility. Duverney met with a fracture of two of the processes in the sameperson, and which could only be recognized by the mobility, since, as the autopsy proved, there was no dis-placement. Nor would it be surprisingif the displacement was absent in a ma-jority of these accidents, inasmuch as theattachment of the ligaments from aboveand below with the strong and shortmuscles upon either side, must prevent adeviation in
A practical treatise on fractures and dislocations . h; by the swelling, tender-ness, and discoloration; but chiefly by the lateral displacement of thebroken process, and the mobility. Duverney met with a fracture of two of the processes in the sameperson, and which could only be recognized by the mobility, since, as the autopsy proved, there was no dis-placement. Nor would it be surprisingif the displacement was absent in a ma-jority of these accidents, inasmuch as theattachment of the ligaments from aboveand below with the strong and shortmuscles upon either side, must prevent adeviation in any direction until thesetissues were more or less torn. Sir AstleyCooper mentions a case in which, how-ever, such lacerations did occur, and thelateral deformity was quite conspicuous. A boy had been endeavoring to sup-port a heavy weight upon his shoulders,when he fell bent double. Immediatelyhe had the appearance of one sufferingunder a distortion of the spine of longstanding. Three or four of the processes were broken off, and the cor- Fig. Fracture of the spinous process. FRACTURE OF THE SPINOUS PROCESSES. 147 responding muscles were detached so as to allow the processes to falloff to the opposite side. There was no paralysis, and he was soon dis-charged with the free use of his limbs, but the deformity If the fragment is thrown directly downwards, as it possibly may be,especially in the cervical or lumbar region, yet not without a ruptureof the supraspinous ligaments, or of the ligamentum nucha?, then thedisplacement will be more difficult to detect, and it may require somemore care not to confound it with a fracture of the vertebral arch or ofthe plates from which the spinous processes arise. The process notbeing felt in its natural position, nor upon either side, it may seem tohave been forced directly forwards, when in fact it is only throwndownwards towards its fellow. The danger of error in the diagnosiswill be increased when to these conditions are a
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
