Atlas and epitome of traumatic fractures and dislocations . elys method.) placed toward the ulna as a whole, otherwise an unsightlyprominence of the styloid process of the ulna will these indications are met by one method or byanother is of no importance. A Beelys plaster-of-Parissplint (Fig. 100) is very useful, or a small curved splint,after Schede (Fig. 101), which fixes the hand in the de-sired position may be used. In improvising a splint froma piece of pasteboard or board, ulnar flexion of the hand 224 FRACTURES AND DISLOCATIONS. can be effected by giving the splint the we
Atlas and epitome of traumatic fractures and dislocations . elys method.) placed toward the ulna as a whole, otherwise an unsightlyprominence of the styloid process of the ulna will these indications are met by one method or byanother is of no importance. A Beelys plaster-of-Parissplint (Fig. 100) is very useful, or a small curved splint,after Schede (Fig. 101), which fixes the hand in the de-sired position may be used. In improvising a splint froma piece of pasteboard or board, ulnar flexion of the hand 224 FRACTURES AND DISLOCATIONS. can be effected by giving the splint the well-known pistolshape. A soft pad should be placed under the end of theupper fragment of the radius so as to push it upward; theepiphyseal fragment^ being left unsupported, tends to dropby its owai weight. Besides similar dressings, which allattain the same object in somewhat different ways (Braatz,Kdlliker, and others), a method has recently been pro-posed by Storp in place of the use of a simple sling, asrecommended by Petersen and earlier surgeons. I am. Fig. 101.—Position of the hand on a volar splint, after Schede, withthe splint itself. The direction in which the turns of the bandage arebest applied is indicated by the arrows. tempted to propose the name ^suspension cuff-dressing(Fig. 102). After repeated trials I am convinced of itsgreat value. After the fracture has been fully reduced, if necessaryunder anesthesia, the hand is brought into extreme ulnar-volar flexion; the lower extremity of the forearm, as faras the styloid processes, is then wrapped with severalturns of a strip of adhesive plaster about 10 cm. means of another strip a loose dorsal fold is added towhich the sling is attached, I arrange this fold so as to FRACTURES OF THE UPPER EXTREMITY. 225 bring it over the middle of the radius on the dorsal side,so that when the hand is suspended, it hangs down inulnar-volar flex-ion. Storp hasused this methodin 108 cases andfound it successfulin all but 4,
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902
