This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1855 edition. Excerpt: ...a little above the wrist, and as far down on the fingers as to allow them to rest upon it; by such means the most perfect quietude will be insured. Fracture of the Carpal Bones.--When the bones of the carpus are broken, the injury is generally of such a nature as to endanger the safety of the hand; for violence sufficient to cause such fractures is likely to have produced great destruction of the soft parts. Should amputation not be deemed necessary, a splint of pasteboard should be applied in front, so as to prevent all movement. As little force as possible should be used in putting or keeping the fragments together. Section 2.--Fracture of the Fore-arm. The bones of the fore-arm are often broken, either singly (Figs. 30 and 31) or conjointly, (Fig. 32,) and the radius is most frequently the seat of injury.. This bone generally gives way, in consequence of a fall, when the hand is thrown out to support the body; and when fractured near the wrist (see fig. 33,) may be mistaken for dislocation, but can easily be recognized by crepitation, and the deformity returning after having been once reduced. The ulna may be broken whilst the radius is left entire. The olecranon process of the ulna may be fractured, either by the action of the triceps muscle or direct violence. The coronoid process is sometimes fractured, but this is of rare occurrence. Diagnosis in fracture of both bones is evident from the angular deformity which exists: in fracture of one bone alone crepitation can readily be felt, by taking hold of the hand and making the movements of pronation and supination; the other hand placed upon the seat of injury, will feel the crepitation from the upper fragment of bone not rotating with the other. Fracture of the olecranon process is...
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