A Practical treatise on fractures and dislocations

Voorkant
H.C. Lea's Son, 1880 - 909 pagina's
 

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Pagina 911 - The printed prices are those at which books can generally be supplied by booksellers throughout the United States, who can readily procure for their customers any works not kept in stock. Where access to bookstores is not convenient, books will be sent by mail post-paid on receipt of the price...
Pagina 532 - ... inwards, by which means the weak bursal, or common ligament of the joint is violently stretched, if not torn, and the strong ones, which fasten the tibia to the astragalus and os calcis, are always lacerated, thus producing at the same time a perfect fracture and a partial dislocation, to which is sometimes added a wound in the integuments, made by the bone at the inner ankle.
Pagina 141 - A roller five yards long, and two inches wide ; suitable compresses. Application : Place the initial extremity of the roller upon the occiput, just below its protuberance, and conduct the cylinder obliquely over the centre of the left parietal bone, to the top of the head ; thence descend across the right temple and the zygomatic arch, and pass beneath the chin...
Pagina 909 - ... is condensed in its pages, the two volumes containing as much as four or five ordinary octavos. This, combined with the most careful mechanical execution, and its very durable binding, renders it one of the cheapest works accessible to the profession. Every subject properly belonging to the domain of surgery is treated in detail, so that the student who possesses this work may be said to have in it a surgical library.
Pagina 267 - I know of no other circumstance or condition in which this bone is peculiar, and which therefore might be invoked as an explanation. Overlapping of the bones, the reason assigned by some writers, is not sufficient, since it is not peculiar. The same occurs much oftener, and to a much greater extent, in fractures of the femur, and equally as often in fractures of the clavicle ; yet in neither case are these results so frequent. Nor can it be due to the action of the deltoid or of any other particular...
Pagina 267 - ... motion is almost incessant, it does not essentially, if at all, disturb the adhesive process. The same is true in nearly all other fractures. The fragments move only upon themselves, and not to and from each other. I know of no complete exception but in the case now under consideration. Aside of any speculation, the facts are easily verified by a personal examination of the patients during the first or second week of treatment, or at any time before union has occurred, both in fractures of the...
Pagina 265 - ... Society what seems to me to be the true explanation of these facts. "It is the universal practice, so far as I know, in dressing fractures of the humerus, to place the forearm at right angles with the arm. Within a few days, and generally, I think, within a few hours, after the arm and forearm are placed in this position, a rigidity of the muscles and other structures has ensued, and to such a degree that, if the splints and sling are completely removed, the elbow will remain flexed and firm...
Pagina 267 - If I am correct in my views, we shall be able sometimes to consummate union of a fractured humerus where it is delayed, by straightening the forearm upon the arm, and confining them to this position. A straight splint, extending from the top of the shoulder...
Pagina 264 - This analysis supplies us, therefore, with four cases of non-union, from a table of twenty-eight cases of fractures through the shaft. " Of eighty-seven fractures of the femur, twenty occurred through the neck, one through the trochanter major, and one through the condyles. The remaining sixty-five occurred through the shaft and generally near the middle, and in not one case was the union delayed beyond six months. " To make the comparison more complete, I must add that of the twenty-eight fractures...
Pagina 265 - No doubt it is intended that the dressings shall prevent all motion of the forearm upon the arm ; but I fear that they cannot always be made to do this. I believe it is never done when the dressing is made without angular splints ; nor is it by any means certain that it will be accomplished when such splints are used. The weight of the forearm is such when placed at right angles with the arm, and encumbered with splints and bandages, that even when supported by a sling, it settles heavily...

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