Atlas and epitome of traumatic fractures and dislocations (1902) (14777209791)
Summary
Identifier: atlasepitomeoftr00helf (find matches)
Title: Atlas and epitome of traumatic fractures and dislocations
Year: 1902 (1900s)
Authors: Helferich, Heinrich, 1851- Bloodgood, Joseph Colt, 1867-1935, ed
Subjects: Fractures Dislocations Fractures, Bone Dislocations
Publisher: Philadelphia London : W.B. Saunders & Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
Text Appearing Before Image:
Proce^sus styloidcus ulnae /tadius 8. HAND AND FINGERS (A) Fractures Fractures of the carpal hones are rare, and occur usuallyin combination with severe lacerated or contused woundsof the soft parts by which they are covered. The degreeof the injury depends on the severity of the complicatinglesion. Fractures of the metacarpal bones are not so uncommon,and are produced by a fall on the dorsum of the hand, bya direct blow, etc. Abnormal mobility and crepitationcan usually be demonstrated, along with intense pain at Tab. 47 a.
Text Appearing After Image:
FItACTURES OF THE UPPER EXTREMITY. 229 the seat of fracture. Deformity is usually absent^ sincethe bones practically act as splints to one another. Thetreatment accordingly is simple. If an ordinary dressingand carrying the hand in a sling do not suffice, directpressure, either on one or both sides, by means of shortsplints or rubber tubes, may be applied to keep the frag-ments in position. In compound fractures due to severe Fig. 105.—Severe compound fracture of the second and tliird meta-carpal bones; marked displacement of the fragments. Skiagraph takenthrough the bandage. external violence, operative intervention is sometimes indi-cated (see Fig. 105). It is well to begin massage and pas-sive movements of the fingers early in the treatment. (In this country we observe quite frequently fracturesof the third and fourth metacarpal bone from a blow uponthe knuckle. It is not an infrequent boxing or prize-fighting injury. In the cases which I have observed there 230 FRACTURES AND DIS