This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 Excerpt: ...experiment, so we are able to judge by irradiation at the very beginning. If the immobilizing dressing is perfect, the formerly displaced fragments must be found in exact apposition when skiagraphed through the dressing. Various experiments showed the author that the metacarpal fragments are invariably held in place by ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 Excerpt: ...experiment, so we are able to judge by irradiation at the very beginning. If the immobilizing dressing is perfect, the formerly displaced fragments must be found in exact apposition when skiagraphed through the dressing. Various experiments showed the author that the metacarpal fragments are invariably held in place by elastic pressure. For this purpose two rubber drainage-tubes of moderate size are chosen, which are lightly pressed into the adjoining interosseous spaces, so that they fill them up to a certain extent. They are kept in situ by adhesive-plaster strips (Fig. 165). Thus the recurrence of the displacement is prohibited, The whole is surrounded then by a moss-splint, a material which. after being dipped in cold water, adapts itself to the contours of the hand like a plaster-of-Paris splint, over which it possesses the great advantages of being absorbent and much lighter. In the case of a young man, who sustained fracture of the fourth metacarpal bone in its middle as a result of direct violence, considerable lateral displacement was produced (Fig. 166). Reposition was easily accomplished and the fracture area was carefully Pig. 185.--Drainage-tube Si-lints For Metacarpal Fracture. Fio. 166.--Fiucture Of Fourth Metacarpal Bone, Causing Sideward DisPlacement. (Compare Fig. 165.) surrounded by narrow pads, which were supported by adhesive plaster. A long palmar extension splint was then applied. There was no swelling of the fingers nor any sign of discomfort. But when examining the metacarpus two weeks later with a view to leaving the splints off, the author found that the fragments had slipped by each other again. He then seriously considered other means of immobilization. After filling up the interosseous grooves between the fourth metacarpal bone...
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