File:A practical treatise on fractures and dislocations (1907) (14580836408).jpg

Identifier: practicaltreatis1907stim (find matches)
Title: A practical treatise on fractures and dislocations
Year: 1907 (1900s)
Authors: Stimson, Lewis Atterbury, 1844-1917
Subjects: Fractures Dislocations
Publisher: New York Philadelphia : Lea brothers :
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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d united in its false position.The projecting part of the bone was excised, and the neuralgia ceased.Treatment. The treatment is simple : immobilization of the elbowin the flexed position so as to relax the muscles that arise from the epi-trochlea and thus diminish the force that tends to draw it forward anddownward. It is futile to attempt to keep the fragment in place bypressure upon it from the outside. Even if it remains displaced down-ward and forward the deformity is slight and entails no loss of function.Immobilization should be maintained until consolidation has takenplace, the length of time necessary for which varies with the age of thepatient and the extent of the unreduced displacement. In children,and without displacement, union is sufficiently firm at the end of tendays or a fortnight to allow splints to be laid aside and the arm to be 1 Kichet : Anatomie Medico-Chirurgicale, 4th ed., p. 672, note. 2 Denuce : Diet, de Med. et Chir. Pratiques, art. Coude, p. 721. PLATE X.
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Fracture of Internal Condyle of the Humerus;in an Adult. FRACTURES OF THE HUMERUS. 251 carried in a sling, and in three weeks I lie arm may be lefi unsupportedand free. In a (ew cases the fragment lias been excised because of pain or fearlest it should interfere with function ; it lias also been proposed tosecure it in place by transfixion with a pin or by incision and suture,but the measure seems wholly unnecessary. C. Fractures of the External Epicondyle. This is a much rarer accident than the preceding, and as the frag-ment that is broken offis small, and as the cause appears to be alwaysdirect violence, which is usually accompanied by bruising and swelling,the exact nature of the injury may easily pass unrecognized. Ananatomical demonstration of the fracture has neverbeen made, except in connection with more exten- Fig. 136. sive fractures of the elbow. In the sense in which the term is here used theepicondyle is the small prominence above and onthe outer side of the capitellum, c

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