A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . y ofharm and enables the surgeon to do justice to the condition. The frontof the condyles is best exposed by an incision over the inner edge of thelong supinator muscle. This muscle is then drawn outwards. FRACTURES OF THE HUMERUS. 431 Treatment of Fractures at the Lower End of the Humerus.—Many surgeons treat these fractures in the flexed position with an-terior or internal angular wooden splints or with posterior angulartrough

- Image ID: 2AKHK9K
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . y ofharm and enables the surgeon to do justice to the condition. The frontof the condyles is best exposed by an incision over the inner edge of thelong supinator muscle. This muscle is then drawn outwards. FRACTURES OF THE HUMERUS. 431 Treatment of Fractures at the Lower End of the Humerus.—Many surgeons treat these fractures in the flexed position with an-terior or internal angular wooden splints or with posterior angulartrough
The Reading Room / Alamy Stock Photo
Image ID: 2AKHK9K
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . y ofharm and enables the surgeon to do justice to the condition. The frontof the condyles is best exposed by an incision over the inner edge of thelong supinator muscle. This muscle is then drawn outwards. FRACTURES OF THE HUMERUS. 431 Treatment of Fractures at the Lower End of the Humerus.—Many surgeons treat these fractures in the flexed position with an-terior or internal angular wooden splints or with posterior angulartrough-like splints, made of felt, tiu, gypsum or similar material.The best results will generally be obtained by keeping the joint almostcompletely extended during the time that displacement is likely to oc-cur. Ankylosis in the extended posture is very undesirable, but, unlesspermanent ankylosis is very certain to occur, disability from the gun-stock deformity is best guarded against by keeping the joint extended.Fractures of the epicondyles, some fractures of the external condyle,fracture of the internal condyle with backward luxation of the radius and Fig. 203.. Skiagraph of experimental fracture of lower end of humerus fixed by three nails. ulna and bad intercondyloid fractures may perhaps give better resultswhen the flexed position is adopted, but for the great majority of casesthe extended posture is better. The dressing, then, for fractures atthe lower end of the humerus consists of a flat wooden splint,twelve or fourteen inches long, placed upon the anterior surface of thearm and forearm, with a little extra padding at the bend of the elbowas complete extension of the joint is not desired. The application ofa moulded gypsum splint to the anterior or posterior surface, or to theentire circumference of the arm, is sometimes preferable. About threeweeks is usually long enough to retain the splint upon the limb. In 432 FRACTURES. all cases the surgeon should see that the outwa

Search stock photos by tags


Similar stock images