FREE BOOKS

Author's List




PREV.   NEXT  
|<   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83  
84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108   >>   >|  
o marked, but there is usually a very tender point at the seat of the fracture, and an irregularity of the surface of the bone may be felt at this point. If false motion and a grating sound can also be elicited, the condition is clear. The broken bones are put into their proper place by the operator who pulls steadily on the wrist, while an assistant grasps the upper part of the forearm and pulls the other way. The ends of the fragments are at the same time pressed into place by the other hand of the operator, so that the proper straight line of the limb is restored. [Illustration: FIG. 16. FRACTURE OF BOTH BONES IN FOREARM (SCUDDER). This cut shows the position and length of the two padded splints; also method of applying adhesive plaster.] After the forearm is set, it should be held steadily in the following position while the splints are applied. The elbow is bent so that the forearm is held at right angles with the arm horizontally across the front of the chest with the hand extended, open palm toward the body and thumb uppermost. The splints, two in number, are made of wood about one-quarter inch thick, and one-quarter inch wider than the forearm. They should be long enough to reach from about two inches below the elbow to the root of the fingers. They are covered smoothly with cotton wadding, cotton wool, or other soft material, and then with a bandage. The splints are applied to the forearm in the positions described, one to the back of the hand and forearm, and the other to the palm of the hand and front of the forearm. Usually there are spaces in the palm of the hand and front of the wrist requiring to be filled with extra padding in addition to that on the splint. The splints are bound together and to the forearm by three strips of surgeon's adhesive plaster or bandage, about two inches wide. One strip is wound about the upper ends of the splints, one is wrapped about them above the wrist, and the third surrounds the back of the hand and palm, binding the splints together below the thumb. The splints should be held firmly in place, but great care should be exercised to use no more force in applying the adhesive plaster or bandage than is necessary to accomplish this end, as it is easy to stop the circulation by pressure in this part. There should be some spring felt when the splints are pressed together after their application. A bandage is to be applied over the splints and strips of plaster, begi
PREV.   NEXT  
|<   59   60   61   62   63   64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83  
84   85   86   87   88   89   90   91   92   93   94   95   96   97   98   99   100   101   102   103   104   105   106   107   108   >>   >|  



Top keywords:

splints

 
forearm
 

bandage

 
plaster
 

adhesive

 

applied

 

quarter

 

inches

 

applying

 

strips


position

 

cotton

 
pressed
 

operator

 

proper

 

steadily

 
wadding
 

circulation

 
material
 

pressure


application
 

fingers

 

covered

 

accomplish

 

spring

 

smoothly

 

surgeon

 

wrapped

 

surrounds

 

firmly


splint

 

Usually

 

binding

 
positions
 
exercised
 

spaces

 

padding

 
addition
 

filled

 

requiring


assistant

 

broken

 

condition

 

grasps

 

restored

 
straight
 

fragments

 
elicited
 

tender

 

fracture