nning at the wrist and covering the forearm to the elbow,
using the same care not to put the bandage on too firmly. The forearm
is then to be held in the same position by a wide sling, as shown
above. (See Figs. 15, 16, 17.)
[Illustration: FIG. 17.
DRESSING FOR BROKEN FOREARM (SCUDDER).
Proper position of arm in sling; note that hand is unsupported with
palm turned inward and thumb uppermost.]
Four weeks are required to secure firm union after this fracture. When
the fracture is compound the same treatment should be employed as
described under Compound Fracture of Leg, p. 116.
=FRACTURE OF THE WRIST; COLLES'S FRACTURE.=--This is a break of the
lower end of the bone on the thumb side of the wrist, and much the
larger bone in this part of the forearm. The accident happens when a
person falls and strikes on the palm of the hand; it is more common in
elderly people. A peculiar deformity results. A hump or swelling
appears on the back of the wrist, and a deep crease is seen just above
the hand in front. The whole hand is also displaced at the wrist
toward the thumb side.
[Illustration: FIG. 18.
A BROKEN WRIST (SCUDDER).
Characteristic appearance of a "Colles's fracture"; note backward
displacement of hand at wrist; also fork-shaped deformity.]
It is not usual to be able to detect abnormal motion in the case of
this fracture, or to hear any grating sound on manipulating the part,
as the ends of the fragments are generally so jammed together that
it is necessary to secure a surgeon as soon as possible to pull them
apart under ether, in order to remedy the existing "silver-fork"
deformity. (See Figs. 18, 19, 20, 21, 22.)
=Treatment.=--Until medical aid can be obtained the same sort of
splints should be applied, and in the same way as for the treatment of
fractured forearm. If the deformity is not relieved a stiff and
painful joint usually persists. It is sometimes impossible for the
most skillful surgeon entirely to correct the existing deformity, and
in elderly people some stiffness and pain in the wrist and fingers are
often unavoidable results.
[Illustration: FIG. 19.
FIG. 20.
FIG. 21.
FIG. 22.
FRACTURE OF THE WRIST (SCUDDER).
Above illustrations show deformities resulting from a broken wrist;
Figs. 19 and 20 the crease at base of thumb; Fig. 21 hump on back of
wrist; Fig. 22 twisted appearance of hand.]
=FRACTURE OF BONE OF HAND, OR FINGER.=
_First Aid Rule.--Set fragments of
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