Image from page 245 of “The treatment of fractures” (1901)

Image from page 245 of “The treatment of fractures” (1901)
Hand Wrist Pain
Identifier: treatmentoffract1901scud
Title: The treatment of fractures
Year: 1901 (1900s)
Authors: Scudder, Charles L. (Charles Locke), b. 1860 Cotton, Frederic Jay, 1869-1938, joint author
Subjects: Fractures
Publisher: Philadelphia : W. B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
esions within andwithout the tendon sheaths. The continued use of the hot-airtreatment is of value in restoring mobility to the wrist andfingers. Colles fractures that have bony union with marked deformityshould be corrected by osteotomy, if the wrist is functionallyimpaired. Colles fractures two or three weeks old may be re-fractured manually, if necessary, to correct existing deformity.The ease of refracture and the limits in time within which it ispossible will vary with individual cases. The more nearly thedeformity in Colles fracture is corrected, the milder will be thesubsequent pain about the wrist. 16 CHAPTER XI FRACTURES OF THE CARPUS, METACARPUS, AND PHALANGES FRACTURE OF THE CARPUSSimple fracture of the carpal bones is unusual. It is as-sociated with other injuries. It is not uncommonly seen incrushes resulting in open fracture. The scaphoid is found frac-tured in certain Colles fractures and in falls upon the out-stretched hand. There are many cases of painful wrist, rheu-

Text Appearing After Image:
— Scaphoid. Fig. 324.—Normal wrist. No injury (X-ray tracing). matism about the wrist, weak wrist, and sprained wrist thatarc instances of unrecognized fracture of the scaphoid bone.The persistence of the difficulty necessitates a physicians exami-nation. In these cases a Rontgen-ray examination will revealthe true nature of the lesion. After fracture of the scaphoid 242 FRACTURE OF THE CARPUS 243 bone persistent, painful limitation of extension at the wrist is notat all uncommon. The os magnum is sometimes fractured byfalls upon the hand. Treatment. — If there is displacement, immediate pressure andcounterpressure, associated with extension and flexion of the

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