Image from page 594 of “Modern surgery, general and operative” (1914)

Image from page 594 of “Modern surgery, general and operative” (1914)
Hand Wrist Pain
Identifier: modernsurgerygen1914daco
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ons, sorbefacient ointments,tincture of iodin, electricity, hot and cold douches, and the hot-air apparatus,or give ether and forcibly break up adhesions. If reduction was not thoroughlyeffected and too great a length of time has not elapsed, and the hand is helplessand painful, the bone should be refractured. In a young or middle-aged per-son, in whom a useless hand has folowed an ill-reduced fracture, osteotomy isjustifiable. Fracture of Both the Radius and Ulna Near the Wrist.—Colless frac-ture may be complicated by a fracture of the ulna other than of its styloidprocess. Symptoms.—In fracture of the radius and ulna near the wrist the lower endsof the upper fragments come together, the upper fragment of the radius is pro-nated, and the lower fragment of the radius is drawn up. Pain, crepitus,mobility, shortening, and loss of function exist. Treatment.—Fracture of the radius and ulna near the wrist should betreated by the straight dorsal splint, as is Colless fracture. Spli nt

Text Appearing After Image:
Fig. 335.—Diagram showing the arrangement of compresses and splint best adapted to retain frag-ments in proper position after reduction (Pilcher). Separation of the Lower Radial Epiphysis.—This accident occurs in chil-dren from falling upon the palm of the hand. It never happens after the twen-tieth year. Symptoms.—In separation of the lower radial epiphysis the lower fragmentmoimts upon the upper and produces a dorsal projection like that found inColless fracture, but the hand does not deviate to the radial side. The de-formity resembles that of a backward carpal dislocation, but is differentiatedfrom dislocation by the unaltered relation in the fracture between the styloidprocesses and the carpal bones. The treatment in separation of the lower radial epiphysis is the same as forColless fracture. Fractures of the carpus were until recently thought to be infrequent, butthe a;-rays have taught us differently, and wx now know that many supposedsprains of the wrist are, in reality,

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