the circulation cannot go on ih them, they had generally better be 
‘removed at once; as they may be considered as extraneous $ 
and only hinder the cure. When a portion of a muscle or lig 
has got between the ends of the bones, it causes severe and continyal 
pain, and when the limb is moved, twitchings, and shooting pain. —- 
To remedy this, we should endeavor to remove it, by putting the 
limb ia every variety of posture, in order to disengage it; bat if the. 
bones still remain loose, an incision may be necessary. seis 
Besides the causes already mentioned, which thay impede a cure; . 
there is another, an effusion of blood around the bone, which is 
very apt todo harm. When this happens in small quantity, it i 
generally absorbed, and no bad consequences ensue from it: b it in- 
stances sometimes occur of the large blood vessels bei ng cut by the 
sharp fragments of the bone. When the quantity vr 
out is considerable, the tumefaction of the limb becom 
it is necessary to lay it open in order to secure the injured vessel 
~ pete te FA 
| h mee d bon with 
will render the cure quicker and more certain. 9" 
_ Having premised these general observations, we shall no 
consider the fractures of particular bones. 
OF FRACTURES OF THE NOSE. 
~The arched form of the nose prevents its being so frequently fraée 
tured as might otherwise be: Much violenve, however,- fracture# 
them. ; ; hE aad : 
These fractures require particular attention, as injur ie 
of consequence, as polypii and tedious ulcers ; injury of 
smelling, &e2 ee ee 3 
All that is necessary to be done in this case is, to replace the bones 
earefully, and with as much acevuracy as possible. When this is done 
properly, they will for the most part reinain in their situation with« 
out assistance; and soft dressings will complete the cure. 
‘The seme remarks will also apply to the cure of fractures of the 
bones of the face and jaws } and it is unnecessary here to repeat them; 
as these fractures are of such endless variety, that the judgm 
~ 
