*. 
“FRACTURES OF THE SPINE AND HAUNCH BONES. 
Fractures of the bones of the back are seldom met with, excep 
trom gun shot wounds. a 13 in 9G. 
For the most part, they terminate fatally. The spinal marrow = 
generally so much shocked or injured, that it either” produces a,sud- _ 
den or a lingering death. We judge of the injury of the spinal mars 
row by the severity of the pain, and by the parts below the wound = 
becoming paralytic. : 
_ We should always attempta cure, by r 
care that the marrow is not compressed, as 
_ When the haanch bone is broken, if the injury is deeply seated, 
the patient ought to be placed in the posture in which he finds the 
most ease, and confined as much as possible till the bones have time 
to unite. Blood letting will be useful to prevent inflammation. Ex- 
ternal fractures should be reduced and treated in the common way. 
FRACTURES OF THE SHOULDER-BLADE. 
This bone is not so liable to be broken as other bones, from its” 
being moveable. Fractures of this bone are discovered by the seat 
of the pain; by the violence-of the injury ; by manual examination ; 
and by stiffness and immobility in the corresponding arm. 
: We should replace the fractured parts with as much exai 
possible ; and in doing so, we,are much cssisted by relaxing the 
muscles of the injured part. ‘The arm.and shoulder should be rais- ae 
ed and supported, and the broken bone kept quiet ; which, however, 
isa difficult matter. Inflammation from a fracture of this bone, is 
apt to be very severe. ; sie 
FRACTURES OF THE UPPER-ARM BONE. 
_ Fractures of this bone are easily discovered; 
manual examination. es : 7k; peepee 
_ In the reduction of fractures of this bone, much ext 
required ; but that it may be done with ease, the muscles should be — 
relaxed as much as possible ; this we do by nioderately bending the 
elbow, while the limb is raised nearly to a horizontal direction. _ 
With the atm in this situation, the surgeon will in general be able— 
to replace the bones without any assistance ; but if assistance is ne-- 
cessary, an assistant may take hold of each end of the broken bone, 
and.extend it sufficiently. “yspese: ser ose ey Sipe aie 
To secure the fractured parts in their situation, a firm splint 
should be placed on the outside of the arm, and another on the ins 
both covered with soft flannel ; and while these are secured by on 
assistant, and. the fore-arm supported by another, a flannel 
be applied over the whole, sufficiently tight to s 
ne broken bone, without interrupting the cir 
d be supported in a sling, and kept i 
b 
