CHAPTER V. 



PARTICULAR FRACTURES. 



FRACTURES OF INFERIOR MAXILLA — FRACTURES OF ANTERIOR MAXILLA 

 AND OF OTHER FACIAL BONES — FRACTURES OF CRANIAL BONES 



FRACTURE BY " COUNTER STROKE" — CONCUSSION OF THE BRAIN 



HERNIA CEREBRI. 



FRACTURES OF THE INFERIOR JIAXILLAIIY BONE. 



1st. Compound fracture tlirougli the symphysis maxillaris, 

 resulting from an animal falling upon the mouth. The direction 

 of the fracture is longitudinal, involving the alveolar cavities of 

 one or more incisor teeth, and extending through and termina- 

 ting in the maxillary space ; or ohliquely, from the centre out- 

 wards, through the neck of one or both rami. 



Treatment — Fracture through the Symphysis. — Eemove loose 

 teeth and foreign bodies ; search for any loose pieces of bone, 

 and remove them. When this is done, it will be found that 

 the fragments can easily be brought into apposition by a little 

 pressure, and so maintained by means of copper wire bound 

 firmly round the incisor teeth. If the animal be a male, the 

 tushes may be included in the wire. A calico bandage may 

 then be applied, for the purpose of further strengthening the 

 parts, and keeping out foreign bodies from the wound. Let 

 the animal be kept upon soft but nutritious food ; the wound 

 looked to occasionally, and washed out with a solution of carbolic 

 acid to destroy the foetor which is sure to be present. In the 

 course of three or four weeks the fracture will be found re- 

 united. 



If the practitioner suspects that any necrosed portion of bone 

 exists in the wound, he must search for and remove it. Its 

 presence may be suspected by a foetid, purulent, sanious dis- 



