FRACTURE: 
€@occhi, ant Ttalign “pratones has. noticed ‘all the bad 
i In {peaking of the 
is 
omprimi, pungi atque in+ 
et - ee corporis partes univerfas 
refolvi ac _ et reéti inteltini onttri 
adeo ut “uri 
ibu 
a re exciderist:. Antiqui id 
parum perfpexi a quibus noxz et pericula verte- 
ae ‘luxatis‘tribuuntur, que revera fraGarum funt. Hoc 
e quam illud accidere 
e 
mis are 
arly apt to- 
hee pee it is pear that’ the more common c 
x8 a fraCture of the corpora vertebrarum, the damage done to 
whieh i is often irremediable. 
PraGitioners S5 — ought t be apprifed, shat 4 a 
may depen airogettes on a concuffion 
any fracture whatever. This 
Fe ofa ab 
vicenna remarks, t 
the phe ghee sae always: ccafon 
which. feldom enfues fr yom a mere fra@ture of one 0 
nee kind of eda, 
sa 4 — 
= 
uch i injuries s Of 
es 
e 
e fra 
to be at the fame time difplaced, “thou ae 
any alarming fymptoms. The cafe 1s.always to i pee 
as much lefs dangerous than one in which any other part of 
the vertebra is broken 
Notheads the opinion ¢ delivered by Avicenna, i 7 is 
certain that a fracture of the, body of a vertebra is not n 
in every cara carer's when the acci- 
dent has arifen from a gun-fhot wound. Several panei 
confirming the truth of. ne ae are to be met with in 
furgical books. In the majority.of ayy however, the 
patients linger, and die of a flow fort of fe 
When the bodies of | nef of the vertebié a are fe actured, the 
practitioner only has it o, render Himfelf “tfeful, 
paying, attention to coe Ie ‘ Cirétimftances, 
however, are different, when tlie ee ‘proceffes are broken 
In thefe inftances an aaa our ig ‘to be made to put the 
detached fragments of bon their right fituation; an 
obje&t which’ may fometim 
-B 
mes "be acco mplifhed, ‘w when the 
parts make a confic derable projectio 
Writers on forgery aif {peak 6 of ‘ufing an elevator is 
raifing depreffed pieces af fractured verte’ ne 
accident is thing. our vi nd; of t 
In cafes of fractured on a roller may be applied 
+ 
caufe b 
matter | under the cr 
h 
‘foap-plafter to the fityation of the in 
cacy. 
the’ {pinous proceffes are bro ae the comprefs. Baal to be 
put under. the ‘bandage along eee fide of the detached frag- 
ts, 
All i aap of the {pine are apt to produce Lea of 
the lower~extremi and of the bladder and reGtum 
Hence in poe is “fr equently incapable of voidin his 
urine, and:the practitioner ‘is obliged to have recourle to 
the catheter. a n many cafes the urine comes away without 
the ae s knowledge, and the feces are alfo involuntarily 
difch: See INcoNTINENCE of Urine, and RETENTION 
oe 
FF desialed of the Sterrum 
en ng pre 
tae. 
of the blow ruptures one’ of the internal mamm 
fo that an extravafation takes place, and 
alarmin 
Bees 
oO 
Ss 
aos 
ra 
A: 
-o 
es 
rés, 
in n the he firft oe be eg as covidomile fe hifering, boca 
rs flowly, and’ the layers ‘of the 
atin sh a seal deal of refiftance to the diffusion of 
he ogi Bef 
me; 
“When t the mamma: see ae are een and the above 
‘fort of fymptoms atife, they are much later in making their 
are alfo dependant, not on an effufion of 
4. 
28 
tit 
who refers the bad - ‘0 eing: 
driven inward, and eee Rey the asa ta be clevated, 
defcribes the complaints as even more dangerdus, and more 
peedily fatal than bai which are produced by blood or 
2 fradhire of the fternum isa firh ple one, wu: 
attended with any particular complaints, has been Secafonad 
bya fall or blow, and the fragments are’not at all. difplaced, 
the prance is reduced to great fimplicity. The patient is 
a low regimen, at pérfe€t reft, and fhould be 
a pe ccording to the exigenc 
he topical part: of the treatment confifts in applying , fome 
injury, and a roller routtd 
the Le with a fcapular 
.. When any Lg rtion of the fratired’ fternum is beatén 
oe fo as to prefs ies and’ dangeroufly irritate any of 
the fubjacent parts, ‘the de epreffed piece fhould be raifed 
without: lofs of time. For this purpofe, it will generally be 
nec scellary +o make a non of the integuments ine a 
alpel 
