eo ee 
ae aced, he acca nis to be scomplifhed i in the way 
which will be explained in treating of fraCtures of the os 
coccygis. _ 
The moft alarming fymptoms, and fick as require the 
utmoft fogies al fill, are the inflammation which 1s apt. . 
affeé&t the vifcera,. the retention, or incontinence 2 urin 
the involuntary difcharge of the feces, and the 
the lower extremities, complaints which sa Frequently at- 
tend the accident, and bring on a fatal term 
on thi w ject wi 
and eee on of Urin 1, Cs 
Fradures - the.Os peat 
The os Ger, en a bone of confiderable ftrength, 
n than the os coccygis, aoe eludes 
of move 
rther 1 
InconTINENCE of Urin 
the effect of ex al moleace e by its great degre 
ablenefs, Force ting, however, in oe L. man- 
ner, may occafion a fracture, and one fymptom of the acci- 
eae dai aaa of the in- 
jured bone, when the patie xertion, puts 
into aGtion the fibres of the gluta mufeles ar fing from the 
part. 
A fra& 
the lower fra 
e of the os coccygis may alfo be difplaced by 
When oie is the 
ean oS = vour to replace the piece 
y mean re-finger introduced a the 
ay ‘and the: fkilful alftanc of the ae of his other 
hand externally. 
With regard to the treatment adapted for keeping a 
fra€ture in a fteady and undifplaced condition, the (pra 
tioner.can do little more than apply a p 
a and a T’ bandage, the patient being enjoined to avoid. 
walking and making ss ” preflure on the par 
FraGures of the Clavick. 
The pune en _ dernefs, and the curved fhape of 
— clavicle ; mner in which the bone is. only fup- 
rted at a mn rd great efforts which it, has to fuf- 
i when, in falling, th ca are bro ought forward; an 
feveral other anatomic cal and in tal coniderations fuf- 
aemcl obvious, afford a full eeakaaeed of the reafon why 
of a clavicle happen ince often, a are 
‘The middle of 
culty that the arm can be raifed, br 
te. the fide. When the. fracture is; fimple, and ite ends not 
yfis of 
. recommends 
e is not in. its 
tion drawn down by the weight of the fcapula, by 
the arm, and by the ation of the deltoid mufcle, becomies 
concealed under the fternal portion. The difplaced con- 
ition enever the mufcles a& 
the bone is increafed w 
with Cie and the pain is aggravated by enyng for-- 
ward — arm, or preffing it forcibly to the fide. 
not common - a fra€ture to occur at tHe {capulary . 
end of the clavicle ;" but satiate is- a. doubt that a direét: 
force, falling on the. fhoulder reak any” part. of the- 
bone. When the accident is: thus ne voeitecd, dad foft parts? 
may re fuffer more or lefs. eoacaon and lacera on. The 
bone may be broken in more places than aaa an the cafe 
receive the oi Aaya ee a comminuted frac 
When the violence upon the eeiee of the cla- 
vicle, as happens in falls on the outfide of the fhoulder and: 
on the hands, while the arms. are extended,.the clavicle may” 
be very much bent, and fo obliquely broken, that the ends: 
of the bone he oo is ole the fkin, and occafion. 
what is ter a compou 
Exceffive ae Srey 2 ce fhoulder pele injure the- 
cervical nerves, and‘has been known to bring o1 a paralyfis: 
of the arm,. an affliCtion with which sire "of the cla. 
vicle ine of courfe ia for 
_Altho 
ent o 
of the co e in a.ftate of .imperfeCtion 
Falfe seas and abfurd pneu awed ee from 
on of furgeons to another, from the days of 
ord a ee am have pre- 
‘ ention of the Greek phyficians. was directed to. 
ae prjesion gel ed Th > med by’ the 
or thick eer eee on ay =e 
e by "of banda ages. Such was the method em- 
oe it oe infufficiency and bad tendency of this prac- - 
tice were po’ ‘nted out by Hipp ocrates, who, 
that confequently our endeavours fhould be direted t to raife 
this portion on a level with the other. Such are the prin- 
ciples on which his borer and practice were founded ; he 
the arm to be brought to the fide, and the- 
fhoulder to be elevated, fo as to fe : 
is oe oe ‘below the fternal,. 
But this method wi not, alwa 
we 
