FRACTURE 
bent in a horizontal Spr wa the palm - the hand applied 
bre aft. his aed i treat- 
oO o their aa ats ny and 
tally before the breafl, on the fuperior part o 
behind the breaft, and under the axilla: this firit turn . 
bandage was eked fecured, by being one Palle ed i 
fare manne e turns were then reflected over each mee 
ande aad on the breatt roe the reft of the-arm; and, as 
it approached near the elbow, the ba ndage was drawn 
tighter, and paffe on in circular ae round the fore-arm, and 
pinned to that par 
The corners of ee pad were pinned to the upper part of 
the b sae as the hand received an addiacna {upport 
to the anterior pal of oe a age; the eaies above and 
below the clavicle were filled with lint ;_ and sae fractured 
portions covered with comprefles, dipt in aq. veg. which 
were pic led, and feven or eight oe in length, and 
three wi 
Under ce right axilla, the end of a ban 
d three fingers wide, was 
ndage, {even or 
applied, 
eight ells in length, an 
and paffed obliquely above the breaft, 0: 1 the comprefies 
v behind the Moulder and the arm, 
under the elbow, (which the affiftant {till continued to fup- 
the breait, and under 
auc 
port,) then obliquely upwards before 
the right axil Over the ea turn of the bandage it was 
pafied ie times precifely i Ww ays and the re- 
ye 
See Parifian Surgical Journal, 
Default’s bandage is s fimple, alot fome attention will 
be ue in applying it.. Its mode of acting is obvious. 
ion or comprefs, which aéts as a fuppert to the 
9 
the fame time, an 
tured Balle which would have 
the petoral mufcles, the feratus major anticus, and the fu 
clavius, if their action had not sete Bee ed by the thick- 
nefs of the fuperior part of the cu The circular turns 
of the bandage, which fix the arm aga aint the breaft, have 
the double advantage - ee up the Leia and pre- 
venting at the fame t e arm and canal 
“and, coafequently, retaining ‘the nthe of the 
a pau e of appofition. ‘The aes of the 
lace i humeral portion of the clavicle on a 
lene a ne fternal ; ipa a ae of the ba ee eine 
at one lee under the elbo  fore-ar other 
ae the fragment that As. ask eed: ona it.de- 
aie, and raifes the rar bringing their furfaces a ae 
to each other. This bandage ferves to confine the actio 
of the trapezius and fterno-maftoideus, which are eached 
to this b With refpe&t to the ordinary 1 or. the 
confolidation of the fracture, Hippocrates - pee it from 
Vou. % 
Englith ee are not | muc 
rhaps on account of its being a 
n th confining the oe back w 
e ,figure-of-eight bandage i is, that it tends to deprefs the fca- 
pulary end of the clavicle, at the fame time that it draws it 
backward. We need fcarcely remark,. that wh 
bandage i is ufed, the margins ofthe axilla mutt be defended 
with tow, and tha is cuftom i 
empl rum faponis on the fkin covering the fracture. 
' Fraéures of the Scapula. 
The fituation of the fcapula, and the quantity of mufcle 
he bo this iab 
upon a render ly of bone not very liable to be 
; but v and then take 
en is 
nd t of the “deiterd ae draw the de- 
tached piece cer) while the trapezius and levator’ 
pule draw the reft of the bone upward and d back- 
a 
"When the acro 
fea 
war 
When the aes fae of the feapula is broken, it is drawn 
forward aes n of the ferratus major anticus, the reft 
of the boa ing in its natural fituation. If the por- 
tion of th pence fractured off be confiderable, it may alfa 
aed upward and ae by the teres major, and fome 
fibes of the latiffimus dor 
n fractures of the pile procefs, this part is feparated 
om the reft of the {capula, in confequence of being drawn 
downward eaction of the. coraco-br achialis 
e neck of the fcapula are followed by a 
falli _ down of the fhoulder, occafioned by the weight of 
the arm, ‘The appearance of the limb is like that of a dif- 
location ; but the difference = the cafe is sina mee ae 
by the facility with which the os br rachil be 
to its proper height, the pereptn of a crepitus ; Boe ie 
some! down of the limb again, as foon as it is left unfup- 
per 
Tt frequently happens, that after a fall, or blow on ea 
fhoulder or arm, when the clavicle and ‘feapula cannot 
difcovered to be any where ee a great deal of pain, at 
a manifeit crepitus occur on moving t the fhoulder-joint. It 
is probable that, in vie cafes it this kind, a {mall portion 
of the head of the o ee or a little aa of the glenoid 
cavity of the (pile may be broken 
e fymptoms of a fngtured acromion = pain in the 
ftnstion of thei injury, a chan the e nal appearance 
and fhape of the fhoulder, anda falling eiecitat of the de- 
tached portion of the bone, which may be raifed into its 
i ‘polition. by pad ng up: the. tho clofe to the 
place between the fragme 
ihe. “ oo piece, alfo, does: not. move with the ref OF 
the {ca 
Fradhure of the {pine of the efeapul are rendered manifeft 
by 
