inn 
in cafes of oblique fractures, would be apt to make the 
lowér piece of the broken bone afcend and ride over the 
ower one. 
-We ‘Shall now introduce a few Seaton on the treat- 
ment of fr las cb _ neck of the humerus. 
Sometim s frac of the. neck of t e humerus are 
roper pofit 
one continues quite eee being of 
little extent, and acted upon by few mufcles 
‘In ordinary inftances, the lower fra agment $ not mate- 
rially difplaced i in the longitudinal direction ; th each cafes 
do 9 occur, in w rhich the bone is confiderably out of its right 
fituation in thisrefpect. This happens when the fracture is 
exceedingly oblique, and the mufcles contra&t with unufual 
violence, and alfo when the, force, which breaks the bone, 
ft een w which i is the leaf reuent the elbow is 
fep eee, from the trunk, and cannot be put near to it 
alent pain. In the fecond cafe ie elbow inclines towards 
"Default advifes the sania to be made as follows: 
one affiltant is to fix the trunk, by drawing towards himfelf 
the oppofite arm. A feeond diitents is to take hold of the 
fore-arm, ina ftate of half-flexion, placing one of his hands 
behind the wrilt to ferve as a fulcrum, while the other 2 
applied to the middle of the front of the fore-arm for th 
purpofe of prefling it downward, fo as to make the equi 
— mi 
reduGiion may be accomplifhed wi 
way the with 
very nittle force, dotted feces as the lower fragment 
ard. 
is difplaced i inward o 
The indications in ea eee of fractures a the head 
fhoulder 
the fame. 
Thefe are the objects which every bandage ought to fulfil ; 
but it fhould be oe os fhe ~ Sa dey is of the 
Jeaft importance, — n gen ght of t 
arm is alone ‘fufficie ne ene fach ire as hav 
a tendency to co tke lower end of the foe 
upward 
The follpwing was the apparatus, which the celebrated 
‘French furgeon, Default, was in the habit of e ee a 
faccefs ie “the cure of fraGures of the above defcri iptio 
bandages, one about t five or fix ells ete the 
other eight or ten; both b eng about three finger-breadths 
wide. 2. Three — oe of gui cea a an 
ro three or 
The bandage is now to be rolled’ nck ere ge col 
. ever, may be 
arm ard, making each. turn overlap two-thirds 
oft that which is easel below it. When the roller - 
has reached the upper part of the limb, it muft ubled 
back a few times to prevent | oe which the inequality 
of the al would create. ‘The bandage is afterwards to . 
The pillow interpofed between the arm and thorax 
ferves as a fourth fplint, which becomes ufelefs. 
oe applies thefe parts of the apparatus, and holds them 
n by applying his hands near the bend of the arm, in 
ie not to obftruct the application of the remainder of the 
anda 
Th | furgeon takes = of the bandage again, and 
r applies it over the fplints with moderate tightnefs, and the 
bandage ends at the pee part of the fore-arm, where it 
began. 
‘The affiftants continually keeping up the extenfion, the 
furgeon is to place the pillow between the a and trunk, 
taking care to put the thick end upward, if t i ee i 
difplaced inward ; but downward, if aay reer be difplaced 
outward, which is moft common. s to be attached my 
gh he trunk, and Axed upon 
the plow, ~ means of the fecond roller, applied round 
th and thorax... The turns of this bandag alge 
be ver ag below, and rather flack above, if ue 
ture fhould be difplaced aa but, if outward, they fhould 
be flack below and tight a 
The fore-arm is to be noeueds ina fling, and the whole 
of the apparatus is to be covered with a napkin, which will 
ed. 
rgical authors, as very apt to.be attended with alarming 
confequences, large abfcefles, gangrenous mifchief, Caries, 
anchylofis, &c. : 
The experience of Default affords ansple — that — 
oregoing evils are not fo likely to happen, as form 
furgeons believed, at leaft under judicious trentnent . 
We r that e wey — near a joint is not in- 
variably da “eel of perma edt, inconve-~ 
iences. Th 
r here fates o of he patella and olecranon, 
cafes which are aa ular n 
that, though fra& 
greeable termination, they a very: favour- 
able manner. Compoun nd fractures of any large joints, hows 
jultly looked ae as cafes of the moft dan- 
gerous defcription ; they 0 oe the performance 
amputation immediately ee ae accident. 
t the os brachii is fractured, the 
ah other. When the apna is wide, it. is the 
direé&t of the external violenc 
The condyles may be Sifplacsd forward, or backward, or 
A aie may recede from each other fideways. : 
rom this account it is arg that the objet of the - 
apparatus fhould.be to prevent the alla een being 
duplaced in thefe ir directions ~ 
e 
