FRAC 
“Heawoblerves, er that if the arm He extended too —_ 
ar ulna will be forced in, an ur 
, or the motions of the ccuk teen 
o 
S 
will either be i cae 
with on ulty. Differt. fur les Effets du Mouvement, &e. 
p- 6 . 
Tes f is ri i ed in the Parifian etal ia Toureal; that, be- 
. fore the, time of its publication, the fub 
pets een dul conlidered. Duverney’s 
: his ea eae 
_banda s too loofe, the olecranon cauld not be retained 
in its fituation ; and when it was too tight, much {welling 
. was induced. . 
The following was Default’s plan, which does not 
terially differ from the mode followed in a eat ad 
appears to us judicious and deferving of imit 
While the affiftants extend the fore-arm, one 
n of a 
ie aoa s to be dra n down towards the ulna, while the 
{kin is pulled upward ha an affiftant, fo as to prevent it from 
‘bet ed. this caution is overlooked; fome 
folds of the imteguments are apt to get between the dif- 
united parts, a1 
n the finger is removed, which is employed for pr effing 
the Sieaeod againft the ulna, the fragment of bone is to be 
kept in its proper fituation by a turn of the roller, -which is 
to be carried from the upper and front part of the ack 
‘above the elbow, and then on the infide of the li h 
- roller is now to be eaepeges back again on the ace Part 
f the fore-arm, -fo as to make a bandage in the fhape o 
figure of eight, fimilar ae is ufed after bleeding. The 
capplication of the roHer is to be continued as high as the 
“Sppe part of the arm, wher it is to be fixed by a circular 
urn. 
A ftrong iplin is next applied to the whole iength of the 
rm and fore The inftrument is to be a little bent at 
ae joint, in pln to prevent the complete extenfion of the 
fore-arm ; by-which means, according to Default, the end 
of the fra@tured ulna would be forced into the cav ity of the 
olecranon, and pufhed 
men, .fo as to render the union irre 
The fplint is to be -retained_ with - 
‘and the limb laid on 
may be' every where 
he eee gTOWs i tack, in ‘confequerice of the 
aa id of the e felling, it is to be taken off and re- 
lied. 
reft' of the ro 
ae the end of three weeks, ‘the {plint imay be left off, 
‘and a roller alone ufed for keepitig the ‘limb extended a few 
days longer. All bandages may } now’ be “omitted; and the 
fargeon fhould accuftom ‘the ‘patient’ to bend ‘and extend: the 
joint fora certain time every day. 
; We — caked See mee it haa! arife from, seeping ibe 
» thou! d. it be dee 
geen pi 
fpace under the middle of the folie, in aya of the elbow. | 
joint, with a proper-fhaped pad, made with, tow, or any 
ather foft: material. 
_ It fométimes happens, par one. oe the oe of the fore- 
arm is broken, together olecranon; and, 
aud to bend the lind i in the ‘eaten of the fink j injury, 
of fractures of . 
totally out o 
more forward than the other sh fi tuation © Wut there 
. d 
the fled 
pie illow, | im ‘fuch a way that the oni Es omen 
TURE. 
and extend the-arm for'the cure of the fecond, the pratti- 
tioner may be _ into embarraffment by meeting with a 
cate : this defecriptio 
matter, . ase is very fimple. 
u 
Bending: the arm 
a ceffenti i the cure of fraCtures of the radius or 
ulna, but is aceanatd ap an for meh the baci ole- 
eranon, vent = Sua , the pro- 
e 
mott fuccefs. It thotild alfo be noticed, that t his oe 
was what the eminent Default was in the habit of following, 
and aa in his lectures 
Frathires of the Fore-arm. 
he fore-arm is particularly often the fituation of frace 
tures ; ; and this cir Rit voy is afcribable both to the way 
in which the radins and ulna are expofed to direét external 
othe manner in which every force ian to 
the former of thele 
In fome inftances, we find bot 
arm broken to eee while, on other occafions, only ore 
bone is injured. ° 
Fraétures of both Bones of the Fore-arm. 
The accident may take place near.the elbow, or, wri ‘io 
at the central part of the limb. The latter fituation is ae 
in which fraGtures happen moft frequently ; they alfo often 
.oecur towards the writ, but feldom near the bend of the 
arm. In this laf Situation, ae emacs and ftrength of 
the ulna, and the, mann the bones are covered 
and protected by numerous mules, neceflarily render -the 
ce 
never been our lot to meet 
radius and uln 
ible, an atts pee from the paffage of the wheel of 
the limb. We have, in two or 
When 
{olution ee fen gener: vally runs in the fame 1 ine 
ever, this is not invariably the c 
It does not often en that “fraGtures of this part of 
the body: are either compound or comminuted. Both kinds 
of cafes may prefent eae ina large field of practice ; 
but furgeons of circumfcribed experience are not very likely 
to' meet with t ult i i 
Flow: 
-aloned by fuch a force as operates dir ecliy 0 
The accident. sana ever — from 1 on 
the > hands in which occurrence, the external violence gene- 
rally. -ouly' aifects the un, any alone becomes frac- 
ede. ° 
e "Fractures of ae radius and ulna together are very eafil 
ed 
ang neg _ The hirgeoa nade the Limb fro tteigh of ee 
7 
