FRAC 
unyie lading. On taking hold of the limb, he readi ly ee 
ar or au of the ends of the fracture. In certain 
there a manife alate where the folution of 
cont ere has happ ened ; other in ftan ACES, a 
n 
tion of the oe and is almoft always found with his elbow- 
joint half ben 
A mittake may indeed be made, when both bones are 
fractured very near the wrilt;-in which fort of cafe, the 
practitioner may er ape | conclude that there i i 
iia he way to avo =. a ae judgment is 
@ pay attention to the ee of the it loig proces in 
to ac deformity, When b 
motio ving t 
location ; a they are below t rmed part, and 
move-about with the hand and writ, the accident is a frac- 
ture. In the latter inftance, alfo, a crepitus may generally 
be felt, and in anes part is more moveable than in the 
example of a luxatio 
The cae attendant on fra€tures of both bones of 
the fore-arm can never take place, in any very confiderable 
degree, i in the longitudinal ee n. 1e manner in which 
the interoffeous ligament is connected with the four ends of 
the pa forms an impediment to any material fhorten- 
ing of t -arm. tran{verfe kind of deformity is apt 
ioc occur, ene arifes from ds of th ken bones 
inclining towards the centre of the limb, fo as to leffen:the 
breadth. a what might be called, the iereicous {pace 
What the French ‘Turgeons name an angular deformity i is 
alfo produced, either forward or backward, according to 
the direction of the force which occafioned the fraGure. 
The treatment of a fracture of both bones of the fore-arm 
is to ) be conducted in the ee manner: The valiant 
n ftate of coaptatin ; 
e all things, he fhould se es ie the due w ides 
the roe {pace, by gently prefling the foft parts 
O it. 
"We have to remark on this fubjeét, that fractures of the 
fore-arm may gencrally be fet with great oe and with- 
out the exertion of much force in the extenfio 
Englifh idgea agi as ro as they a “reduced the 
racture, next put a piece of foap-plafter round the injured 
part, and then apply a roller to ne fore-arm, from the hand 
to the elbow. 
In all cafes in which the radius is- br oken, a roller ought 
never to be put on with tightnefs, hecaufe the preffure can 
e of no aang and may do atagr ana mifchief, by 
e extremities of the 
- forcing inwards radius ay 
— the intros oe — the bone ch -be made 
unite ina way, the nation, and, ‘fa. 
oe -of ae hand ae ey erly deftro ayed 
The fra¢ture having been in a, fate of coaptati on, and. 
apiece of t} e emplaftrum faponis ed together witha 
roller, the next object is to; place the, fofe-arm i in Aplints,, fo. 
as to preferve the broken bones i in their right poition.. until 
they have grown together again. The practitioner taking 
eare to have the ends of the fraGiure as evenly in contact as. 
TURE. 
pofible, i is to apply two > fplints ; 3 one is to extend from, the 
bend of the arm to the middle a the fingers, the other ii ig to 
reach fron the outer part of the elbow to the ends of the 
metacarpal bones. Bo th thefe iftroment are to be lined 
i What are termed, jointed ey 
are not eligible for fractures of the “fore-arm, becaufe the ey 
tend to prets the broken bones too much towards the centre 
of th cena? fo as to diminifh the interofleous {pace. 
We mutt alfo caution furgeons not to employ too long 2 a 
{plint on the infide of the arm ; for perience proves that 
when - ale are a completely Saree during the 
whole nt, they are fom 
o- 40 pea a freedom of oer. 
olet the fplint extend further than the oint abov 
in their refpeCtive fituations with a roller, iio eae 
this office much more fecurely than pieces of ta 
Laftly, the fore-arm is to be placed in a fling, which. 
hould always ee port the limb a the elbow to the ex. 
tremities of t e fingers. Ithough heed perfon, whether 
a furgeon or not, fancies himfelf ca 
fling, the oe rae that many 
butine! $ are 
eae ce walking Fe the ee with. flin NgSsy. 
which jut fupport the hand, and leave. all the reft of the- 
lanb fwinging and moving about. Since-all the foregoing’ 
cafes demand quietude, the neglect to make the fling. {apport 
te limb equally from the chow to the fingers m muft b e€ pro 
ductive of ferious harm, independently of the th onicneis, 
which a patient always feels, who has his fore-arm kept for: 
a long while in a flovenly bandage of this defcription. 
Frattures of the Radius. 
The r sans is much more baile broken than ites 
ulna, on account of its fituation expofing it more to ex- 
~ ternal violence, and its sali io bear all the fhocks commu- . 
ae to the | - and. 
a perfo 
with confiderable ae. 
u 
certain the accident 
with his fingers ; or, by laying the fingers of his left hand on 
the upper part, or middle of at bone, w hile with his right - 
-hand he moves the hand and lower portion of the fame bone.. 
alternately in the prone and fupine direGtion, fo as-to make 
the ends of the fraGture rub againi each other, and give the - 
fenfation of.a ad tae: or grating 
fratures ‘of ‘the radius is plain and~ 
gui 
