The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
Hamilton notches his splint at each border about its middle so that
the notches shall be 3 inches below the tip of the olecranon (see
fig. 33). He begins the bandaging by fastening his splint on to the
hand and forearm, as high as the notches; here the roller is carried
above the olecranon and again down to the notches; this is repeated
again and again, each turn below the last, until the notches are all
covered, he then continues the bandage upwards by circular turns
until the top of the splint is reached.
[Illustration: Fig. 33.—Hamilton’s Splint for fracture of Olecranon.]
=Fractures of the Humerus near the Elbow.=—These resemble
dislocations of the ulna and radius backwards, but are distinguished
from them by the ease with which the bones slip into place and again
slip back from it when left to themselves; by crepitus; and, when
the fracture is above the condyles, the common accident, by those
projections retaining their natural relation to the olecranon. In
children and youths the articulating surface of the humerus may
separate from the shaft without carrying the rest of the lower
epiphysis with them. In this rare accident the main distinctions from
the usual fracture are, the projection of the olecranon behind the
condyles; from dislocation, the absence of the hollow of the sigmoid
notch, and facility of reduction.
In ordinary cases, where the deformity is reduced without much
difficulty, and the injury to the joint is not severe, lateral
rectangular splints of leather, hollowed wood, or wire gauze, answer
very well. These are placed both inside and outside the limb, and
reach from the axilla and shoulder to the wrist. They are applied in
the following manner:—
_Apparatus._—1. Lateral hollowed angular splints.
2. Pads and wool.
3. Rollers 2 inches wide for the arm, and 1 inch wide for the fingers.
4. Sling.
Step 1. The splints must be prepared.
Wooden and wire gauze splints are double. One, inside the arm,
reaches from the axilla to the wrist, the forearm being bent to a
right angle. The other extends, on the outside, from the deltoid
to the wrist. They are better if provided with hinges opposite the
elbow, so that their angle can be altered, if desired, in the later
stage of the treatment. Splints of wood or wire gauze must be evenly
and lightly padded before application.
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