The Home Medical Library, Volume 1 (of 6) — John Shaqi
The Home Medical Library, Volume 1 (of 6)
Science
The Home Medical Library, Volume 1 (of 6)
Medicine; Medicine, Popular
In the case of the knee, the splint is applied to the back of the leg;
in sprained wrist, to the palm of the hand and same side of the
forearm. Sheet wadding, which may be bought at any drygoods store, is
torn into strips about two inches wide and sewed together forming a
bandage ten or fifteen feet long, and this is first wound about the
sprained joint. Then pieces of millboard or heavy pasteboard are
soaked in water and applied while wet in long strips about three
inches wide over the wadding, and the whole is covered with bandage.
In the case of the knee it is better to use a strip of wood for the
splint, reaching from the lower part of the calf to four inches above
the knee. It should be from a quarter to half an inch thick, a little
narrower than the leg, and be padded thickly with sheet wadding. It is
held in place by strips of surgeon's adhesive plaster, about two
inches wide, passed around the whole circumference of the limb above
and below the knee joint, and covered with bandage.
In ordinary sprains of the ankle, uncomplicated by broken bone or
ligament, it is possible for the patient, after resting in bed for a
day, to go about on crutches, without bearing any weight on the foot
until the third day after the accident. The treatment in the meanwhile
consists in immersing the sprained ankle alternately, first in hot
water for five minutes and then in cold water for five minutes,
followed by rubbing of the parts about the injured joint with
chloroform liniment for fifteen minutes, but not at the beginning
touching the joint itself. The rubbing should be done by an assistant
very gently the first day, with gradual increase in vigor as the days
pass, not only kneading the ankle but moving the joint.
This treatment should be pursued once daily, and followed by bandaging
with a flannel bandage cut on the bias three and a half inches wide.
With this method it is possible for the patient to regain the moderate
use of the ankle in about two or three weeks.
The same general line of treatment applies to the other joints;
partial rest and daily bathing in hot and cold water, rubbing and
movements of the joint by an assistant. Since sprains vary in severity
it follows that some may need only the first day's preliminary
treatment prescribed to effect a cure, while others may require
fixation by a surgeon in a plaster-of-Paris splint for some time, with
additional treatment which only his special knowledge can supply.
[Illustration: This picture shows an excellent method of fixing a
sprained joint, used by Prof. Virgil P. Gibney, M.D., Surgeon-in-Chief
of the N. Y. Hospital for Ruptured and Crippled. It consists of
strapping the joint by means of long, narrow strips of adhesive
plaster incasing it immovably in the normal position. This procedure
may be followed by anyone who has seen a surgeon practice it.]
=SYNOVITIS--Severe Injury.=--Generally of ankle or knee from fall, or
shoulder from blow.
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