Note splint extending from wrist to tip of finger; also manner of
applying adhesive plaster strips and pad in palm.]
If the finger corresponding to the broken bone in the back of the hand
be pulled on forcibly, and the fragments be held between the thumb and
forefinger of the other hand of the operator, pain and abnormal
motion may be detected, and the ends of the broken bone pressed into
place. A thin wooden splint, as a piece of cigar box, about an inch
wide at base and tapering to the width of the finger should be applied
to the palm of the hand extending from the wrist to a little beyond
the finger tip, secured by strips of adhesive plaster, as in the cut,
and covered by a bandage. The splint should be well padded, and an
additional pad should be placed in the palm of the hand over the point
of fracture. Three weeks are required for firm union, and the hand
should not be used for a month.
It is usually easy to recognize a broken bone in a finger, unless the
break is near a joint, when it may be mistaken for a dislocation.
Pain, abnormal motion, and grating between the fragments are observed.
If there is deformity, it may be corrected by pulling on the injured
finger with one hand, while with the other the fragments are pressed
into line. A narrow, padded wooden or tin splint is applied, as in the
cut (p. 102), reaching from the middle of the palm to the finger tip.
Any existing displacement of the broken bone can be relieved by using
pressure with little pads of cotton held in place by narrow strips of
adhesive plaster where it is needed to keep the bone in line. The
splint may be removed in two weeks and a strip of adhesive plaster
wound about the finger to support it for a week or two more.
In fracture of the thumb, the splint is applied along the back instead
of on the palm side.
=HIP FRACTURE.=
_First Aid Rule.--Put patient flat on back in bed, with limb wedged
between pillows till surgeon arrives._
[Illustration: FIG. 24.
TREATING A BROKEN HIP (SCUDDER).
Note the manner of straightening leg and getting broken bone into
line; also assistant carefully steadying the thigh.]
A fracture of the hip is really a break of that portion of the thigh
bone which enters into the socket of the pelvic bone and forms the hip
joint. It occurs most commonly in aged people as a result of so slight
an accident as tripping on a rug, or in falling on the floor from the
standing position, making a misstep, or while attempting to avoid a
fall. When the accident has occurred the patient is unable to rise or
walk, and suffers pain in the hip joint. When he has been helped to
bed it will be seen that the foot of the injured side is turned out,
and the leg is perhaps apparently shorter than its fellow. There is
pain on movement of the limb, and the patient cannot raise his heel,
on the injured side, from the bed. Shortening is an important sign.
Public-domain text, read in full here on John Shaqi.
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