The relief given these cases by massage, movements and manipulations
by the osteopath is a daily experience, and results to him are not
surprising. Then in addition to what the surgeon would do, the
osteopath applies his principles of careful detail readjustment.
Eisendrath continues his paper by referring to the principal varieties
of fractures and giving the treatment for each. He says that if correct
treatment is carried out with proper massage and movements in fractures
of one or both bones of the leg, the patient will be at work in six or
seven weeks instead of three or four months, that in Colle’s fracture
some surgeons do not employ a splint, and that in fractures of the
olecranon, massage from the first week on is of the greatest use. This
part is very interesting but space forbids giving it.
He then concludes his article with citation of several very interesting
cases of fractures and severe sprains. These cases are exceptionally
interesting to the osteopath, but still the same good treatment and
results are duplicated every day in the osteopathic school.
The doctor’s contraindications to the use of early massage in fractures
or sprains are the following:
“1. Tendency to displacement of fragments in oblique fractures. Under
such conditions it is best not to begin either massage or movements
until the union is firm (fourth to fifth week).
“2. In compound fractures until the wound is healed.
“3. Whenever the condition of the skin is such as to permit of
infection; for example, the presence of blebs, or extensive abrasions.
“4. The presence of fragments which project but do not penetrate the
skin.”
His conclusions are:
“1. Massage, active and passive motions prevent atrophy of muscles,
tenovaginitis and ankylosis so frequently accompanying and following
fractures, especially those close to the shoulder, elbow, wrist, knee
and ankle joints.
“2. They give far better results than complete immobilization in the
majority of fractures.”
In the discussion that followed Henrotin said that for some time, “I
have never put a restraining apparatus of any kind, nor have I used any
lotions on any sprain, no matter how severe....
“It has taken many years to bring this subject before the profession.
It is a method that is absolutely effective as regards sprains and some
forms of fractures. I have treated several hundred such cases with the
greatest success.” He also said that, “In treating an inflamed joint
it is improper to use a restraining apparatus of any kind. I consider
that the plaster cast is the bane of all inflamed joints unless there
is a =specific form of infection=, a traumatic condition.” Neither does
he believe that an inflamed joint should be put at rest. He says the
patient is a good judge as to the amount of quiet the joint needs. He
has treated Colle’s fractures and fractured clavicles without bandages
or apparatus.
To sum up, the osteopathic procedure in the treatment of fractures
would be as follows:
Public-domain text, read in full here on John Shaqi.
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