Surgery.

Date:: [1913]

Credit: Surgery. Source: Wellcome Collection.

102/412 page 84

$site of fracture. The adhesive strips extend from the nipple line to the inferior angle of the scapula and the central one which passes over the line of fracture is applied first. The remaining strips overlap the central one. Cases with more marked displacement may be treated by a figure-of-eight bandage applied over pads in both axillae. Whatever method of splinting is employed, movements of the hand, elbow and shoulder must be encouraged to prevent stiffness. Union is usually satisfactory in three weeks. How is Fracture at the Coraco-Clavicular Ligament caused ? Usually by direct violence. If the fracture occurs be- tween the conoid and trapezoid ligaments there will be no displacement. A simple arm-sling is all the treatment required. What is the Displacement when the Fracture occurs outside the Cor aco-Clavicular Ligament ? This fracture is practically always caused by a blow on the back of the shoulder. The small outer fragment is drawn forward until it lies at right angles to the inner long fragment. There is practically no downward displacement, as the coraco-clavicular ligament is intact. SCAPULA. What are the Fractures of the Scapula ? (а) Through the body. (б) The acromion process. (c) The coracoid process. (d) At the surgical neck. Describe Fracture of the Body. This fracture results from severe direct violence, and is often complicated by injury to the ribs and lungs. The clinical signs are pain, unusual mobility and crepitus. The displacement is very slight. Treat the fracture by placing a thick soft pad over the broken bone, and a body bandage$

Surgery.

Licence and re-use

Contents