- Flat dorsal splint 265 387. Flat dorsal splint with "ulnar cut-out" 265 388. The Walker splint 266 389. Short splints and adhesive; for Colles' fracture 267 390. Proper position for carrying wrist in sling 267 391. Improper position for carrying wrist in sling 267 392. Rontgenogram showing radial epiphysis displaced to radial side . 270 393. Same case after operation and internal fixation 270 394. Colles' fracture 24 hours old. Swellino- pronounced .... 272 395 and 396. Old Colles' fracture with deformity 273 397. Old Colles' fracture with deformity . . . 274 398. Loss of function following Colles' fracture 274 399. Rontgenogram of same case showing osteitis of carpus .... 274 400 and 401. Contracture following Colles' fracture ......'. 275 402 and 403. Ligaments of wrist 277 404. Rontgenogram of normal bones of carpus and metacarpus . . . 278 ILLUSTRATIONS XIX FIG. PAGE 405. Old Colles' and anomalous triangulare 270 400. Old Colles' and anomalous triangulare 279 407. Rcintgenogram of anomalous centrale 279 408. Rontgenogram of anomalous space corresponding to centrale . . 279 409. Old united fracture of scaphoid 280 410. Rontgenogram of fracture of semilunar 280 411. Rontgenogram of fractured scaphoid 280 412. Rontgenogram of fractured semilunar 281 413 and 414. Rontgenograms of luxated semikmar 281 415 and 416. Old Colles' fracture and abnormal condition of scaphoid. Rontgenogram , . 282 417. Rontgenogram of "Divided Scaphoid" 283 418. Centrale present and fused with os magnum. Rontgenogram . . 284 419. Rontgenogram of Colles' fracture and fractured trapezium . .284 420. Severe compound fracture dislocation of wrist . . . . . .287 421. Old injury of carpus 288 422. Rontgenogram of Bennett's fracture ......... 297 423. RontgenogTam of gunshot fracture of metacarpal 298 424. Recent Bennett's fracture 299 425. 426 and 427. Recent Bennett's fracture 300 428. Recent fracture of index metacarpal 301 429. Fracture of metacarpals 301 430. Fracture of metacarpal 302 431 and 432. Recent fracture of metacarpal 302 433. Old fracture of fourth metacarpal 303 434, 435, 436 and 437. Roller bandage dressing for fracture of meta- carpals 304 438. Compound fracture of base of terminal phalanx 308 439. Severe compound fracture of phalanges . 308 440. Plaster splint for thumb 309 441. Plaster splint for finger 309 442. Board splint for finger 310 443 and 444. Goldthwaite tin splint for fracture of thumb . . . .311 445. Tin splint applied to finger . . . . . . . . . . . .311 446. Claw nail resulting from injury to finger . . . . , . .312 447. Dislocation of thumb .............. 315 448 and 449. Compound lateral dislocation of thumb 315 450. Old unreduced lateral dislocation of thumb ....... 450 451 and 452. Recent dislocation of finger 316 453. Ventral dislocation of second knuckle . . . . . , . . ,316 454. Dorsal dislocation of finger 316 455. Backward luxation of second joint of middle finger 316 456 and 457. Sagittal section through the nasal cavity 323 4518. Old fracture of nasal bones with lateral displacement .... 326 459. Old fracture of nasal bones with lateral displacement .... 326 460. Separation and lateral displacement of lateral and septal cartilages 326 461. Fracture of nasal bones and partial separation of cartilages . 326 462 and 463. Destruction of nasal bridge from syphilis 327 464. Falling in of nasal cartilages in old case of syphilis ... . . 328 465. Saddle nose in hereditary syphilis 328 466. Raising the depressed nasal bones . 329 467. Packing nasal cavities . 329 468. Asche nasal splints 329 469. Author's moulded dental composition splint 330 470. The Cobb nasal splint 330 471. Relations of the nasal, lachrymal, superior maxilla and malar bones 33.) 472. Zygomatic arch seen from below 335 473. Recent fracture of left malar bone 337 474. Fracture of malar bone 24 hours after injury 337 475. Fracture of malar and zygoma 338 XX ILLUSTRATIONS FIG, PAGE 476. Old fracture of malar 341 477 and 478. Old fracture of malar with great deformity . . . .341 479. Superior maxilla 343 480. Fracture of superior maxilla 345 481 and 482. Two views of inferior maxilla 348 483. Recent fracture of inferior maxilla at symphysis 351 484. Rontgenogram of same case 351 485. Fracture of lower jaw just anterior to right canine 352 486. Fracture of lower jaw 352 487. Fracture of lower jaw between canine and lateral incisor . . . 353 488. Fracture of lower jaw anterior to first molar 354 489. Old fracture of jaw with deformity 355 490. Fracture of lower jaw behind last molar 355 491. Rontgenogram of same case 356 492 and 493. Fourtailed bandage made of adhesive . . .... 358 494. Interdental splint of vulcanite 359 495. Metal dental splint with arms for counter-pressure 361 496. Vulcanite splint with arms for counter-pressure 361 497. Matas splint for fracture of lower jaw 362 498 and 499. Heath metal splint 363 500. Edmund's forceps for clamping metal splint to teeth .... 364 501. Cast aluminum splint cemented to teeth 364 502. Oliver's method of wiring the lower to the upper law . . . 366 503 and 504, Manner of placing loops in wiring jaws together . , 369 505 and 506, Wiring jaws together. Four points of fixation , . . 369 507. Jaws wired together in fracture of lower jaw 370 508 and 509. Angle's bands and bars 371 510 and 511. Angle's bands with knobs 371 512. Scalp wound prepared for suture 387 513. Same case. Sutures in place 387 514. Same case. Bandaged 387 515. Interior surface of right half of skull 397 516. Interior surface of right half of base of skull 398 517 and 518. Craniometric points of importance 400 519. Most common sites of meningeal hemorrhage 400 520. Cortical centers 400 521. Old depressed fracture of vault 413 522. Old depressed fracture of frontal reaion 414 523. Old depressed fracture of skull in left parietal region . . . .414 524. Old depressed fracture of vault 415 525. Fracture of base of skull 415 526. Old depressed fracture of frontal region . 416 527. Severe fracture encircling skull 416 528. Severe compound, comminuted fracture of vault 417 529. Severe gvmshot fracture of skull 417 530. Rontgenogram of bullet within skull 418 531. Swelling and ecchymosis about eyes suggestive of fracture of skull 419 532. Calvarium of patient who previously had depressed compound frac- ture of vault 419 533 and 534. Diagrams indicating steps in performing osteoplastic oper- ation on skull . . • 447 535. DeVilbiss bone cutting forceps 448 536. Small trephine ! ! ! 448 537. Relations of sternum 453 538. RontgenogTam of fracture of sternum [ [ 455 539 and 540. Reduction of fracture of sternum " 457 541. Rontgenogram of fractures of third, fourth, fifth and sixth ribs 460 542. Caving in of chest 4gl 543. Fracture and displacement of costal cartilage . . . 461 544. Adhesive plaster strapping for fracture of ribs . . . . ! 463 ILLUSTRATIONS XXI FIG. PAGE 545. Rontgenograiii of fracture of cervical spine 466 546. Eontgenogram of fracture-dislocation of cervical spine .... 467 547. Rontgenogram of dislocation between first and second cervical verte- br^ 468 548. Rontgenogram of fracture of the lower dorsal and upper lumbar vertebrae 469 549. 550 and 551. Two views and section of old fractured spine . . . 470 552. Rontgenogram of fracture of spine 471 553. Rontgenogram of fracture of body of fifth lumbar vertebra . .472 554 and 555. Fracture of cervical spine 474 556 and 557. Fracture of lower dorsal spine 475 558. Old fracture of lower dorsal spine 477 559. Charco's spine 477 560. Methods of wiring spine 488 561. Incisions used in performing a laminectomy and in making osteo- plastic flap ' 489 562. The pelvis 492 563. Lateral view of pelvis 493 564. Rontgenogram of fracture of pelvis through acetabulum . . . 494 565 and 56Q. Fracture of ilium and tearing away of abdominal muscles 499 567. Rontgenogi'am of lateral dislocation of coccyx . . . . . .501 568. Double plaster spica used in treatment of fracture of pelvis . . 50S 569. The ilio-femoral or Y-ligament of Bigelow .516 570. Iliac dislocation of hip 517 571. Sciatic dislocation of hip , 517 572. Ilio-pectineal dislocation of hip 518 573. Pubic dislocation of hip 518 574. Obturator or thyroid dislocation of hip 518 575. Perineal dislocation of hip 518 576. Everted dorsal dislocation of hip . . . . . . . . . .519 577. Attitude in dorsal dislocation of hip 521 578. Attitude in anterior dislocation of hip 521 579 and 580. Old unreduced dorsal dislocation of hip 522 581. Reduction of dorsal dislocation of hip 525 582. Stimson's method of reducing luxations of hip 526 583. Author's modification of Bigelow's method , . . . . , . 526 584. Allis' method of securing pelvis to floor 527 585 and 586, Internal structure of upper end of femur 531 587, Nelaton's line and Bryant's triangle. Diagram ...... 534 5i88, Rontgenogram of impacted fracture of femoral neck .... 535 589. Rontgenogram of old ununited fracture of femoral neck . . . 589 590. Rontgenogram of impacted fracture of neck of femur .... 589 591. Rontgenogram of fracture of femoral neck 535 592. Rontgenogram of fracture of rim of acetabulum . . . . . 536 593. Rontgenogram of fracture of great trochanter 536 594. Rontgenogram of middle of femoral neck 536 595. Rontgenogram of base of femoral neck with splitting off of lesser trochanter 536 596. Impacted fracture of neck of femur 538 597. Impacted fracture of neck of femur . 538 598. Fracture of right femur through great trochanter 538 599. Fracture of femur just below great trochanter 538 600. Drawing Nelaton's line on patient 539 601 and 602. Measuring length of lower extremity 540 603 and 604. Diagrams showing effect of tipping of pelvis . . . .541 605. Relaxation of fascia lata result of raising of trochanter . . .541 606 and 607, Application of Buck's extension 543 608. Weight used with Buck's extension 543 609. Pulley used witli Buck's extension 543 010. Long'T-splint 544 Xxii ILLUSTRATIONS FIG. P^«E 611. T-splint applied and extension in use 544 612. Diagram showing principles of Ruth-Maxwell method .... 546 613. The use of sand bags in fracture of hip 546 614. Plaster cast applied with thigh abducted 547 615. Plaster cast applied with hip and knee semiflexed ..... 548 616. Author's screw plates for internal fixation of fracture of the hip 550 617. Usual sites of fracture through femoral neck . . . . . .551 618. Tendency to displacement when screw is used in fixation of hip . 551 619. Author's screw plate in position 551 620. The Thomas hip splint 553 621. The ambulatory pneumatic splint 554 622. Diagrams illustrating the development of coxa vara after Whit- man 556 623. Anterior surface of femur 559 624. Posterior surface of femur 559 625. Rontgenogram of transverse fracture of femoral shaft . . . 560 626. Recent fracture of right femoral shaft 561 627. Old fracture of right femoral shaft 561 628. Recent fracture of left femoral shaft 562 629. Recent fracture of left femoral shaft 562 630. Correction of deformity by lateral traction. Diagram .... 564 631. Adjustable inclined plane 564 632 and 633. Treatment of fracture of femoral shaft in children by suspension 565 634. The Bradford frame 565 635. The Nichols frame 569 636. Rontgenogram of double spiral fracture of shaft of femur . . . 570 637. Rontgenogram of same case after operation 570 638. Rontgenogram of same case two years after operation . . . .571 639. Rontgenogram of same case six years after operation . . . .571 640. Lateral surface of lower end of femur 575 641. Internal structure of lower end of femur 575 642. Rontgenogram of knee showing locations of epiphyseal cartilages 576 643. Fracture of low^er end of femur with angular deformity. Rontgeno- gram 577 644. Supracondylar fracture with pronounced overriding. Rontgeno- gram . 577 645. Rontgenogram of old displaced fracture with refracture through callus 577 646. Rontgenogram of fracture of femur with lateral deformity . . 577 647. Fracture of lower third of shaft of femur ....... 578 648. Compound comminuted fracture of lower end of femur . . . . 578 649. Cabot posterior wire hip splint , 580 650. Same, bent to form double inclined plane 580 651. Dupuy's splint used as double inclined plane 581 652. Dupuy's splint 581 653. Adjustable double inclined plane fracture box 582 654. Hogden's splint 582 655. Adjustable ambulatory pneumatic splint 585 656 and 657. Subluxation of knee with lateral dislocation of patella and displacement of semilunar cartilage 589 658. Old fracture of patella with separation of fragments . . . . 596 659. Fracture of both patellae 596 660. Dressing for fracture of patella 598 661. Ham splint . . . 599 662. Silver wire mattress suture of patella ] i 600 663. Internal structure of patella 600 664. Rontgenogram of recent fracture of patella ....... 601 665. Same case after operation ' qqi 666. \Yired fracture of patella three years after operation . . . . 603 ILLUSTRATIONS XXlll FIG. PAGE 667. \Yired fracture of patella two years after operation .... 603 668. Passive motion in after-treatment of fracture of patella .... 606 669. Diagram of normal relations of patella . . . . . . , .610 670. Diagram of lateral dislocation of patella . ,610 671. Diagram of rotary displacement of patella and lateral dislocation "on edge"' ..........,,..... 610 672 and 673. Ligaments of knee . , 614 674. Lateral view of upper epiphysis of tibia. Kontgenogram . . . 621 675 and 676. Anomalous ossification of upper end of tibia .... 622 677 and 678. Rontgenogram of vertical fracture of upper end of tibia . 623 679. Rontgenogram of fracture of upper end of tibia 623 680. RontgenogTam of splitting of upper end of tibia 623 681. Fracture of upper end of tibia ........... 625 682. Fracture of upper end of right tibia ~ ......... 626 683. Compound fracture of both bones of the leg 636 684. Fracture of both bones of the leg . . 636 685. Compound fracture of both bones of the leg ....... 636 686 and 687. Fracture of both bones of the leg 637 688. Fracture of both bones of the leg . . 638 689. Same case four days later showing blood blebs ...... 638 690. Green-stick fracture of tibia in child 639 691. Compound fracture of both bones of leg ........ 639 692 and 693. Fracture of tibia near ankle ......... 640 694 and 695. Severe compound comminuted fracture of both bones of leg 641 696 and 697. Severe compound fracture of both bones of the leg . . 642 698. Folding fracture-box laid open 643 699. Same box closed .643 700. Padding used with fracture-box and method of holding box to- gether 643 701 and 702. Use of fracture-box in treating fractures of the leg . . 644 703 and 704. Short Desault splint 645 705. The Cabot posterior wire splint 646 706. The N. R. Smith splint . 646 707. Elevated fracture-box 647 708. Cradle used to keep bed clothes off leg ....... . 647 709 and 710. Methods of securing traction on fractures near the ankle 647 711. Use of old shoe and adhesive in obtaining extension ..... 647 712. Padding to relieve heel from pressure 647 713. Plaster of Paris splints for fracture of leg 648 714. Plaster stirrup for fractures of the leg ........ 648 715 and 716. Two views of comminuted fractures of tibia and fibula near ankle. Rontgenograms 651 717. Rontgenogram of same case after operation . 652 718. Same case. Anterior plaster splint removed to show field of opera- tion 652 719. Ambulatory pneumatic splint as applied to fractures of the leg . 655 720. Old fracture of tibia and fibula with discharging sinus . . . 656 721. Persistent swelling following fracture of leg 656 722. 723, 724 and 725. Diagrams illustrating the manner in which the leg is thrown "oft' center" when union occurs with deformity . . 657 726 and 727. Normal relations of the calcaneum, astragalus and bones of the leg ..... 660 728. Rontgenogram of normal ankle showing epiphyses 661 729. Rontgenogram of Pott's fracture 662 730. Rontgenogram of variant of Pott's fracture 662 731. 732 and 733. Rontgenogram of Pott's fracture 662 734 to 737. Rontgenogram of Pott's fracture 663 738. Rontgenogram of old Pott's fracture 663 739. RontgenogTam of Pott's fracture. Lateral view 663 740. Recent Pott's fracture of left ankle . ". 664 Xxiv ILLUSTRATIONS PAGE ■pTfJ 7-41 and 742. Two views of a recent Pott's fracture OJJJ) 743. Another view of same case J^>J|J,> 744. Recent Pott's fracture seen from behind «)<>^ 745. Same case after deformity has been corrected Mu 746. The making and application of the Dupuytren splint .... ()W) 747 and 748. Stimson's plaster splints • • f'^] 749 and 750. Rontgenograms of splitting of lower end of tibia . . . (Wo 751, 752 and 753. Rontgenograms of fractures of internal malleolus at different levels • ^>7<' 754. Epiphyseal separation of lower end of tibia complicated by frac- ture «^() 755 and 756. Supramalleolar fracture 677 757 and 758. Supramalleolar fracture 677 759 and 760. Supramalleolar fracture with pronounced deformity . . 679 761 and 762. Splitting of lower end of tibia 680 763. Old fracture of both bones of the leg with baclovard displacement 681 764 and 765. Ligaments of ankle 685 766 and 767. Inward fracture-luxation of ankle 688 768. Anterior dislocation of ankle 688 769 and 770. Antero-posterior and lateral views of fracture-luxation of astragalus. Rontgenogram 692 771. Rontgenogram of lateral dislocation of astragalus 693 772. Deformed astragalus removed to restore function 697 773
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survival fractures dislocations treatment 1915 emergency triage historical
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