File:A practical treatise on fractures and dislocations (1912) (14782556214).jpg

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Identifier: practicalt00stim (find matches)
Title: A practical treatise on fractures and dislocations
Year: 1912 (1910s)
Authors: Stimson, Lewis Atterbury, 1844-1917
Subjects: Fractures Dislocations
Publisher: New York, Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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y, or longitudinally, or horizontally,or obliquely, or into several pieces, and the fragments may be widelyseparated and dislocated. Fi(4. 338. ^m * ^ ■^ 1 Fracture of the astragalus through the lower articular surface. When there is no displacement or external Avound the diagnosis maybe very difficult, because the symptoms are not distinctive and indicateonly severe injury to the foot, pain, swelling, inability to bear the weightof the body on it, and perhaps crepitus on handling or flexing andextending it. The diagnosis must be made by exclusion of otherinjuries, by localized pain, and possibly by recognition of a displacedfragment, or of independent mobility of the head of the bone. I haveonce found it by the a;-rays, in combination with fracture of the oscalcis and without displacement, when unable to recognize it clinically. When there is no displacement treatment is directed simply to immo-bilize the joint and control the inflammation ; a plaster bandage should458 PLATE XXVIII
Text Appearing After Image:
Fiaclui-e of Inner* Portion of the Body of the Astracialiis. FRACTURES OF THE BONES OF THE FOOT 459 be applied, especial attention being given to the position of the foot,which should be at right angles to the leg in the antero-posterior planeand without inversion or eversion. If a fragment is broken from the upper articular surface of the bodyit should be removed. If the neck has been broken and the head dis-placed it should be restored to its place, by an incision if necessary, orremoved if it is found to be completely detached. If, in addition, thebody has been rotated in its socket it must be readjusted, or, that failing,removed. If the body should prove to be crushed or comminuted itstotal excision, with or without the head and neck, will probablv yielda much better functional result than conservative treatment. In compound fractures by direct violence removal of the astragalusis indicated because the functional result is likely to be better than aftereven successful conservative

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Author Stimson, Lewis Atterbury, 1844-1917
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Flickr tags
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  • bookid:practicalt00stim
  • bookyear:1912
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Stimson__Lewis_Atterbury__1844_1917
  • booksubject:Fractures
  • booksubject:Dislocations
  • bookpublisher:New_York__Philadelphia__Lea___Febiger
  • bookcontributor:The_Library_of_Congress
  • booksponsor:The_Library_of_Congress
  • bookleafnumber:522
  • bookcollection:library_of_congress
  • bookcollection:americana
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30 July 2014
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