Fracture of the skull, cases of, referred to, 129.
Occasionally, however, cases of fracture of the skull occur, in which, part of the bone being removed, we can see the quickened circulation in the vessels of the brain as easily as in those of the eye.
If the skull fracture happened in a uremic, the decompression would probably do no harm.
Head Injuries= It was claimed that in fracture of the skull or in concussion much could be gained by frequent estimations of the blood pressure.
Note the heaping up of cells in the intima, the fracture of the elastica, and the destruction of the media beneath the nodule.
When the fracture is oblique, the fragments are often comminuted, and sometimes impacted.
It is important not to mistake this condition for the effects of a fracture which has complicated the dislocation and been overlooked at the time of the accident.
It consists in an "oblique fracture through the base of the bone, detaching the greater part of the articular facet with that piece of the bone supporting it which projects into the palm" (Fig.
The chief and most frequent cause of permanent disability after fracture is angular displacement.
In such cases the bone gives way at its weakest point, and the line of fracture tends to be oblique.
If an attempt is to be made to save the limb, the treatment is the same as in compound fracture (p.
Reduction having been accomplished, the fractureis adjusted in the usual way, advantage being taken of the open wound, if necessary, to fix the fragments together by plates.
In a considerable proportion of cases it is impacted, and not infrequently the lower fragment is comminuted, the fracture extending into the radio-carpal joint.
It is to be borne in mind also, and especially from the medico-legal point of view, that, as early callus does not cast a deep shadow in a radiogram, the appearance of fracture may persist after union has taken place.
It may accompany dislocation of the elbow or fracture of adjacent bones.
Fracture of the posterior fossa# is produced by the same forms of violence as cause fracture of the middle fossa; it is specially liable to result if the patient falls on the feet or buttocks.
I have had one case offracture in the leg of Mrs. Finkey's Italian greyhound, which Jack threw a flower-pot at in the dark the other night.
Its fractureis hard and white internally, like a broken piece of alabaster.
They produced some very fine porcelain, of the same peculiar character as that of Pinxton, with a sort of vitreous appearance and a granulated fracture like that of lump sugar.
The hooks had caught in some fracture of the plateau which he could not see.
The fracture was alarming on account of its size; but fortunately, although the vessel was sunk lower than usual by the weight of water, it was still above the ordinary water-line.
One of the projections of the Little Douvre had made a fracturein the starboard side of the hull.
When the surgeon arrived, he found that the fracture was a bad one; and the worse from the severe bruise with which it was accompanied.
He examined Fowler's leg, and found the fractureto be as bad a one as well could be.
Rails must be made more uniform in quality, and must be free from the imputation of fractureunder regular wear.
There is greater liability of fracture of the material in the latter than in the former.
A set of switches may be carefully made and work well, but it is quite possible for some fracture or obstruction, to intervene and prevent them closing properly.
They may break during an accident or derailment, but thefracture can be detected at once, and the broken 207 chair quickly replaced.
Stearn felt the calf muscles and tendons again, and pressed the region of the fracture with skilled gentleness.
I could set a compound fracture while he was searching around for his eyeglasses.
Compound Fracture If the sharp edges of the broken bone pierce through the skin, which often happens if splints are not well applied and the person moves, the broken bone again pierces the skin.
Treating and Bandaging the Injured A fracture is the same thing as a broken bone.
The specimen shows that it is still stronger at that point than at the point where it is actually broken, but the resultingfracture shows the same crystalline appearance.
The fracture being at perfect right angles, distinguishes it from calcite.
Such proportions will make a soft, even grained, dark gray iron, whose crystals are small and bright, and whose fracture will be uneven and sharp to the touch.
In some cases the amputation of a badly-lacerated member or one with a compound fracture offers the only measure of protection.
Two years ago he sustained a compound fracture of the left leg from a bale of cotton falling on him; otherwise he has always enjoyed good health.
Slowness, in marked degree, attends apoplexy, opium narcotism, and fractureof the skull compressing the brain.
The Countess of Leicester sustained a compound fracture of the leg by a fall from her horse whilst riding in Holkham Park.
He who is born to misfortune stumbles as he goes, and though he fall on his back will fracture his nose.
The fracture theory, then, if it regards the elevation of the Alps as due to the operation of a force acting throughout the entire region, is, in my opinion, utterly incompetent to account for the conformation of the country.
The fracture theory infers from the disturbances of the Alps the existence of fissures; and this is a probable inference.
Fissures would be produced by these changes; and such fissures, the advocates of the fracture theory contend, mark the positions of the valleys of the Alps.
The application of a piece of soap to the minute fracture temporarily remedied matters, but the mischief was already done.
So in fracture of the ribs, the surgeon envelops the overlying part of the chest with long strips of firm adhesive plaster to restrain the motions of chest respiration, that they may not disturb the jagged ends of the broken bones.
The force of the fall on the hand often breaks the wrist, by which is meant the fracture of the lower end of the radius, often known as the "silver-fork fracture.
Showing how a Pillow may be used as a Temporary Splint in Fractureof the Leg.
The simple fracture is the most common form, the bone being broken in a single place with no opening through the skin.
In young people, however, the parts of a broken bone will knit together in three or four weeks after the fracture is reduced; while in adults, six or even more may be required for firm union.
This fracture is more common in the bones of children.
Showing how an Umbrella may be used as a Temporary Splint in Fracture of the Leg.
Vinen referred to the case of an officer of the 60th Regiment, who sustained a compound fracture below the knee whilst playing at football in India.
I saw a surgeon at Stratford-on-Avon on the 12th and 16th of October after the accident, who said there was no fracture or dislocation.
The object is to prevent motion of the fracture while the injured person is being moved, either to home or hospital.
After the lapse of a certain number of weeks the fracture becomes firmly united, the splints are laid aside, and the man is discharged cured.
A time would no doubt come when those with a specific liability to skull fracture would all be eliminated, and the human cranium would have developed a practical immunity to damage from all sorts of falling substances.
If it was a common thing to adorn the parapets of houses in towns with piles of loose bricks, it is certain that a large number of persons not immune to fracture of the skull by falling bricks would be eliminated.
The fracture of the rudder-head was caused by the badness of the workmanship in the interior of the forging.
By the exertions of those engaged in this difficult operation, the greatfracture was repaired, and the ship returned to England in the beginning of 1863.
It is worthy of remark that until the end of April no fracture whatever, no bending of the legs, had taken place, notwithstanding that we had supported for a period of nearly three months a greater weight than we ever had since.
Steps were at once taken to examine the damage, and the divers reported a large fracturein the outer skin 80 feet long and about 10 feet broad.
The new chisel, however, is not intended to be used alone; if singly employed, it might do some damage, and fracture almost as readily be induced as formerly.
Fracture of the alveolar processes is rendered impossible, and the ease with which the instrument is applied, considerably enhances its value.
The surgeon will become aware that only great force could accomplish his wishes, and he will therefore reflect whether the employment of the necessary violence might not fracture the jaw as well as extract the tooth.
The unabsorbing fang, will, in time, become united to the bone; and if its extraction is then attempted, fracture of the jaw may be the consequence.
Collisions have sometimes occurred from carriages having been blown from a siding on to the rails by a high wind; and the slippery state of the rails, or the fracture of a break, has sometimes occasioned collisions at terminal stations.
If such a fracture occurs between the boilers after they are seated in their place, or in any position not accessible from the outside, it will in general be necessary to empty the faulty boiler, and repair the defect from the inside.
Indeed, this limit should not be approached in practice on account of the risks of fracture from weakness or imperfections in the metal.
