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Show DIFFERENT KINDS OF FRACTUREi .--.:--'.-:;.---"'.r.-v«; . -W, ..._ , OF FRACTURED BORIS. CHAPTER VII. 0F FRACTURES. 1545:.qu mum ‘ i 2, i: r "f" "I‘ 'Vt‘o'éfi" .‘a-vss .. "a. , w r. DISTINCTIOXS RELATIVE 1'0 FBACTURED BONES- The points of the broken ends of the bone are longer and sharper, and are driven more into the flesh, than in the rl‘ne several varieties of fractured bones may be notic~ ed under the heads of 1. Simple transverse fracture. 2. Oblique fracture. 3. Compound fracture. 4. Complicated fracture. The last of these has the greatest variety of important circumstances connected m'th it. Simple transverse fracture is that in which the b0118is broken directly across, or nearly so. It is the consequence of an injury lateral to the bone; occasioned, for example, by a weight falling on the thigh; or by a fall in which the fore arm strikes against a stone; or by a stroke on the arm bone. There is in general, comparatively, little injury to the surrounding parts, and no shortening of the limb from the retraction. of the muscles. Oblique fracture is a consequence of force applied in the direct line of the shaft of the bone. simple fracture; the fracture is not directly across but oblique, and sometimes the bone is riven up. There is, in this fracture, a greater difficulty of setting the ends of the bone in due apposition, and in preserving the length of the limb, for the obliquity of the fracture allows the extremities to pass each other. The Compound fracture is where the bone has not only been fractured, but has also pushed through the skin. This in a remarkable manner changes the nature of the case, and the chance of cure is diminished. The Cbmplimtecl fracture, as I have said, has many varieties, in which the difficulties of the case are increased, and the cure becomes more precarious and tedious. One is where the bone is not merely broken across, but shattered or broken in more than one place. Another is a fracture by gun-shot, which has several essential circumstances quite peculiar. Another complicated case is, where the broken bone has been forced against an artery, and the fracture is complicated with ancurism, or there may be both fracture and dislocation, as frequently happens in the ancle joint. A fracture, where the fissure of the bone is continued into the neighbouring joint, "WIII I ll rpl v, r |