A Manual of Modern Surgery; An Exposition of the Accepted Doctrines And Approved Operative Procedures of the Present Time, for the Use of Students And Practitioners

Cover A Manual of Modern Surgery; An Exposition of the Accepted Doctrines And Approved Operative Procedures of the Present Time, for the Use of Students And Practitioners
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The diagnosis between a se})arated epiphysis and a fracture in the same region is often difficult ; but it is not very important, since the treatment is identical. A separated epiphysis gives a smoother and less distinct grating than a fracture, and is apt to be followed by diminished growth in length of the bone.
More difficult than the determination of the simple existence of fracture is the localization of the exact position and line of fracture. This is often of importance, and may be deter
...minable only by careful fingering, accu- rate measurements, and close observation of changes in relative position of the prominences. Oftentimes the exact line of break is only to be inferred.
The conduction of percussive vibrations from one end of a bone to the FRACTURES. 333 other will at times prove the non-existence of a line of complete fracture between the two points. Let the examiner grasp or place his fingers on one extremity of the bone, and then give the other several quick, sharp blows with his finger-tips or a small hammer.


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