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CASES ILLUSTRATING THE TREATMENT 147
movements —such as rolling, flexion, and extension, etc.—are
painless.
Dec. 18th. Active flexion and extension movements can be
made without the arm being steadied at the seat of the fracture.
Eec. 21st. Stopped the treatment, as I left Pola. No move-
ments gave pain,—all were normal, and the patient could lift
light articles, such as books, etc.
The treatment lasted each day for about a quarter of an hour.
Wlien I gave petrissage and effieurage, I steadied the whole arm
on the table, and with the left hand I fixed the fractured place.
During the other passive and active movements I grasped with
one hand the fracture, so that thereby the pieces were kept from
moving. As there was no one in Pola to- continue this special
form of treatment, the splints when I left were replaced.
XXII. STIFFNESS OF ELBOW-JOINT AFTEE FEACTUEE
AT THE UPPEE END OF THE EADIUS.
H. J., Lieutenant in the I. and E. Austrian Navy, came into
the hospital at Pola on the 27th of January 1889, having
fallen on his right elbow from a bicycle. Great pain, immobility,
and swelling were present at that joint.
Jan. 28tJi. The contusion was strongly coloured; abnormal
movement and crepitation were felt about two fingers’ breadth from
the head of the radius. Plaster of Paris bandage was applied on
the arm, which was held at a right angle and midway between
supination and pronation.
Feb. ISth. The plaster of Paris bandage was removed, and I
was asked to correct the abnormal position.
There was very little mobility at the elbow. The amount of
extension and flexion was about 20° in each direction, with
the right angle taken as starting-point. Supination and pro-
nation absent. The wrist-joint was stiff, and did not allow of
much movement. It was also very weak.
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