ble injuries of the soft parts at the seats of fracture,
and contusions and abrasions all over the body.
During convalescence the little patient suffered an attack of measles,
but after careful treatment it was found by the seventy-eighth day that
she had recovered without bony deformity, and that there was bony union
in all the fractures. There was slight tilting upward in the left
femur, in which the fracture had been transverse, but there was no
perceptible shortening.
Hulke describes a silver-polisher of thirty-six who, while standing
near a machine, had his sleeve caught by a rapidly-turning wheel, which
drew him in and whirled him round and round, his legs striking against
the ceiling and floor of the room. It was thought the wheel had made 50
revolutions before the machinery was stopped. After his removal it was
found that his left humerus was fractured at its lower third, and
apparently comminuted. There was no pulse in the wrist in either the
radial or ulnar arteries, but there was pulsation in the brachial as
low as the ecchymosed swelling. Those parts of the hand and fingers
supplied by the median and radial nerves were insensible. The right
humerus was broken at the middle, the end of the upper fragment
piercing the triceps, and almost protruding through the skin. One or
more of the middle ribs on the right side were broken near the angle,
and there was a large transverse rent in the quadriceps extensor.
Despite this terrible accident the man made a perfect recovery, with
the single exception of limitation of flexion in the left elbow-joint.
Dewey details a description of a girl of six who was carried around the
upright shaft of a flour mill in which her clothes became entangled.
Some part of the body struck the bags or stones with each revolution.
She sustained a fracture of the left humerus near the insertion of the
deltoid, a fracture of the middle third of the left femur, a compound
fracture of the left femur in the upper third, with protrusion of the
upper fragment and considerable venous hemorrhage, and fracture of the
right tibia and fibula at the upper third. When taken from the shafting
the child was in a moribund state, with scarcely perceptible pulse, and
all the accompanying symptoms of shock. Her injuries were dressed, the
fractures reduced, and starch bandages applied; in about six weeks
there was perfect union, the right leg being slightly shortened. Six
months later she was playing about
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