In the treatmeyit of fractured bones, the
two aims are, to get the broken parts into
their right places again, and to keep them
there until they *'knit together." This
takes place by a natural process of growth,
exactly like that by which a wound is healed
on the surface of the body. A thick color-
less "^ui^, plastic lymph, is poured out around
and between the ends of the fragments
of the broken bone. Gradually this
fluid is, between those fragment- ends,
changed to gristle (cartilage) ; and, in
time, that gristle becomes solid bone.
In one bone, when broken, the kfiee-
pan {patella), it seldom gets beyond the
stage of gristle or cartilage ; because
that bone, from its situation, receives too
little blood to enable it to grow or repair so
well as other parts.
Putting a broken bone back to its right
shape is called "setting" the bone. This
544-
FINGER EANDADE, AND FIGURE
OF 8.
is done, in most instances, by stretching the
limb, so as to overcome the shortening
action of the muscles ; and at the same time
adjusting the fragments by proper pressure
near the place of fracture. After this has
been effected, as nearly as possible, some
means are needed to hold the parts in the
same position. For this, ^/>//;2/5', bandages,
adhesive plasters, etc., are used. No unpro-
fessional person should venture, if avoida-
ble, to carry out the treatment of a broken
bone without the aid and direction of a
surgeon .
Joints, Sprained. — Any of the joints
may be wrenched or sprained, without actual
displacement. This happens often with the
ankle, knee, wrist, elbow, fingers, etc. The
ligaments are then stretched, and some of
their fibres may be torn or broken. Hence
follows more or less inflammation, and
lameness until the ruptured ligaments have
time to heal again. Since the "fibrous
tissue ' ' of which they consist has only a
low grade of vitality, and not much blood
is given for nourishment of the joints, this
procesr of repair in them is slow. A sprained
ankle or knee may be longer in getting well
than a broken leg would be. At least this
is apt to be the case unless the sprained
joint has given to it the best chance possible
from the first. This is to be had by the
patient giving up to rest it completely as
soon as it is hurt. This inflammation may
be averted or kept low, and a moderate
sprain may get well in a few days.
Nail, Splinter under. — To get out a
splinter which is beneath the nail, pare the
nail carefully, over the splinter, makmg a
narrow groove, until its upper end is ex-
posed. Then, with a pair of small nippers
BANDAGE AND SPLINT ON LEG
or tweezers, or less easily with a thumb and
finger, one may seize and draw it out.
When a nail is injured or destroyed, it
grows from above, that is in the direction
of the length of the finger or toe, downwards
THE FAMIL Y DOCTOR
8i
or forwards. This can easily be observed
on watching the change of position of marks
made and left by the injury, as the nail is
gradually restored.
Page 220
Presented as published in 1901. Historical recipes may not meet modern food-safety standards. Cook from the modern interpretation, not the original instructions.
AI-modernized reading of the original text
In the treatment of fractured bones, the two aims are, to get the broken parts into their right places again, and to keep them there until they *'knit together." This takes place by a natural process of growth, exactly like that by which a wound is healed on the surface of the body. A thick colorless colorless fluid, plastic lymph, is poured out around and between the ends of the fragments of the broken bone. Gradually this fluid is, between those fragment- ends, changed to gristle (cartilage) ; and, in time, that gristle becomes solid bone. In one bone, when broken, the kneepan (patella), it seldom gets beyond the stage of gristle or cartilage ; because that bone, from its situation, receives too little blood to enable it to grow or repair so well as other parts.
Putting a broken bone back to its right shape is called "setting" the bone. This
[illustration: Finger bandage and figure of 8]
is done, in most instances, by stretching the limb, so as to overcome the shortening action of the muscles ; and at the same time adjusting the fragments by proper pressure near the place of fracture. After this has been effected, as nearly as possible, some means are needed to hold the parts in the same position. For this, splints, bandages, adhesive plasters, etc., are used. No unprofessional person should venture, if avoidable, to carry out the treatment of a broken bone without the aid and direction of a surgeon .
Joints, Sprained. — Any of the joints may be wrenched or sprained, without actual displacement. This happens often with the ankle, knee, wrist, elbow, fingers, etc. The ligaments are then stretched, and some of their fibres may be torn or broken. Hence follows more or less inflammation, and lameness until the ruptured ligaments have time to heal again. Since the "fibrous tissue ' ' of which they consist has only a low grade of vitality, and not much blood is given for nourishment of the joints, this procesr of repair in them is slow. A sprained ankle or knee may be longer in getting well than a broken leg would be. At least this is apt to be the case unless the sprained joint has given to it the best chance possible from the first. This is to be had by the patient giving up to rest it completely as soon as it is hurt. This inflammation may be averted or kept low, and a moderate sprain may get well in a few days.
Nail, Splinter under. — To get out a splinter which is beneath the nail, pare the nail carefully, over the splinter, makmg a narrow groove, until its upper end is exposed. Then, with a pair of small nippers
BANDAGE AND SPLINT ON LEG
or tweezers, or less easily with a thumb and finger, one may seize and draw it out. When a nail is injured or destroyed, it grows from above, that is in the direction of the length of the finger or toe, downwards
or forwards. This can easily be observed on watching the change of position of marks made and left by the injury, as the nail is gradually restored.