Identifier: atlasepitomeoft00helf (find matches)
Title: Atlas and epitome of traumatic
Year: 1902 (1900s)
Authors: Helferich, Heinrich, 1851- (from old catalog)
Subjects:
Publisher: Philadephia and London, W. B. Saunder or company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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no deformity isapparent. The third rib was broken only in the axillary line andshows good union. Fig. 1 a.—Horizontal section of the fourth rib (axillary) of the samepreparation, showing the displacement and firm union. Fig. 2.—Recently united fracture of the ribs without displacement,shown in horizontal section. Callus-formation is well shown. portion of the lung, during both inspiration and expira-tion, and spreads from there in all directions. Unlessthe cutaneous emphysema is universal and becomes dan-gerous by reason of its extent, it is not a serious symptom.As a rule, it disappears by absorption within a few days.Hemothorax may require aspiration. Treatment.—Complications must be treated as theyarise. The region of the fracture is supported with stripsof adhesive plaster. Bony union takes place, usuallywithout marked displacement, and in almost every casewith only temporary disability. After a fracture of theupper ribs the carrying of heavy burdens on the shoulder Tab. 2/.
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■•«L«fccf. LUh.Arist F. Reichhold, Sfunchen. FRACTURES OF THE THORAX. 125 may continue to cause great distress for an indefiniteperiod. Fractures of the costal cartilages are not as rare as mightbe supposed. The fracture occurs at the junction betweenthe cartilage and the rib (see Plate 22, Fig. 2), or in thebody of the cartilage itself (Plate 22, Fig. 1). The latterspecimen demonstrates that a fracture of this kind mayleave considerable deformity and unite with a scanty for-mation of callus. The fracture is predisposed to by dimin-ished elasticity of the cartilage, due to senile changes, andis usually produced by direct violence; it occurs most fre-quently in those cartilages which are most exposed—namely, the fifth to the eighth. The symptoms are the same as in fracture of the ribs,except that crepitus is of a softer character. DISLOCATION OF THE RIBS This extremely rare injury needs only a passing refer-ence. It may occur in the form of a luxation of the costalcartilages at

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