Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1858. Excerpt: ... PART II. STRUCTURAL AFFECTIONS. LECTURE XIV. FRACTURES CAUSES PREDISPOSING AND EXCITING VARIETIES OF FRACTURES SYMPTOMS. We propose now to pass to the consideration of the second diviJionofthe course, which has for its object the discussion of those diseases and accidents which affect the various structures of the body, and in the first place, we shall give our attention to those affecting the Osseus Structures. Under this head we shall first speak of fracture of bones, which we define to be a sudden solution of continuity in a bone, generally produced by external violence. It is necessary here to study the causes of fracture. It may seem to you that we require but little discussion upon the subject. Every one knows that violence applied directly may produce a fracture. This, however, is not sufficient. The surgeon must investigate more minutely. He must take into consideration all those circumstances which may produce a tendency to fracture. We find these existing very differently in different individuals. So much is this the case, that in some persons muscular contraction alone is sufficient to produce a fracture. In speaking then of the causes of fracture, we divide them into two classes. First, the predisposing, and secondly, those which we denominate exciting. What then are the predisposing causes? They are numerous and diversified. And here I would remark, that at all periods of life we are liable to fracture. Even the foetus in utero is exposed to this accident. As regards the cause of intra-uterine fractures, there is a great difference of opinion. Some suppose the contraction of the wound to be the cause. This, however, is not probable. Others suppose that by the carelessness and rude handling of the accoucheur at birth, these fractures are produ...
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