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January 22, 1910


Author Affiliations


JAMA. 1910;LIV(4):283-284. doi:10.1001/jama.1910.92550300001001r

I recently encountered a case of fracture of the ulna in which a new application of an old method seemed indicated. The solution of continuity occurred in the lower third of the shaft of the left ulna. The deformity, caused as usual by direct violence, was that the inferior fragment was driven outward, thereby encroaching on the interosseous space. Reduction by manipulation, was evidently to be maintained by overabduetion of the hand. Just so is overadduction aimed at in Colles' fracture.

How could the hand be secured in this position? The simplest method seemed to be to apply a Bond splint in reverse. The patient was furnished with a right-handed splint and instructed to grasp the semicylindrical block with his hand. The shaft of the splint, being free, formed an acute angle with the radial border of the pronated forearm. The hand was secured to the block by adhesive strips applied