OF THE CAUSES AND THE SIGNS.

35. The ulna, less frequently broken, in general, than the radius,

scarcely ever suffers alone from falls on the wrist or hand. Most

commonly its fracture is direct, and occurs, in particular, in cases

where a person in falling, extends the fore-arm for the purpose

of supporting himself, and strikes its internal part against some

resisting body.

The division, though it does take place occasionally in all parts of

the bone, occurs most frequently near to the lower end, where its

slender size, compared to that of its upper end, its more projecting

situation, and its thinner covering of soft parts, act as predisposing

causes.

36. In whatever part it may exist, the touch must readily detect it,

when the fingers are drawn along the internal surface of the ulna,

which lies almost immediately under the skin. If moved in contrary

directions, the fragments will also, by their mobility and crepitation,

disclose the nature of the injury. A depression more or less

perceptible is observed on the internal part of the fore-arm, produced

by a displacement of the fragments, which are carried towards the

radius, more particularly of the inferior fragment, as Petit has well

observed, the superior one remaining almost immoveable.

§ XI.

A Treatise on Fractures, Luxations, and Other Affections of the Bones · 第 93 / 182 题