The Houston daily post. [volume] (Houston, Tex.) 1886-1903, 1896-01-26

ton and Texas Central. near Dallas. strik-
Ing his head just over the right poveltal
bone araLnst the corner OF cross tie.
lie was picked UP insensible. blanket
thrown over him and brought on
stretchcr IN the baggage car to Houston.
Blood and brains oozed from his head all
night and the next morning when he
reached the hospital he was pltiablo
sight indeed In preparation for tho OPP
Grafton his head was entirely shaved-HY-
brows and whiskers also-the wound IT.
r5eated thoroughly and then the operation
began. We removed three fragments Of
hone-elevatcd the depressed parts SUI
tured aud drained the wound Primary
unson ensucd and MIR. Libert left the
hospital well man.
James berry ives hurt on the Western
branch Of th, Central by crosstie strik-
ing him on the head. lie did not come
TO the hospital at once, but remained at
the section house until he became coma
tose, when the section 70, e,nan sent him
in. removed a button 81 hone with an
inch and a half trcphine. Found that The
depression existed Just at tho junction of
the left partetal with tho oc Initial about
one inch below tho medium Inc. The
patient recovered entirely ard left for st.
Louis
Mr.. d. while swinging in hammock,
had tire post 10 fall. striking him oil the
head small nall sticking In the post
passed through the skull to the dura
mata without inju.iug 81. For time MIR.
y. had no triuble Later, however. trau-
matte epilepsy developed and his condi-
ton grew more serious He was brought
to the Houston inlrnary-, the operation
performed by Dr.. Rcd and myself.
We found an exostosis the size of a pea
had formed on the inner table and this
pressure produced the commissions. Tho
patient recovered and left the hospital
entirely we'll within twenty-one days.
The conclusions deduced from the above
reported cases, gentlemen and also from
others O.; q similar nature not reported,
are as follows;
In case Of fracture Of the skull where
depression IL suspected. operate at once.
A large incision. allowing plenty of room
to see and work IN, should be made. semi
lunar fans are the better, the curve of
which should be to the pos;erior portion
of the skull Ia order TO allow drainage
h, gravity. Irrigate freely with bicnloriie
solution at first. and later stcrilized water.
Remove carefully ell foreign substances
from the wound, and II possible raise the
-,s.5,stetina with the flap. Lastly use your
Instruments carefully. skillfully and en-
pedi,iously If the latter injunction he
oheved you will likely have the pleasure
NJ seeing your patient gradually revive.
as II EepllF bIphst~i AiN4'' a AtfAN.A'1--
You will receive the encomiums OF the
family and your friends, as well as the
everlasting iaudits OF the sufferer.
spRATNS COMPARED WITH FRAC-
TI-RES-Bv DR.. W. c. Jones, Chief Sur
reon Texas Central and Waco and
Northwestern railways. walnut Springs
Texas
There Is certainly no more common class
! l. a. a1.@
tice Of the railway surceon than sprains.
There is certainly no class of injuries
treated with more Indifference by the pa
tents and the laiety. and | must add that
this Indifference Is too often INDUCED in
bv the attending surgeon. In order to more
fully comprehend this subject, We think
that some general definition and the dang
ers consequent on the more severe sprains
should be given.
Sprains are defined to be almost all IN
iuries Of Joints that are not attended by
permanent displacement of the articuar
surfaces
The extent Of injury to the structures IN
volN ed is very variable.
In many instances there Is only n spot
of extravasated blood, just at the attached
margin Of the capsule; in others the Joint
and the loose cellular tissue that extends
along the hone and under the skin are
"hether there Is rent or not' or the
strongest Heainehts IN the oony' such as
the internal laterai llsaheht OF the knee
or ankle may ne torn IN t"o' Nearly al
ways when TINS happens they arag away
with them INN scale from on the bone
In severe cases me inu'cIes always suner'
ana sometimes they are extensively iacer-
ated' possibly in the sudden spasmodic
,Ilott NJ recovery 'he yer don-sheaths are
p'uIsed ana hiIed win hlocd' the nerves
are stfetched and torn ana even al times
me Dones snow deep ecchynoses IN their
,h' nous substance.
IN iIact lIos lhVolVlhg joints the con
WNon OF arairs Just described must he
present VARYING OF course with the cause
OF the fracture.
AS showing the dangers, present and
remote Of severe sprains, few of the
most severe are mere described. oor1menc-
ing with sprains of the back. These are
very common, ESPECIALLY in the flexible
parts the eerVicai and lumbar regions;
some tines they are chiefly muscular, as
n cases OF oVerwork-llftlng heavy weights
Tor example, or In sudden awkward twists.
sometimes when due to external violence,
,hey involve the hbrous textures the
lpdflPntS, taSClaP ana SVnOylal membranes