Page:Castes and Tribes of Southern India, Volume 4.djvu/226

KUSAVAN extended. He kept the splint on for about a month and, when it was removed, found that he was unable to bend the arm at the elbow-joint. When he was examined at the hospital, practically no movement, either active or passive, could be obtained at the elbow-joint. The lower end of the humerus could be felt to be decidedly thickened both anteriorly and posteriorly. There had apparently been a fracture of the lower end of the humerus. Röntgen ray photographs showed an immense mass of callus extending over the anterior surface of the elbow-joint from about two and a half inches above the lower end of the humerus to about an inch below the elbow-joint. There was also some callus on the posterior surface of the lower end of the humerus.

Concerning potter's gangrene, Captain W. J. Niblock, I. M.S., writes as follows.* " Cases of gangrene, the result of treatment of fractures by the village potters, used to be frequently met with in the General Hospital, Madras. These were usually brought when the only possible treatment consisted in amputation well above the disease. Two of these cases are indelibly impressed on my mind. Both were cases of gangrene of the leg, the result of tight splinting by potters. The first patient was a boy of thirteen. Whilst a student was removing the dressings on his admission, the foot came off in his hands, leaving two inches of the lower ends of the tibia and fibula exposed, and absolutely devoid of all the soft tissues, not even the periosteum being left. The second case was that of a Hindu man, aged 46.He was taken to the operation theatre at once. Whilst engaged in disinfecting my hands, I heard a dull thud on the floor of the operation theatre, turned round, and