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Updated: June 8, 2025


Parapets of dry stones, breast high, enclose the russet roadsides, which resound with the crepitation of grasshoppers; and, beyond, the Campagna stretches, vast and bare, as far as the eye can see. A parasol pine, a eucalyptus, some olive or fig trees, white with dust, alone rise up near the road at infrequent intervals.

They are usually sub-periosteal and when the periosteum is left intact or nearly so, no crepitation is discernible. If this fracture is simple, prompt recovery may be expected. Bones of young animals, because they do not contain proportionately as much mineral substance as do bones of adults, are more resilient and less apt to become completely fractured.

Half an hour the bombardment and counter-bombardment, and then there arose the deadly crepitation of small arms no messages ten times I went back and forward to the signal room no messages until a new and dreadful sound was carried on the night wind out to sea the sound of the shock of whole regiments the Turkish Allah Din! our answering loud Hurrahs.

Symptomatology. Abnormal mobility of the broken parts of bone and crepitation mark fracture of the metacarpus, and the condition is easily diagnosed. In many instances, when compound fracture exists, broken ends of bone are protruding through the skin.

Crepitation or a grinding, rubbing sound due to the movement of the ends of the broken bones on one another occurs when the part is moved or manipulated with the hands. Pain, swelling and injury to the skin are other local symptoms. The new tissue or bone callus is formed by the bone-forming cells in the deeper layer of the periosteum and bone-marrow. The prognosis is unfavorable.

Recognition of fracture of any other single carpal bone must be done by detecting crepitation unless it be a compound fracture, whereupon probing is of aid in establishing a diagnosis. Carpal luxation when present is to be recognized by finding the apposing carpal bones joined in an abnormal manner that is, out of position.

The crepitation may be soft like the friction of snow, or may resemble the creaking of new leather "saddle-back creaking." There may be swelling in the long axis of the tendon, and redness and œdema of the skin. If there is an effusion of fluid into the sheath, the swelling is more marked and crepitation is absent. There is little tendency to the formation of adhesions.

M. de Tessan did not hear the noise arising from the aurora, which he attributes to the circumstance that he was too far distant from the place of the phenomenon; but he reports the observation of a distinguished officer of the French navy, M. Verdier, who, on the night of October 13th, 1819, being in the latitude of Newfoundland, had heard very distinctly a sort of crackling or crepitation, when the vessel he was on board was in the midst of an aurora borealis.

To the proofs drawn from the appearance of the phenomenon itself we may add others deduced from certain effects which accompany it, such as the noise of crepitation, which the dwellers nearest to the pole affirm that they have heard when there is the appearance of an aurora, and the sulphurous odor that accompanies it.

Usually, luxation and fracture may be differentiated in that there is no crepitation in luxation and more or less crepitation exists in fracture. It is evident, when one considers the symptomatology and nature of the affection, that fixed luxation is usually caused by undue strain or violent and abnormal movement of a part.

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