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THE MECHANICAL ACTION OF THE PERIOSTEUM IN FRESH FRACTURES
BEVERIDGE H. MOORE
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Assistant Professor of Orthopaedic Surgery, Northwestern University Medical School
The Journal of Bone & Joint Surgery.  1928; 10:78-81 
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Abstract

In transverse fractures the elastic pull of the periosteum is an additional factor to muscle pull in producing angular and overriding deformity. It also tends to lock overriding fragments by its mechanical action under direct traction. It also by its elastic action tends to cause angular deformity, if reduction is not anatomically perfect. However, when anatomically perfect reduction is obtained, this elastic action of the periosteum tends to maintain it. Therefore, manipulation which will take advantage of these properties of the periosteum is advisable.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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