§1212.
12.
Ὅταν δὲ τύχῃ ψιλωθὲν τὸ ὀστέον τῆς σαρκὸς ὑπὸ τοῦ βέλεος, καὶ τύχῃ κατ᾿ αὐτὰς τὰς ῥαφὰς γενόμενον τὸ ἕλκος, χαλεπὸν γίγνεται καὶ τὴν ἕδρην τοῦ βέλεος φράσασθαι τὴν ἐν τῷ ἄλλῳ ὀστέῳ φανερὴν γιγνομένην, εἴτ᾿ ἔνεστιν ἐν τῷ ὀστέῳ, εἴτε μὴ ἔνεστιν, καὶ ἢν τύχῃ γενομένη ἡ ἕδρη ἐν αὐτέῃσι τῇσι ῥαφῇσιν.
When the bone happens to be bared of flesh by the missile, and the wound happens to be made directly on the sutures, it becomes difficult to recognize the indentation of the missile which is made manifest on other parts of the bone, whether it is in the bone or is not, even if the indentation happens to be made in the sutures themselves.
Ξυγκλέπτεται γὰρ αὐτὴ ἡ ῥαφὴ τρηχυτέρη ἐοῦσα τοῦ ἄλλου ὀστέου, καὶ οὐ διάδηλον ὅ τι τε αὐτοῦ ῥαφή ἐστιν, καὶ ὅ τι τοῦ βέλεος ἕδρη, ἢν μὴ κάρτα μεγάλη γένηται ἡ ἕδρη.
For the suture itself, being rougher than the rest of the bone, deceives one, and it is not clear what is the suture of the bone and what is the indentation of the missile, unless the indentation is very large.
Προσγίνεται δὲ καὶ ῥῆξις τῇ ἕδρῃ ὡς ἐπὶ τὸ πουλὺ, τῇ ἐν τῇσι ῥαφῇσι γιγνομένῃ, καὶ γίνεται καὶ αὐτὴ ἡ ῥήξις χαλεπωτέρη φράσασθαι, ἐῤῥωγότος τοῦ ὀστέου, διὰ τοῦτο, ὅτι κατ᾿ αὐτὴν τὴν ῥαφὴν ἡ ῥῆξις γίνεται ἢν ῥηγνύηται, ὡς ἐπὶ τὸ πουλύ.
And a fracture is usually superadded to the indentation occurring in the sutures, and this fracture itself becomes more difficult to recognize, even though the bone is fractured, for this reason: that when the bone is fractured, the fracture usually occurs along the suture itself.
Ἕτοιμον γὰρ ταύτῃ ῥήγνυσθαι τὸ ὀστέον καὶ διαχαλᾷν, διὰ τὴν ἀσθένείην τῆς φύσιος τοῦ ὀστέου ταύτῃ καὶ διὰ τὴν ἀραιότητα, καὶ δὴ ἅτε τῆς ῥαφῆς ἑτοίμης ἐούσης ῥήγνυσθαι καὶ διαχαλᾷν· τὰ δ᾿ ἄλλα ὀστέα, τὰ περιέχοντα τὴν ῥαφὴν, μένει ἀῤῥαγέα, ὅτι ἰσχυρότερά ἐστι τῆς ῥαφῆς.
For the bone is ready to fracture and gape here because of the weakness of its natural structure in this place and because of its porousness, and especially since the suture itself is ready to fracture and gape; but the other bones surrounding the suture remain unfractured, because they are stronger than the suture.
Ἡ δὲ ῥῆξις ἡ κατὰ τὴν ῥαφὴν γινομένη καὶ διαχάλασίς ἐστι τῆς ῥαφῆς, καὶ φράσασθαι οὐκ εὐμαρὴς, οὔτε ἢν ὑπὸ ἕδρης τοῦ βέλεος γενομένης ἐν τῇ ῥαφῇ ῥαγῇ καὶ διαχαλάσῃ, οὔτε ἢν, φλασθέντος τοῦ ὀστέου κατὰ τὰς ῥαφὰς, ῥαγῇ καὶ διαχαλάσῃ· ἀλλ᾿ ἔτι χαλεπώτερον φράσασθαι τὴν ἀπὸ τῆς φλάσιος ῥωγμήν.
And the fracture occurring along the suture is also a gaping of the suture, and it is not easy to recognize, whether it is fractured and gapes because of an indentation of the missile made in the suture, or whether it is fractured and gapes because of the bone being bruised at the sutures; but the crack arising from a bruise is still more difficult to recognize.
Ξυγκλέπτουσι γὰρ τὴν γνώμην καὶ τὴν ὄψιν τοῦ ἰητροῦ αὗται αἱ ῥαφαὶ ῥωγμοειδέες φαινόμεναι, καὶ τρηχύτεραι ἐοῦσαι τοῦ ἄλλου ὀστέου, ὅτι μὴ ἰσχυρῶς διεκόπη, καὶ διεχάλασεν· διακοπὴ δὲ καὶ ἕδρη τωὐτόν ἐστιν.
For these sutures, appearing like cracks and being rougher than the rest of the bone, deceive the mind and the sight of the physician, unless there is a severe cut and gaping (for a cut and an indentation are the same).
Ἀλλὰ χρὴ, εἰ κατὰ τὰς ῥαφὰς τὸ τρῶμα γένοιτο καὶ πρός γε τὸ ὀστέον καὶ ἐς τὸ ὀστέον στηρίξειε τὸ βέλος, προσέχοντα τὸν νόον, ἀνευρίσκειν ὅ τι πέπονθε τὸ ὀστέον.
But if the wound occurs at the sutures, and the missile reaches to the bone and fixes itself in the bone, one must attend carefully to find out what the bone has suffered.
Ἀπὸ γὰρ ἴσων τε βελέων τὸ μέγεθος καὶ ὁμοίων, καὶ πολλὸν ἐλασσόνων, καὶ ὁμοίως τρωθεὶς καὶ πολὺ ἧσσον, πολλῷ μέζον ἐκτήσατο τὸ κακὸν ἐν τῷ ὀστέῳ ὁ ἐς τὰς ῥαφὰς δεξάμενος τὸ βέλος, ἢ ὁ μὴ ἐς τὰς ῥαφὰς δεξάμενος.
For, from missiles equal and similar in size, and even much smaller, and when wounded in like manner and even much less, he who receives the missile in the sutures incurs a far greater mischief in the bone than he who does not receive it in the sutures.
Καὶ τουτέων τὰ πολλὰ πρίεσθαι δεῖ· ἀλλ᾿ οὐ χρὴ αὐτὰς τὰς ῥαφὰς πρίειν, ἀλλ᾿ ἀποχωρήσαντα ἐν τῷ πλησίον ὀστέῳ τὴν πρίσιν ποιέεσθαι, ἢν πρίῃς.
And most of these cases require sawing; but one must not saw the sutures themselves, but withdrawing from them, you must perform the sawing on the adjacent bone, if you saw.