A practical treatise on fractures and dislocations . des of extension and manipulation which Iemployed, I will briefly state that, having placed her completelyunder the influence of chloroform, the manipulations were madeassiduously during one hour, without success. On the followingmorning she was bled freely from the opposite arm, and chloroformagain administered; extension being made, in the presence of A. Lee and other gentlemen, with Jarviss adjuster. Aftermore than an hour, the effort was again suspended. On the followingday we made a third attempt, the patient being complete


A practical treatise on fractures and dislocations . des of extension and manipulation which Iemployed, I will briefly state that, having placed her completelyunder the influence of chloroform, the manipulations were madeassiduously during one hour, without success. On the followingmorning she was bled freely from the opposite arm, and chloroformagain administered; extension being made, in the presence of A. Lee and other gentlemen, with Jarviss adjuster. Aftermore than an hour, the effort was again suspended. On the followingday we made a third attempt, the patient being completely under theinfluence of chloroform, but with no better success. The chloroformproduced a condition approaching apoplexy, and it was not againused. On the tenth day, assisted by Prof. James P. White and othersurgeons, we applied the compound pulleys, moving the arm in vari-ous directions. Twice we thought the reduction was accomplished,but as often as we proceeded to examine it attentively we found it DISLOCATION OF THE SHOULDER DOWNWARDS, 549 W3» New socket, in an ancient luxation ofthe shoulder downwards. (From Sir ) was not. If it did ever pass into the socket, it was immediately displaced. The woman after this refused to submit to any further attempts, and she soon left the hospital, nor have I seen or heard from her Astley Cooper has thus described the appearances presented on dissection of a dislocation which had been long unreduced: The head of the bone altered in its form; the surface towards the scapula being flattened. A com-plete capsular ligament surrounding the head of the os humeri. The glenoid cavity entirely filled by ligamentous matter, in which were suspended small portions of bone, which were of new formation, as no portion of the scapula or humerus was broken. A new cavity formed for the head of the os humeri on the inferior costa of the scapula; but this was shallow, like that from which the bone had escaped. When the dislocation i


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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures