. Minor and operative surgery, including bandaging . Extension by Indian puzzle. (Bryant.) palm of the hand, to relax the two portions of the shortflexor muscle. The thumb is next extended upon thewrist until its tip points to the elbow. An assistant nextplaces his finger behind the proximal phalanx to preventits slipping backward, and by bringing the thumb down to DISLOCATIOXS OF THE HIP. 437 the flexed position the bone slips into place. It sometimeshappens that all efforts at reduction fail, and in such casesit may be necessary to divide one head of the short flexormuscle subcutaneously or


. Minor and operative surgery, including bandaging . Extension by Indian puzzle. (Bryant.) palm of the hand, to relax the two portions of the shortflexor muscle. The thumb is next extended upon thewrist until its tip points to the elbow. An assistant nextplaces his finger behind the proximal phalanx to preventits slipping backward, and by bringing the thumb down to DISLOCATIOXS OF THE HIP. 437 the flexed position the bone slips into place. It sometimeshappens that all efforts at reduction fail, and in such casesit may be necessary to divide one head of the short flexormuscle subcutaneously or through an open wound beforethe displacement can be Dislocation of proximal phalanx of thumb backward. (Farabeuf.) The dressing of dislocations of the phalanges after re-duction consists in the application of splints of wood, ormoulded splints of binders board, or gutta-percha, to fixthe joint, which should be retained for ten days or twoweeks. Dislocations of the Hip.—The head of the femur ismost frequently dislocated backward, downward, or up-ward, although it may assume other positions in excep-tional cases. Posterior or Backward Dislocations of the Head of theFemur.—These are either backward and upward, whenthey are described as iliac or dorsal, the bone resting uponthe dorsum of the ilium (Fig. 328); or the dislocationmay be backward, the head of the bone resting upon theischiatic notch ; these are known as ischiadic dislocations,or dislocations of the femur, dorsal below the tendon(of the obturator internus), according to Bigelow (). 438 DISLOCATIONS. The reduction of the posterior dislocations of the femurcan generall


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