A practical treatise on fractures and dislocations . that it increases the laceration of thecapsule, and does sometimes serious injury to the muscles about thejoint. La Mothe was the first to recommend this method,1 but asearly as the year 1764, Charles White, of Manchester, made fast a setof pulleys in the ceiling, and, placing a band around the wrist of thedislocated arm, he drew the patient up until the whole body was sus- 1 La Mothe, Amer. Journ. Med. Sci., vol. xix. p. 387, Nov. 1836, from Melangesde Med. et Cliir., Paris, 1812. DISLOCATION OF THE HUMERUS DOWNWARDS. 555 pended. No pressur
A practical treatise on fractures and dislocations . that it increases the laceration of thecapsule, and does sometimes serious injury to the muscles about thejoint. La Mothe was the first to recommend this method,1 but asearly as the year 1764, Charles White, of Manchester, made fast a setof pulleys in the ceiling, and, placing a band around the wrist of thedislocated arm, he drew the patient up until the whole body was sus- 1 La Mothe, Amer. Journ. Med. Sci., vol. xix. p. 387, Nov. 1836, from Melangesde Med. et Cliir., Paris, 1812. DISLOCATION OF THE HUMERUS DOWNWARDS. 555 pended. No pressure, however, was made upon the scapula fromabove, which is no doubt the most essential part of the ByLa Mothes plan, Jobert succeeded after twenty-three days when allthe usual methods had Sometimes this procedure is modifiedby placing the hand of the operator against the top of the scapula, asis shown in the accompanying drawing (Fig. 240); and I have severaltimes succeeded in this way after other measures have failed. Fie;. La Mothes method, modified A gentle movement backwards or forwards, a slight rotation of thelimb, or suddenly dropping the arm toward the body, diverting theattention of the patient, are little tricks of the operator, which nowand then prove successful. Sir Astley Cooper thus describes his method of applying the heelto the axilla (Fig. 241):— Fig. 241.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjec, booksubjectfractures
