Modern surgery, general and operative . Fig. 460.—Showing incision used for demonstration ofthe bursa (Codman). 730 Diseases and Injuries of Muscles, Tendons, and Bursae Codman places the arm on a pillow, with its lonj^; axis at right angles to thepatients body as he lies recumbent. If the patient has to get about, he niayuse a sling most cautiously. He should take the arm out from time to timeand rest it on a table. Massage should be used about the bursa, but notdirectly over it. In the more severe cases with adhesions one may employmassage, passive and active movements, baking, forcible move
Modern surgery, general and operative . Fig. 460.—Showing incision used for demonstration ofthe bursa (Codman). 730 Diseases and Injuries of Muscles, Tendons, and Bursae Codman places the arm on a pillow, with its lonj^; axis at right angles to thepatients body as he lies recumbent. If the patient has to get about, he niayuse a sling most cautiously. He should take the arm out from time to timeand rest it on a table. Massage should be used about the bursa, but notdirectly over it. In the more severe cases with adhesions one may employmassage, passive and active movements, baking, forcible movement and. Fig. 461.—Showing the abduction splint in position, the patient standing. It is held by a fig-ure-of-8 bandage, which crosses behind the shoulders and by a belt about the hips. The arm is at rest(Codman). Description of Splint.—^The frame of the splint which I use is made of iron wire (diameter, \ inch),stiff enough to maintain its form and to carry the weight of the arm securely. SufiScient cotton waddingto thoroughly pad it is bandaged over it and the whole covered with cotton or linen cloth. The generalshape is shown in the photograph. It should be just long enough to extend from the axilla to the seatof the chair on which the patient sits. It is best held in position by a belt around the pelvis and afig\ire-of-8 flannel bandage about the shoulders crossing back of the neck. A pad should be placed inthe opposite axilla to prevent excoriation of the skin by the bandage. During the first twenty-four hours and afterward, if worn at night, the arm should also be Ughtlybandaged to t
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
