A practical treatise on fractures and dislocations . dislocation,and not a fracture, we had the testimony furnished by the reduction,which was not made, however, until by every possible means the diag-nosis was definitely settled. Seizing the hand of the gentleman withmy own hand, palm to palm, and making moderate but steady exten-sion in a straight line, the bones suddenly resumed their places withthe usual sensation or sound accompanying reductions. There was nograting, or chafing, or crushing, nor was the reduction accomplishedgradually, but suddenly. To test still further the accuracy of t
A practical treatise on fractures and dislocations . dislocation,and not a fracture, we had the testimony furnished by the reduction,which was not made, however, until by every possible means the diag-nosis was definitely settled. Seizing the hand of the gentleman withmy own hand, palm to palm, and making moderate but steady exten-sion in a straight line, the bones suddenly resumed their places withthe usual sensation or sound accompanying reductions. There was nograting, or chafing, or crushing, nor was the reduction accomplishedgradually, but suddenly. To test still further the accuracy of thediagnosis, I now pressed forcibly upon the wrist from before back, butwithout producing any degree of displacement, nor could any crepitusstill be detected. No splint was applied, and on the following morn-ing Mr. Porter preached from one of the pulpits in the city, only re-taining his arm in a sling. Sixteen months after the accident, September 15, 1858, this gentle-man again called upon me, and I found the arm perfect in all respects, Fig. Dislocation of the carpal bones backwards. (From Fergusson.) except that it was not quite as strong as before; the lower extremityof the ulna was preternaturally movable, and occasionally he felt asudden slipping in the radio-carpal articulation. Pathological Anatomy.—In the examples of compound or compli-cated dislocations, which have been exposed by dissections, the pos-terior and lateral ligaments have been found extensively torn, as also 42 650 DISLOCATIONS OF THE WRIST. frequently the anterior ligament, with or without separation of theradial or ulnar apophyses; the extensor muscles torn up from the lowerpart of the forearm and displaced ; the first row of the carpal boneslying underneath the tendons, and upon the bones of the forearm,sometimes having been carried directly upwards, sometimes upwardsand a little inwards, and at other times upwards and outwards; thearteries and nerves have occasionally escaped serious injury, b
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
