A practical treatise on fractures and dislocations . rlooked bythe patient himself, or by some empiric, no surgeon having been calledto see the case until after the lapse ofseveral days or weeks. In general, when the reduction hasbeen effected promply, the patientshave recovered the complete use ofthe elbow-joint within a few weeks;but many exceptions have from timeto time come under my notice. A lad eight years old was broughtto me, whose arm had been dislo-cated six months before, and the re-duction of which had been accom-plished easily and promptly by SirAstley Coopers method. At thistime
A practical treatise on fractures and dislocations . rlooked bythe patient himself, or by some empiric, no surgeon having been calledto see the case until after the lapse ofseveral days or weeks. In general, when the reduction hasbeen effected promply, the patientshave recovered the complete use ofthe elbow-joint within a few weeks;but many exceptions have from timeto time come under my notice. A lad eight years old was broughtto me, whose arm had been dislo-cated six months before, and the re-duction of which had been accom-plished easily and promptly by SirAstley Coopers method. At thistime the arm was bent to a rightangle, and quite stiff at the elbow-joint. Four years later I learnedthat the stiffness still continued in agreat measure, with only slight im-provement. Treatment—Sir Astley Cooperthus describes his own method ofreducing this dislocation : The pa-tient is made to sit upon a chair,and the surgeon, placing his kneeon the inner side of the elbow-joint,in the bend of the arm, takes hold of the patients wrist, and bends the. Keduction with the knee in the bend of theelbow. 632 DISLOCATIONS OF THE KADIUS AND ULNA. arm. At the same time he presses on the radius and ulna with hisknee, so as to separate them from the os humeri, and thus the coro-noid process is thrown from the posterior fossa of the humerus; andwhilst this pressure is supported by the knee, the arm is to be forciblybut slowly bent, and the reduction is soon effected. The same practice has been recommended by Erichsen, Gibson,Samuel Cooper, and others. The plan recommended by Dorsey isnearly identical with that just described, only that, instead of the knee,he advises that the surgeon interlock his fingers in front of the arm,just above the elbow, and draw it backwards. On the other hand, Liston and Miller recommend, as a better modeof procedure, that the patient shall be seated upon a chair, and thatthe arm and forearm shall be pulled directly backwards, so as to relaxas completely as possi
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
