. A practical treatise on fractures and dislocations . The patient should be placed in the recumbent posture upon atable or sofa, near to the edge of which he is to be brought; thesurgeon then binds a wetted roller round the arm immediately abovethe elbow, upon which he ties a handkerchief; then he separates thepatients elbow from his side, and, with one foot resting upon thefloor, he places the heel of his other foot in the axilla, receiving thehead of the os humeri upon it, whilst he is himself in the sittingposture by the patients side. He then draws the arm by means ofthe handkerchief, ste
. A practical treatise on fractures and dislocations . The patient should be placed in the recumbent posture upon atable or sofa, near to the edge of which he is to be brought; thesurgeon then binds a wetted roller round the arm immediately abovethe elbow, upon which he ties a handkerchief; then he separates thepatients elbow from his side, and, with one foot resting upon thefloor, he places the heel of his other foot in the axilla, receiving thehead of the os humeri upon it, whilst he is himself in the sittingposture by the patients side. He then draws the arm by means ofthe handkerchief, steadily, for three or four minutes, when, under 1 La Mothe, Am. Journ. Med. Sci., vol. xix. p. 387, Nov. 1836, from Melanges deMeil. et Chir., Paris, 1812. 2 C. White, Ibid., from Med. Obs. and Inquiries, vol. ii. p. 273, London, Ibid., vol. xxiii. p. 237, Nov. 1838. 548 DISLOCATIONS OF THE SHOULDER. common circumstances, the head of the bone is easily replaced; butif more force be required, the handkerchief may be changed for a long Fig. Fig. 225. Sir Astley Coopers method of applying extension with the heel in the axilla. towel, by which several persons may pull, the surgeons heel stillremaining in the axilla. I generally bend the forearm nearly at rightangles with the os humeri, because it relaxes the biceps, and conse-quently diminishes its resistance. He was also accustomed in some cases to reduce the dislocation bysubstituting the knee for the heel. (Fig. 225.) Placing the patient upon a low chair, the axilla is laid over theknee of the operator, and while onehand steadies the acromion process andscapula, the other presses downwardsupon the lower end of the some hours or days have elapsedsince the occurrence of the dislocation,it will be necessary to resort to chlo-roform or ether for the purpose ofparalyzing the muscles, as well aswith the view of preventing pain, andit may be necessary, in addition, toresort to pulleys, or to some similarpermanent
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