. Atlas and epitome of traumatic . \\ ^Hl5 V Fig. 2. ^j. ZtfA. .4/w/: A7 Retchhold, Munchen. FRACTURES OF THE UPPER EXTREMITY. 151 a dislocation is too great force and the repetition of manip-ulations. In the majority of instances reduction shouldnot be attempted without anesthesia. This attempt shouldbe made in only those few dislocations ay Inch experiencehas taught us can be reduced by simple manipulation with-out great force, as in Kochers method for shoulder dis-location. When the propermethods have been carefullytried without reduction underanesthesia, the probabilities arethat there is
. Atlas and epitome of traumatic . \\ ^Hl5 V Fig. 2. ^j. ZtfA. .4/w/: A7 Retchhold, Munchen. FRACTURES OF THE UPPER EXTREMITY. 151 a dislocation is too great force and the repetition of manip-ulations. In the majority of instances reduction shouldnot be attempted without anesthesia. This attempt shouldbe made in only those few dislocations ay Inch experiencehas taught us can be reduced by simple manipulation with-out great force, as in Kochers method for shoulder dis-location. When the propermethods have been carefullytried without reduction underanesthesia, the probabilities arethat there is some obstacle;and in such an event furtherand more forcible attempts atreduction only increase the dan-ger of injury. The surgeonshould immediately expose thedislocation by an open incision,when in the majority of in-stances the obstacle can be re-moved and the bone easily re-placed.—Ed.] If reduction is neglected,there usually results a veryserious condition known as an old luxation It is rare thata new joint with any degree of Fig. 53.—Simple dre
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