A practical treatise on fractures and dislocations . t by flexion. (Bigelo-w.) His method of reducing the dislocation upon the dorsum ilii, is toflex the thigh upon the abdomen, abduct and then rotate outwards;or, to flex, then adduct and rotate a little inwards, to disengage thehead of the bone from behind the socket, then abduct and pull directly 1 Eeid, Buffalo Med. Journ., vol. vii, Aug. 1851, pp. 129-143. 2 Markoe, New York Journ. Med., January, 1855. 688 DISLOCATIONS OF THE THIGH. upwards. When necessary, circumduction is practiced to lacerate thecapsule more completely. Reduction by ext
A practical treatise on fractures and dislocations . t by flexion. (Bigelo-w.) His method of reducing the dislocation upon the dorsum ilii, is toflex the thigh upon the abdomen, abduct and then rotate outwards;or, to flex, then adduct and rotate a little inwards, to disengage thehead of the bone from behind the socket, then abduct and pull directly 1 Eeid, Buffalo Med. Journ., vol. vii, Aug. 1851, pp. 129-143. 2 Markoe, New York Journ. Med., January, 1855. 688 DISLOCATIONS OF THE THIGH. upwards. When necessary, circumduction is practiced to lacerate thecapsule more completely. Reduction by extension dates from a period equally early with re-duction by manipulation. Hippocrates recommended, when other andgentler means had failed, to make extension and counter-extension;the extending bands being made fast above the knee and above theankle, so as to distribute the points of pressure; and the counter-ex-tending bands being secured around the chest under the armpits, andalso, if thought necessary, in the perineum of the sound side. Fig. Hippocratess mode of reducing dislocations of the hip by extension. Among the methods recommended and practiced by Hippocrates,was sitting across the upper round of a ladder with a weight attachedto the thigh of the dislocated limb; or suspending the patient from asort of gallows with the head downwards, and if the weight of thepatients own body proved insufficient, the surgeon might add hisalso; a method which Hippocrates characterizes as a good, proper,and natural mode of reduction, and one which has something of dis-play in it, if any one takes delight in such ostentatious modes of pro-cedure. 1 With various modifications as to the position of the limb, and as tothe points upon which the extending and counter-extending forces areto be applied, and with differently constructed appliances, surgeonsjhave continued to employ extension down to this day. The great majority have regarded flexion of the thigh as essen-tial to success; so
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
