. A treatise on dislocations and fractures of the joints. 323 DISLOCATION OF THE SHOULDER and unequal extension, which, in protracted cases, the efforts of menare sure to produce. If, therefore, I saw a surgeon, as soon as thepulleys were fixed, draw them violently, and endeavor suddenly to re-duce the limb, I should not hesitate at once to say, that gentleman. is ignorant of the principle upon which this mechanical power is em-ployed, and has still this part of his profession to learn. For the ap-plication of the pulley the patient sits between two staples, which arescrewed into the wainscot


. A treatise on dislocations and fractures of the joints. 323 DISLOCATION OF THE SHOULDER and unequal extension, which, in protracted cases, the efforts of menare sure to produce. If, therefore, I saw a surgeon, as soon as thepulleys were fixed, draw them violently, and endeavor suddenly to re-duce the limb, I should not hesitate at once to say, that gentleman. is ignorant of the principle upon which this mechanical power is em-ployed, and has still this part of his profession to learn. For the ap-plication of the pulley the patient sits between two staples, which arescrewed into the wainscot on each side of him; the bandages are thenapplied, precisely as in the former mode, in which the extension isperformed by men, and the force is applied in the same direction ; thesurgeon should first draw the pulley, as the class of people usuallysummoned to his assistance, being ignorant of the principle uponwhich it is employed, would use too great violence: he should drawgently and steadily, until the patient begins to complain of pain, andthen cease, keeping up the degree of extension, and conversing withthe patient to direct his mind to other objects. In two or threeminutes, more force should be applied, and be continued until pain beagain complained of, when the surgeon should again cease to increasethe force ; and thus he should proceed for a qua


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Keywords: ., bookcentury1800, bookdecade1840, booksubjectfractur, bookyear1844