. The principles and practice of modern surgery. of the opposite thigh. After a little while the upper part of the limbshould be lifted by means of a napkin, so as to raise the head of thebone over the edge of the acetabulum. ^ Fig. 3. In the dislocation downwards, the head of the bone is thrown intothe thyroid foramen, or on the obturator externus. The symptoms are asfollows:—the limb is lengthened one or two inches;—it is drawn awayfrom the other;—the toes point downwards and directly forwards;—andthe body is bent forwards, because the psoas muscle is on the stretch.[See Fig. 82.] Treat
. The principles and practice of modern surgery. of the opposite thigh. After a little while the upper part of the limbshould be lifted by means of a napkin, so as to raise the head of thebone over the edge of the acetabulum. ^ Fig. 3. In the dislocation downwards, the head of the bone is thrown intothe thyroid foramen, or on the obturator externus. The symptoms are asfollows:—the limb is lengthened one or two inches;—it is drawn awayfrom the other;—the toes point downwards and directly forwards;—andthe body is bent forwards, because the psoas muscle is on the stretch.[See Fig. 82.] Treatment.—The object is to draw the head of the bone outwards, andrather upwards. There are two methods of effecting this. In the firstplace, the patient may be laid on his back on a bed, with one of the DISLOCATIONS OF THE HIP. 277 bed-posts between his thighs, and close up to the perineum. Then thefoot may be carried inwards, across the median line;—so that the bed-post, acting as a fulcrum, may throw the head of the femur the foot must not be raised, otherwise th^ head of the femur mayslip round under the acetabulum into the sciatic notch. (2.) Or thepelvis may be fixed by straps, and the pulleys be applie
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
