. A practical treatise on fractures and dislocations. Obturator dislocation. (Stimson.) Obturator dislocation. (Johnson.) Treatment. Bigelow, in his original paper, gives ten procedures forreducing thyroid and downward dislocations, which may be groupedas four different methods : 1, manipulation ; 2, traction in the axis ofthe flexed and abducted limb ; 3, traction outward against the upperpart of the thigh ; 4, transformation into a dorsal dislocation, andreduction as such. In his last paper1 he seems to prefer the last1 Bigelow: Lancet, 1878, vol. i. p. 861. THY noil) DISLOCATIONS OF THE HIP
. A practical treatise on fractures and dislocations. Obturator dislocation. (Stimson.) Obturator dislocation. (Johnson.) Treatment. Bigelow, in his original paper, gives ten procedures forreducing thyroid and downward dislocations, which may be groupedas four different methods : 1, manipulation ; 2, traction in the axis ofthe flexed and abducted limb ; 3, traction outward against the upperpart of the thigh ; 4, transformation into a dorsal dislocation, andreduction as such. In his last paper1 he seems to prefer the last1 Bigelow: Lancet, 1878, vol. i. p. 861. THY noil) DISLOCATIONS OF THE HIP. 749 Fig. method, adducting the thigh in order to curry the head to the dorsumand enlarge the opening in the capsule, and then reducing by flexionand forcible lifting of the head toward the socket. JI is directions1 for reducing by manipulation arc: Flex the limbtoward a, perpendicular, and abduct it a little to disengage the headof the bone; then rotate the shaft strongly inward,adducting it,andcarrying the knee to the floor. The trochanter is then fixed by theY-ligament and the obturator muscle, which serve as ;i these are wound up and shortened by rotation (Fig. 339), thedescending knee pries the head upwardand outward to the socket. ... Inthis inaiKcnvre the action of the liga-ment may be aided, if necessary, by atowel passed round the head of thefemur to draw it upward and outward,llotation outward may be substitutedfor inward rotation. The clinical histories show that in-ward and outward rotation have suc-ceeded, each after the other has failed,and that the former is quite l
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