Atlas and epitome of traumatic fractures and dislocations . ^. Fi( : Roidilwid, Miwdien. 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 which 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 are


Atlas and epitome of traumatic fractures and dislocations . ^. Fi( : Roidilwid, Miwdien. 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 which 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 ofmobility is


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1902