A practical treatise on fractures and dislocations . Reduction by exten-sion of the arm upward.(Bryant.) Fie. Sir Astley Coopers, method of applying extension with the heel in the Ibid., vol. xxiii. p. 237, Nov. 1838. DISLOCATIONS OF THE SHOULDER, 579 Fig. 365. steadies the acromion process and scapula, the other presses downward upon thelower end of the humerus (Fig. 365.) If some hours or days have elapsed since the occurrence of dislocation,it will be necessary to resort to chloroform or ether for the purpose of paralyzing the muscles, as well as withthe view of preventing pa
A practical treatise on fractures and dislocations . Reduction by exten-sion of the arm upward.(Bryant.) Fie. Sir Astley Coopers, method of applying extension with the heel in the Ibid., vol. xxiii. p. 237, Nov. 1838. DISLOCATIONS OF THE SHOULDER, 579 Fig. 365. steadies the acromion process and scapula, the other presses downward upon thelower end of the humerus (Fig. 365.) If some hours or days have elapsed since the occurrence of dislocation,it will be necessary to resort to chloroform or ether for the purpose of paralyzing the muscles, as well as withthe view of preventing pain ; and itmay be necessary, in addition, to resortto pulleys, or to some similar perma-nent mode of extension. The samemeasures also sometimes become neces-sary in very recent cases, especially inmuscular subjects. In employing the pulleys we gener-ally operate, not exactly in a line withthe axis of the body, nor at more thana right angle, but between an angle of45° and a right angle. Mr. Skey has suggested a plan by whichwe may combine the principle of the heelin the axilla with the pulleys, but whichplan w
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