A text-book of first aid and emergency treatment . Fig. 98.—Anterior dislocation of the upper end of the left humerus.(Stimson.) projecting end of the bone. A VeliJean bandage or othersimilar bandage may be applied with a pad over the dislo-cated end of the bone. Dislocation of the Shoulder.—This is a common form ofdislocation. The head of the bone usually lies in front ofthe joint beneath the clavicle. The motion of the shoulder DISLOCATIONS 139 is limited and the patient is unable to place the hand on theopposite shoulder. To reduce the dislocation the patient is placed on his backon a cot o
A text-book of first aid and emergency treatment . Fig. 98.—Anterior dislocation of the upper end of the left humerus.(Stimson.) projecting end of the bone. A VeliJean bandage or othersimilar bandage may be applied with a pad over the dislo-cated end of the bone. Dislocation of the Shoulder.—This is a common form ofdislocation. The head of the bone usually lies in front ofthe joint beneath the clavicle. The motion of the shoulder DISLOCATIONS 139 is limited and the patient is unable to place the hand on theopposite shoulder. To reduce the dislocation the patient is placed on his backon a cot or table, and an assistant standing on the oppositeside holds the patient about the chest close to the operator now grasps the injured wrist and pulls firmlyand steadily at right angles to the body. After pulling fora few minutes, in order to tire the muscles, the arm is slowlybrought down to the side, the steady pull being kept up inthe long axis of the arm. A second assistant may makepressure on the head of the Fig. 99.—Unreduced fracture dislocation of the elbow. Side view.(Ashhurst.) In muscular individuals it is often impossible to reducethe defoi*mity without an anesthetic. In such cases a tem-porary dressing is applied by placing a large pad of cottonunder the arm and bandaging the arm to the chest. Theelbow is bent and the wrist supported in a sling until theservices of a surgeon can be secured. If reduction has been successful the above dressing isapplied to prevent recurrence. Too much force should not 140 FRACTURE,^ AXD DISmCAriONS be resorted to in attempts at reduction, because there isdanger of fracturing the bone itseU antl thus acUUng a seriouseompHcation to the original injury. Dislocation of the Elbow.—^This is usually a fracture-dislocation. It is best treated as a fracture until ])rofessi()nalassistance can be secured. Cold compresses relieve the pain. In rare cases, where a phy-sician cannot be secured forseveral days, an attempt ma
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