. A practical treatise on fractures and dislocations . ior point of the ring is a strap designed to support the hand and forearm. The sling in which the arm rests has thin strips of metal sewed into the cloth, at the sides of thearm both above and below the elbow, with rings for the straps, in order to give a uniform and unyieldingsupport to the arm the entire length of the sling. The axillary pad may be made in the usual form, and secured in the ordinary mode. Lonsdale carry the elbow still further forwards, so as to lay the handacross the opposite shoulder, while Guillou carries the hand and
. A practical treatise on fractures and dislocations . ior point of the ring is a strap designed to support the hand and forearm. The sling in which the arm rests has thin strips of metal sewed into the cloth, at the sides of thearm both above and below the elbow, with rings for the straps, in order to give a uniform and unyieldingsupport to the arm the entire length of the sling. The axillary pad may be made in the usual form, and secured in the ordinary mode. Lonsdale carry the elbow still further forwards, so as to lay the handacross the opposite shoulder, while Guillou carries the hand and fore-arm behind the patient, and then proceeds to lift the shoulder to itsplace. ThusDesault, Fox, and Wattman accomplish the indication to carrythe shoulder back, by lifting the humerus while the elbow is in frontof the body, and Guillou accomplishes the same indication by liftingthe humerus when tbe elbow is a little behind the body. Chelius alsosays: The elbow, as far as possible, is to be laid backwards on thebody. 198 FRACTURES OF THE Sargent, who believes that with Foxs apparatus the occurrence ofdeformity is the exception, and not the rule, and prefers it to all others, has treated three cases by Guil-Fig. 46. lous method, and is perfectly satisfied with its operation. Hollingsworth, of Philadelphia, hasalso treated one case successfully byGuillous method, and adds his testi-mony in its favor. But how shall weexplain these equal results from oppo-site modes of treatment ? Is the indica-tion to carry the shoulders back, whichFox sought to accomplish by pressingthe elbow upwards and backwards, aseasily attained by pressing the elbowupwards and forwards? Or are wenot compelled to infer that there hasbeen some mistake as to the preciseamount of good accomplished by theFigure-of-s. apparatus in either case? Moreover, Coates,1 Keal, and others, instruct usthat the only safe and proper position for the humerus is in a linewith the side of the body, and that it must
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Keywords: ., bookcentury1800, bookdecade1860, booksu, booksubjectfracturesbone
