The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ntinuous, and without violence; stopping occa- 228 DISLOCATION OF THE HIP JOINT. sionally when there is much pain created. As the head of thebone approaches the acetabulum, the surgeon rotates the limbinwards, and the bone slips quietly into its socket. As the headof the femur often catches against the edge of the acetabulum,it is good practice, when the bone is yielding to the traction of thepulley, to pass a towel or band under the thigh, near to the groin,and by this lift the head of the b
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . ntinuous, and without violence; stopping occa- 228 DISLOCATION OF THE HIP JOINT. sionally when there is much pain created. As the head of thebone approaches the acetabulum, the surgeon rotates the limbinwards, and the bone slips quietly into its socket. As the headof the femur often catches against the edge of the acetabulum,it is good practice, when the bone is yielding to the traction of thepulley, to pass a towel or band under the thigh, near to the groin,and by this lift the head of the bone over the acetabulum. The injured limb should then be kept parallel with the soundone by means of a bandage embracing both limbs, and the patientplaced quietly in bed for two weeks or more. Subsequent inflam-mation must always be looked to in cases of dislocation. Dislocation downwards into the Foramen —Diagnosis.—The injured limb is two inches longer than theother. In thin subjects, the head of the bone can be felt towardsthe perineum; the trochanter is less prominent; the body bent. forward ; the knee is advanced and separated from the other: thefoot is generally straight. The position of the head of the bone is below, and a little an- DISLOCATION OF THE HIP JOINT. 229 terior to the axis of the acetabulum, and there is a hollow belowPouparts ligament. Treatment.—The patient is placed upon his back; a band orgirth is passed in the perineum, around the injured thigh, andhooked to a pulley, made fast to a point obliquely above the hip.
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