. On bone-setting, so called, and its relation to the treatment of joints crippled by injury, rheumatism, inflammation, &c. &c. makes an effort at flexion with the handcarried towards the median line, and again withit carried outwards in the opposite inquires which movement is most painful,and where the pain is felt. The operator andpatient then seat themselves, with the corner ofa table between them ; and the operator, placingthe back of his left hand on the table, receivesthe elbow-joint in his palm and grasps it firmly,as shown in Fig. 2, at the same time placingthe left thumb
. On bone-setting, so called, and its relation to the treatment of joints crippled by injury, rheumatism, inflammation, &c. &c. makes an effort at flexion with the handcarried towards the median line, and again withit carried outwards in the opposite inquires which movement is most painful,and where the pain is felt. The operator andpatient then seat themselves, with the corner ofa table between them ; and the operator, placingthe back of his left hand on the table, receivesthe elbow-joint in his palm and grasps it firmly,as shown in Fig. 2, at the same time placingthe left thumb steadily on the seat of pain. Hethen grasps the wrist with his right hand. Ifthe most painful movement was flexion withadduction, he twists the palm of the handtowards the median line and flexes the elbowsharply, at the same time bringing the handacross the chest. If flexion with abduction wasmost painful, the palm is twisted outwards, andthe fore-arm carried into the position markedby dotted lines in the figure. In many casesboth these manoeuvres would be performed, thethumb-pressure being shifted to the spot especially. Fig. 2. MANIPULATIONS. 83 painful in relation to each; and, lastly, completeextension and rotation would be made. (Thetable on which the left hand of the operatorshould rest has been accidentally omitted in thedrawing.) For the shoulder, the principle of action isentirely the same; and the relative positionsof operator and patient are shown in Fig. 3,which also very well illustrates the most usualpoint for thumb-pressure. The dotted lines showthe positions into which it is necessary to movethe arm frequently in quick succession, butalways first in the direction in which movementis most painful. Proceeding to the consideration of theadhesions about the ankle-joint or foot, themethod of grasping the limb for rupturing themis shown in Fig. 4, which seems hardly toneed any kind of explanation. The proximalside of the affected joint being firmly held,and the thumb-
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Keywords: ., bookcentury1800, bookdecade1870, bookido, booksubjectdislocations
