. A practical treatise on fractures and dislocations. 1. 2. ? 3. Three stages of dislocation of the semilunar, (v. Lessen.) In some uncomplicated cases reduction has apparently been affectedby manipulation, but in a number of them (Codman, Hildebrandt)later examination showed that reduction had been incomplete or thatthe displacement had recurred. It is, I think, evident that the sur-geon cannot be certain that he has fully reduced or that the bone willremain in place, and as removal of the bone has given as good func-tional results as reduction has, the surgeon is justified, I think, inresort
. A practical treatise on fractures and dislocations. 1. 2. ? 3. Three stages of dislocation of the semilunar, (v. Lessen.) In some uncomplicated cases reduction has apparently been affectedby manipulation, but in a number of them (Codman, Hildebrandt)later examination showed that reduction had been incomplete or thatthe displacement had recurred. It is, I think, evident that the sur-geon cannot be certain that he has fully reduced or that the bone willremain in place, and as removal of the bone has given as good func-tional results as reduction has, the surgeon is justified, I think, inresorting to removal at once. Nevertheless, late removal seems togive equally good results. In compound cases immediate removal isindicated, and all agree upon its propriety when the scaphoid also isbroken. For reduction Codman recommends that the wrist should be hyper-extended, the bone pushed into place and held there with the thumbswhile the wrist is flexed. Unciform. There are two recorded cases. One is very briefly re-ported by Buchanan l: a man fe
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