A practical treatise on fractures and dislocations . exing the leg upon the thigh, carrying the thigh overthe sound one, upwards over the pelvis as high as the umbilicus, andthen abducting and rotating Dr. Markoe, of New York, adopts the same procedure, except thatwhen the limb has been sufficiently flexed and abducted, he directsthat the limb shall be gradually brought down, and he affirms that itis during this last manoeuvre that he has usually found the bone resumeits place in the Bigelow, of Boston, declares, as has already been stated, that in allthe regular dislocations, th
A practical treatise on fractures and dislocations . exing the leg upon the thigh, carrying the thigh overthe sound one, upwards over the pelvis as high as the umbilicus, andthen abducting and rotating Dr. Markoe, of New York, adopts the same procedure, except thatwhen the limb has been sufficiently flexed and abducted, he directsthat the limb shall be gradually brought down, and he affirms that itis during this last manoeuvre that he has usually found the bone resumeits place in the Bigelow, of Boston, declares, as has already been stated, that in allthe regular dislocations, that is to say, in all those dislocations in whichthe ilio-femoral ligament is not torn, the thigh must be first flexed, inorder to relax this ligament, and then reduction may be effected byextension directly forwards, the thigh being at a right angle with thebody, or by rotation. In some cases, where there is probably only abutton-hole slit in the capsule, free circumduction may be required inorder that the capsule may be torn more freely. Fig. Relaxation of the ilio-femoral ligament by flexion. (Bigelo-w.) His method of reducing the dislocation upon the dorsum ilii, is toflex the thigh upon the abdomen, abduct and then rotate outwards;or, to flex, then adduct and rotate a little inwards, to disengage thehead of the bone from behind the socket, then abduct and pull directly 1 Eeid, Buffalo Med. Journ., vol. vii, Aug. 1851, pp. 129-143. 2 Markoe, New York Journ. Med., January, 1855. 688 DISLOCATIONS OF THE THIGH. upwards. When necessary, circumduction is practiced to lacerate thecapsule more completely. Reduction by extension dates from a period equally early with re-duction by manipulation. Hippocrates recommended, when other andgentler means had failed, to make extension and counter-extension;the extending bands being made fast above the knee and above theankle, so as to distribute the points of pressure; and the counter-ex-tending bands being secured around the chest und
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
