Modern surgery, general and operative . uscles) and to have an assistant hold it; bend the thumb stronglyback, extend, pull the thumb toward the fingers, and suddenly flex. Toget a firm enough grasp for these manipulations use the apparatus of Char- Pelvic Dislocations 675 riere or of Levis (Figs. 411, 412). If the above maneuvers fail, incise freely onthe dorsum and reduce. Tenotomy is seldom of ser\dce. After reduction ofthis dislocation a splint must be worn for three weeks. In fomard dislocationreduction is easily effected by strong extension and forced A splint isto be worn for
Modern surgery, general and operative . uscles) and to have an assistant hold it; bend the thumb stronglyback, extend, pull the thumb toward the fingers, and suddenly flex. Toget a firm enough grasp for these manipulations use the apparatus of Char- Pelvic Dislocations 675 riere or of Levis (Figs. 411, 412). If the above maneuvers fail, incise freely onthe dorsum and reduce. Tenotomy is seldom of ser\dce. After reduction ofthis dislocation a splint must be worn for three weeks. In fomard dislocationreduction is easily effected by strong extension and forced A splint isto be worn for three weeks. A dislocation of a phalanx may be complete or may be partial. It ismost common between the first and second phalanges. Symptoms and Treatment.—Dislocations of the phalanges are reducing such dislocations employ extension and manipulation. Use asplint for one week. Dislocations of the Ribs and Costal Cartilages.—The ribs may be dislocatedfrom the vertebrae. This accident is seldom uncomplicated, and cannot be. Fig. 411.—Le\iss splint for reducing dislocation of phalanges. differentiated from fracture without a skiagraph. The diagnosis is rarelymade, and the injury is treated as a fracture. The ribs may be dislocated fromtheir cartilages, one or more ribs being displaced. The end of the rib forms ananterior projection, there is a depression over the cartilage, and crepitus isabsent. Treatment is the same as that employed for fractured ribs. The cos-tal cartilages may be displaced from the sternum, forming an anterior projectionupon this bone. Reduction is brought about by placing the patient upon atable, ?ndth a sand-pillow between the scapulae, pushing back the shoulders andchest, and forcing the cartilage into place. The dressings are the same as thoseused for fractured sternum. The cartilages of the lower ribs (sixth, seventh,eighth, ninth, and tenth) may be separated. The inferior cartilage goes for-ward and can be felt. Pick states that reductio
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
