The homeopathic practice of surgery : together with operative surgery . ction of these cases is accom-plished in the same manner as directed forthe simply backward luxation, — to wit: thebending of the arm over the surgeons or no difference of management is re-quired in either case. The operation mayeven be simpler than the one referred is not the same reason for first separ-ating the bones from the humerus, as whenthe coronoid process is fixed in its posteriorfossa. The tendons of the biceps flexorand the brachialis internus, moreover, beingstretched over the end of the h
The homeopathic practice of surgery : together with operative surgery . ction of these cases is accom-plished in the same manner as directed forthe simply backward luxation, — to wit: thebending of the arm over the surgeons or no difference of management is re-quired in either case. The operation mayeven be simpler than the one referred is not the same reason for first separ-ating the bones from the humerus, as whenthe coronoid process is fixed in its posteriorfossa. The tendons of the biceps flexorand the brachialis internus, moreover, beingstretched over the end of the humerus, tendto force it back into its natural situation, as soon as the arm isstraightened in spite of them. Sir Astley Cooper thus speaks ofa case he treated by mere extension — Finding that the tendonsof the biceps and (as I knew) of the brachialis internus, were putupon the stretch, I thought I might make use of them to draw theos humeri backwards, as by the string of a pulley, and I forciblyextended the arm, — when the dislocation was immediately re-duced.*. OP THE ULNA BACKWARDS. The olecranon can be clearly felt behind the humerus. Thearm can be neither straightened, nor flexed to more than a rightangle. The distinguishing mark of the case is a backward pro-jection of the ulna, together with a twisting inwards of the fore-arm and hand. The same mode of reduction may be directed as in the other * Cooper on Dislocations and Fractures, p. 389. OF ULNA OR RADIUS ALONE — REDUCTION. 59 cases. It is generally more easily accomplished. The bendingof the arm is here the essential part of the operation, as the fixedradius then acts like a lever to push the humerus back into itsplace on the ulna. OF THE RADIUS FORWARDS. The fore-arm is found more or less bent, but it is suddenlystopped, on attempting to flex it further, before it gets to a rightangle, the elevated head of the radius bearing against the forepart of the humerus (see Fig. 35). In this place it may be felt Fig.
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