The Boston medical and surgical journal . On the1st of July a single drop, only, was seen, but she felt well, and wasabout house all day, attending to her duties. To-day feels per-fectly well. Pulse 72. Has seen nothing from the vagina sinceyesterday July 16th.—She called on me. Has had no return of haemor-rhage. She feels well, but has not fully gained her strength. DISLOCATION OF THE FIRST PHALANX OF THE THUMB UPONTHE DORSUM OF THE METACARPAL BONE. [Read before the Middlesex East (Mass.) District Medical Society, September 2d, 1857. William Ikgalls, , Secretary.] BY BENJAMIN CUTTER,
The Boston medical and surgical journal . On the1st of July a single drop, only, was seen, but she felt well, and wasabout house all day, attending to her duties. To-day feels per-fectly well. Pulse 72. Has seen nothing from the vagina sinceyesterday July 16th.—She called on me. Has had no return of haemor-rhage. She feels well, but has not fully gained her strength. DISLOCATION OF THE FIRST PHALANX OF THE THUMB UPONTHE DORSUM OF THE METACARPAL BONE. [Read before the Middlesex East (Mass.) District Medical Society, September 2d, 1857. William Ikgalls, , Secretary.] BY BENJAMIN CUTTER, , WOBURN, MASS. The subject of my contribution, submitted to your considerationthis evening, was suggested by an occurrence that took place sinceour last meeting. It relates to an accident that seldom occurseven in a life-long practice, and of which very little satisfactoryinformation can be gleaned from the writings of surgical refer to the dislocation of the first phalanx of the thumb on theback of its metacarpal This dislocation is generally caused by a severe blow receivedon the end of the thumb, when the arm is extended to save onesself while falling. The phalanx is forced backward upon the meta- Dislocation of the Thumb. 113 carpal bone, and firmly retained there by the lateral should the phalanx be forced beneath the metacarpus, it iseasily replaced. On looking through authors on dislocations,whether ancient or modern, you will find mention of great difficul-ty in treating this dislocation, and no easy method of reductionsuggested. Many powerful instruments for traction have beendevised, and cases of tearing off the member have been order to get a secure hold upon so small a limb, it has beenusual to protect the thumb with a covering of soft leather, overwhich a strong tape is secured with a clove hitch so tightly drawnas to prevent slipping, and to which manual or mechanical power* may be attached—such as the pulley, J
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